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Sperling Scott M, et al. – ‘3’ for 4/23/21 re: Agiliti, Inc./DE

On:  Friday, 4/23/21, at 6:18pm ET   ·   For:  4/23/21   ·   Accession #:  899243-21-16907   ·   File #:  1-40361

Previous ‘3’:  ‘3’ on / for 7/18/17   ·   Latest ‘3’:  This Filing

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 4/23/21  Sperling Scott M                  3                      3:29K  Agiliti, Inc./DE                  Donnelley Fin’l S… 06/FA
          Thomas H. Lee Advisors, LLC
          Nelson Joshua M
          Bell Michael Adam
          THL Managers VIII, LLC
          FS Sponsor LLC
          Preiner Megan M
          THL Holdco, LLC

Initial Statement of Beneficial Ownership of Securities by an Insider   —   Form 3   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 3           Form 3 Submission -- doc3.xml/2.6                   HTML      4K 
 2: EX-99.1     EX-99.1 Document                                    HTML      8K 
 3: EX-99.2     EX-99.2 Document                                    HTML     19K 


‘3’   —   Form 3 Submission — doc3.xml/2.6




        

This ‘3’ Document is an XML Data File that may be rendered in various formats:

  Form 3    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
SEC Info rendering:  Form 3 Submission
 
FORM 3UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0104
Estimated average burden
hours per response:0.5
1. Name and Address of Reporting Person*
THOMAS H. LEE ADVISORS, LLC

(Last)(First)(Middle)
C/O THOMAS H. LEE PARTNERS, L.P.
100 FEDERAL STREET, 35TH FLOOR

(Street)
BOSTONMA02110

(City)(State)(Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
4/23/21
3. Issuer Name and Ticker or Trading Symbol
AGILITI, INC. \DE [ AGTI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
XDirectorX10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
XForm filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, par value $0.0001 per share98,195,398 (4)I (1) (2) (3)See footnotes (1) (2) (3)
Common Stock, par value $0.0001 per share25,000 (5)D (1) (2) (3)
Common Stock, par value $0.0001 per share0 (6)D (1) (2) (3)
Common Stock, par value $0.0001 per share0 (7)D (1) (2) (3)
Common Stock, par value $0.0001 per share0 (8)D (1) (2) (3)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year)3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date ExercisableExpiration DateTitleAmount or Number of Shares
1. Name and Address of Reporting Person*
THOMAS H. LEE ADVISORS, LLC

(Last)(First)(Middle)
C/O THOMAS H. LEE PARTNERS, L.P.
100 FEDERAL STREET, 35TH FLOOR

(Street)
BOSTONMA02110

(City)(State)(Zip)
1. Name and Address of Reporting Person*
FS Sponsor LLC

(Last)(First)(Middle)
C/O THOMAS H. LEE PARTNERS, L.P.
100 FEDERAL STREET, 35TH FLOOR

(Street)
BOSTONMA02110

(City)(State)(Zip)
1. Name and Address of Reporting Person*
THL MANAGERS VIII, LLC

(Last)(First)(Middle)
C/O THOMAS H. LEE PARTNERS, L.P.
100 FEDERAL STREET, 35TH FLOOR

(Street)
BOSTONMA02110

(City)(State)(Zip)
1. Name and Address of Reporting Person*
THL HOLDCO, LLC

(Last)(First)(Middle)
C/O THOMAS H. LEE PARTNERS, L.P.
100 FEDERAL STREET, 35TH FLOOR

(Street)
BOSTONMA02110

(City)(State)(Zip)
1. Name and Address of Reporting Person*
Bell Michael Adam

(Last)(First)(Middle)
C/O THOMAS H. LEE PARTNERS, L.P.
100 FEDERAL STREET, 35TH FLOOR

(Street)
BOSTONMA02110

(City)(State)(Zip)
1. Name and Address of Reporting Person*
Nelson Joshua M

(Last)(First)(Middle)
C/O THOMAS H. LEE PARTNERS, L.P.
100 FEDERAL STREET, 35TH FLOOR

(Street)
BOSTONMA02110

(City)(State)(Zip)
1. Name and Address of Reporting Person*
PREINER MEGAN M

(Last)(First)(Middle)
C/O THOMAS H. LEE PARTNERS, L.P.
100 FEDERAL STREET, 35TH FLOOR

(Street)
BOSTONMA02110

(City)(State)(Zip)
1. Name and Address of Reporting Person*
SPERLING SCOTT M

(Last)(First)(Middle)
C/O THOMAS H. LEE PARTNERS, L.P.
100 FEDERAL STREET, 35TH FLOOR

(Street)
BOSTONMA02110

(City)(State)(Zip)
Explanation of Responses:
(1)  See Exhibit 99.1 for text of footnotes.
(2)  See Exhibit 99.1 for text of footnotes.
(3)  See Exhibit 99.1 for text of footnotes.
(4)  See Exhibit 99.1 for text of footnotes.
(5)  See Exhibit 99.1 for text of footnotes.
(6)  See Exhibit 99.1 for text of footnotes.
(7)  See Exhibit 99.1 for text of footnotes.
(8)  See Exhibit 99.1 for text of footnotes.
Remarks:
Exhibit 99.1 and Exhibit 99.2 (Joint Filer Information) are incorporated herein by reference. This Form 3 is the second of two Form 3s filed relating to the same event. The Form 3 has been split into two filings because there are more than 10 Reporting Persons in total, and the SEC's EDGAR filing system limits a single Form 3 to a maximum of 10 Reporting Persons. Each Form 3 is filed by Designated Filer, Thomas H. Lee Advisors, LLC.
THOMAS H. LEE ADVISORS, LLC, By: THL Holdco, LLC, its Managing Member, /s/ Joshua M. Nelson, Name: Joshua M. Nelson, Title: Managing Director 4/23/21
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

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Filing Submission 0000899243-21-016907   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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