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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
| 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 control number. | SEC 1474 (9-02) | ||
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1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) |
4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Stock Option (right to buy) | (3) | (3) | (3) | Class A Common Stock | (3) | 1,630 (3) | D | ||||||||
| Reporting Owner Name / Address | Relationships | |||
| Director | 10% Owner | Officer | Other | |
| Parisi James E. C/O ATI PHYSICAL THERAPY 790 REMINGTON BOULEVARD BOLINGBROOK, IL 60440 |
X | |||
| /s/Erik Kantz as Attorney-in-Fact for Reporting Person | 02/23/2024 | |
| **Signature of Reporting Person | Date |
| * | If the form is filed by more than one reporting person, see Instruction 4(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). |
| (1) | The Form 4 filed on August 17, 2022 and on August 19, 2022 incorrectly referenced code "A"; the correct code is "P". The total beneficial ownership reflected on the Form 4 filed on August 19, 2022 is being amended to correct an administrative error. |
| (2) | As of June 14, 2023, the issuer effected a reverse stock split (the "Reverse Split") of its Class A Common Stock at a ratio of 1-for-50, resulting in every 50 shares owned by the reporting person to be combined into one share of Class A Common Stock. Represents aggregate beneficial ownership following the Reverse Split of Issuer's Class A Common Stock as of February 23, 2024. |
| (3) | Represents the aggregate amount of all options previously granted as reflected on Form 4 filed November 26, 2021 and March 9, 2022 (together, the "Option Form 4 Filings"). The options have been adjusted to reflect the Reverse Split. 899 of the options remain unvested, and vest pursuant to the schedules set-forth in the Option Form 4 Filings. |