| | | | | | | | | | | | | | | | | | | | | | |
Ownership Document
|
| Schema Version: X0306 |
| Document Type: 4 |
| Period of Report: 3/7/22 |
| Not Subject to Section 16: 0 |
| Issuer: |
| Issuer CIK: 1815849 |
| Issuer Name: ATI Physical Therapy, Inc. |
| Issuer Trading Symbol: ATIP |
| Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1867889 |
| | Owner Name: Oakes Augustus |
| Reporting Owner Address: |
| | Owner Street 1: C/O ATI PHYSICAL THERAPY, INC. |
| | Owner Street 2: 790 REMINGTON BOULEVARD |
| | Owner City: BOLINGBROOK |
| | Owner State: IL |
| | Owner ZIP Code: 60440 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? No |
| | Is Officer? Yes |
| | Is Ten Percent Owner? No |
| | Is Other? No |
| | Officer Title: Chief Information Officer |
| Non-Derivative Table: |
| Non-Derivative Transaction: |
| | Security Title: |
| | | Value: Class A common stock |
| | Transaction Date: |
| | | Value: 3/7/22 |
| | Deemed Execution Date: |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Timeliness: |
| | | Value: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 71,839 |
| | | Transaction Price Per Share: |
| Value: 0.00 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 108,389 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Table: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Stock Option (right to buy) |
| | Conversion or Exercise Price: |
| | | Value: 1.74 |
| | Transaction Date: |
| | | Value: 3/7/22 |
| | Deemed Execution Date: |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Timeliness: |
| | | Value: |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 133,729 |
| | | Transaction Price Per Share: |
| Value: 0.00 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Exercise Date: |
| | | Footnote ID: F1 |
| | Expiration Date: |
| | | Value: 3/7/32 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Class A common stock |
| | | Underlying Security Shares: |
| Value: 133,729 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 203,633 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Footnotes: |
| Footnote - F1: One-third of the Stock Options vest on each of the first three anniversaries of March 7, 2022, subject to the Reporting Person's continued service through the applicable vesting date. |
| Remarks: |
| Owner Signature: |
| Signature Name: /s/ Erik Kantz, as Attorney-In-Fact for Reporting Person |
| Signature Date: 3/9/22 |
