0001953718-23-000002.txt : 20231219 0001953718-23-000002.hdr.sgml : 20231219 20231219150041 ACCESSION NUMBER: 0001953718-23-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231216 FILED AS OF DATE: 20231219 DATE AS OF CHANGE: 20231219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kantz Erik CENTRAL INDEX KEY: 0001953718 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39439 FILM NUMBER: 231496947 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 2023-12-16 0 0001815849 ATI Physical Therapy, Inc. ATIP 0001953718 Kantz Erik C/O ATI PHYSICAL THERAPY 790 REMINGTON BOULEVARD BOLINGBROOK IL 60440 0 1 0 0 Chief Legal Officer 0 Class A Common Stock 2023-12-16 4 F 0 12 6.79 D 16341 D Shares withheld Shares withheld by the Issuer to satisfy tax withholding obligations upon vesting. The Reporting Person was granted Restricted Stock Units which vest annually and Restricted Stock Awards which vest quarterly. There are 15,185 unvested RSUs and 111 unvested RSAs. Erik Kantz 2023-12-19