SEC Info℠  
    Home      Search      My Interests      Help      Sign In      Please Sign In

Anbari David – ‘3’ for 7/1/22 re: Agiliti, Inc./DE

On:  Monday, 7/11/22, at 4:39pm ET   ·   For:  7/1/22   ·   As:  Officer   ·   Accession #:  1415889-22-7630   ·   File #:  1-40361

Find Words in Filings emoji
 		  in    Show  and   ↓Hints

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

 7/11/22  Anbari David                      3          Officer     2:12K  Agiliti, Inc./DE                  SEC Connect

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           Initial Statement of Beneficial Ownership of        HTML      8K 
                Securities by an Insider --                                      
                form3-07112022_010719.xml/2.6                                    
 2: EX-24       Power of Attorney                                   HTML      8K

‘3’   —   Initial Statement of Beneficial Ownership of Securities by an Insider — form3-07112022_010719.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
 
 
Plain Text rendering:  Initial Statement of Beneficial Ownership of Securities by an Insider — form3-07112022_010719.xml/2.6
 
                                                                                                                                                                                
Ownership Document
 
Schema Version:  X0206
Document Type:  3
Period of Report:  7/1/22
No Securities Owned:  0
Issuer:
Issuer CIK:  1749704
Issuer Name:  AGILITI, INC. \DE
Issuer Trading Symbol:  AGTI
Reporting Owner:
Reporting Owner ID:
Owner CIK:  1921261
Owner Name:  ANBARI DAVID
Reporting Owner Address:
Owner Street 1:  C/O AGILITI, INC.
Owner Street 2:  11095 VIKING DRIVE, SUITE 300
Owner City:  EDEN PRAIRIE
Owner State:  MN
Owner ZIP Code:  55344
Owner State Description:
Reporting Owner Relationship:
Is Director?  No
Is Officer?  Yes
Is Ten Percent Owner?  No
Is Other?  No
Officer Title:  SVP, STRTGY & SOLUT'N MGMT
Other Text:
Non-Derivative Table:
Non-Derivative Holding:
Security Title:
Value:  Common Stock, $0.0001 par value
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  47,602
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Nature of Ownership:
Value:
Derivative Table:
Derivative Holding:
Security Title:
Value:  Options (Right to Buy)
Conversion or Exercise Price:
Value:  8.25
Exercise Date:
Footnote ID:  F1
Expiration Date:
Value:  3/6/30
Underlying Security:
Underlying Security Title:
Value:  Common Stock, $0.0001 par value
Underlying Security Shares:
Value:  81,818
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Nature of Ownership:
Value:
Derivative Holding:
Security Title:
Value:  Options (Right to Buy)
Conversion or Exercise Price:
Value:  8.25
Exercise Date:
Footnote ID:  F2
Expiration Date:
Value:  3/6/30
Underlying Security:
Underlying Security Title:
Value:  Common Stock, $0.0001 par value
Underlying Security Shares:
Value:  21,212
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Nature of Ownership:
Value:
Derivative Holding:
Security Title:
Value:  Options (Right to Buy)
Conversion or Exercise Price:
Value:  14
Exercise Date:
Footnote ID:  F3
Expiration Date:
Value:  4/22/31
Underlying Security:
Underlying Security Title:
Value:  Common Stock, $0.0001 par value
Underlying Security Shares:
Value:  17,500
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Nature of Ownership:
Value:
Derivative Holding:
Security Title:
Value:  Options (Right to Buy)
Conversion or Exercise Price:
Value:  18.45
Exercise Date:
Footnote ID:  F4
Expiration Date:
Value:  3/3/32
Underlying Security:
Underlying Security Title:
Value:  Common Stock, $0.0001 par value
Underlying Security Shares:
Value:  21,409
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Nature of Ownership:
Value:
Footnotes:
Footnote - F1:  These options were granted under Agiliti, Inc.'s 2018 Omnibus Incentive Plan on March 6, 2020. These options vest ratably on an annual basis over a four-year period.
Footnote - F2:  These options were granted under Agiliti, Inc.'s 2018 Omnibus Incentive Plan on March 6, 2020. These options vest ratably on an annual basis over a three-year period.
Footnote - F3:  These options were granted under Agiliti, Inc.'s 2018 Omnibus Incentive Plan on April 22, 2021. These options vest ratably on an annual basis over a three-year period.
Footnote - F4:  These options were granted under Agiliti, Inc.'s 2018 Omnibus Incentive Plan on March 3, 2022. These options vest ratably on an annual basis over a three-year period.
Owner Signature:
Signature Name:  /s/ Lee M. Neumann, by power of attorney
Signature Date:  7/11/22


↑Top
Filing Submission 0001415889-22-007630   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)
Copyright © 2024 Fran Finnegan & Company LLC – All Rights Reserved.
About — Privacy — Redactions — Help — Mon., Apr. 29, 12:44:08.2pm ET