0001944782-24-000002.txt : 20240822
0001944782-24-000002.hdr.sgml : 20240822
20240822175325
ACCESSION NUMBER: 0001944782-24-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240820
FILED AS OF DATE: 20240822
DATE AS OF CHANGE: 20240822
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tansey Eimile
CENTRAL INDEX KEY: 0001944782
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39439
FILM NUMBER: 241233015
MAIL ADDRESS:
STREET 1: C/O ATI HOLDINGS, LLC
STREET 2: 790 REMINGTON BOULEVARD
CITY: BOLINGBROOK
STATE: IL
ZIP: 60440
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ATI Physical Therapy, Inc.
CENTRAL INDEX KEY: 0001815849
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 851408039
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 790 REMINGTON BOULEVARD
CITY: BOILINGBROOK
STATE: IL
ZIP: 60440
BUSINESS PHONE: 630-296-2223
MAIL ADDRESS:
STREET 1: 790 REMINGTON BOULEVARD
CITY: BOILINGBROOK
STATE: IL
ZIP: 60440
FORMER COMPANY:
FORMER CONFORMED NAME: Fortress Value Acquisition Corp. II
DATE OF NAME CHANGE: 20200622
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0508
4
2024-08-20
0
0001815849
ATI Physical Therapy, Inc.
ATIP
0001944782
Tansey Eimile
C/O ATI HOLDINGS, LLC
790 REMINGTON BOULEVARD
BOLINGBROOK
IL
60440
0
1
0
0
Chief People Officer
0
Stock Option (Right to Buy)
10
2024-08-20
4
A
0
48836
0
A
2034-08-20
Class A Common Stock
48836
51948
D
Stock Option (Right to Buy)
12.5
2024-08-20
4
A
0
48836
0
A
2034-08-20
Class A Common Stock
48836
100784
D
Stock Option (Right to Buy)
25
2024-08-20
4
A
0
48836
0
A
2034-08-20
Class A Common Stock
48836
149620
D
Stock Option (Right to Buy)
50
2024-08-20
4
A
0
97672
0
A
2034-08-20
Class A Common Stock
97672
247292
D
Stock Option (Right to Buy)
47
2032-09-02
Class A Common Stock
3112
3112
D
One-third of the Stock Options vest on each of the following dates: April 1, 2025, April 1, 2026, and April 1, 2027, each subject to the Reporting Person's continued service through the applicable vesting date.
This Stock Option was adjusted to reflect the reverse stock split that occurred on June 14, 2023, wherein the issuer effected a reverse stock split of its Class A Common Stock at a ratio of 1-for-50, resulting in every 50 shares owned by the Reporting Person to be combined into one share of Class A Common Stock. One-third of the Stock Options vest on each of the first three anniversaries of September 2, 2022, each subject to the Reporting Person's continued service through the applicable vesting date.
/s/ Erik Kantz as Attorney-in-Fact for Reporting Person
2024-08-22