0001953718-23-000001.txt : 20230621
0001953718-23-000001.hdr.sgml : 20230621
20230621161033
ACCESSION NUMBER: 0001953718-23-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230616
FILED AS OF DATE: 20230621
DATE AS OF CHANGE: 20230621
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kantz Erik
CENTRAL INDEX KEY: 0001953718
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39439
FILM NUMBER: 231029947
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]
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
X0407
4
2023-06-16
0
0001815849
ATI Physical Therapy, Inc.
ATIP
0001953718
Kantz Erik
C/O ATI HOLDINGS, LLC
790 REMINGTON BOULEVARD
BOLINGBROOK
IL
60440
0
1
0
0
Chief Legal Officer
0
Class A Common Stock
2023-06-16
4
F
0
12
10.53
D
16365
D
Stock Option (Right to Buy)
87
2022-03-07
4
A
0
1314
0
A
2023-03-07
2032-03-07
Class A Common Stock
1314
1314
D
As of June 14, 2023, the issuer effected a reverse stock split of its common stock at a ratio of 1-or-50, resulting in every 50 shares owned by the reporting person to be combined into one share of common stock.
This option was adjusted to reflect the reverse stock split that occurred on June 14, 2023.
John Lines as Attorney-in-Fact for Reporting Person
2023-06-21