Jeff D. Goldberg - 20 Aug 2024 Form 4 Insider Report for ATI Physical Therapy, Inc. (ATIP)

Reporting relationship: Director
Issuer ticker: ATIP
Reported as of: 20 Aug 2024
Net transaction value: $0
SEC form: 4
Accepted by SEC: 22 Aug 2024, 18:22:41 UTC
Prior SEC filing: 22 Dec 2023
Next SEC filing: 30 May 2025
Source filing: View source filing
Reporting owner signature: /s/ Erik Kantz as Attorney-in-Fact for Reporting Person

Key filing fact

Jeff D. Goldberg filed Form 4 for ATI Physical Therapy, Inc. (ATIP) on 22 Aug 2024.

Key facts

This page summarizes Jeff D. Goldberg's Form 4 filing for ATI Physical Therapy, Inc. (ATIP).
4 reported transactions and 4 derivative rows are listed below.
Accepted by SEC: 22 Aug 2024, 18:22.

Change

Previous filing in this sequence was filed on 22 Dec 2023.
Current net transaction value: $0.

Research use

This tells you what this filing adds before you inspect full transaction and derivative tables.
You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

ATIP transaction Derivative

Stock Option (Right to Buy)

Award

Transaction value: $0
Shares: +6,255
Change %
Price: $0.000000
Shares after: 6,255
Date: 20 Aug 2024
Ownership: Direct
Underlying class: Class A Common Stock
Underlying amount: 6,255
Exercise price: $10.00
Footnotes: F1

ATIP transaction Derivative

Stock Option (Right to Buy)

Award

Transaction value: $0
Shares: +6,255
Change %: +100%
Price: $0.000000
Shares after: 12,510
Date: 20 Aug 2024
Ownership: Direct
Underlying class: Class A Common Stock
Underlying amount: 6,255
Exercise price: $12.50
Footnotes: F1

ATIP transaction Derivative

Stock Option (Right to Buy)

Award

Transaction value: $0
Shares: +6,255
Change %: +50%
Price: $0.000000
Shares after: 18,765
Date: 20 Aug 2024
Ownership: Direct
Underlying class: Class A Common Stock
Underlying amount: 6,255
Exercise price: $25.00
Footnotes: F1

ATIP transaction Derivative

Stock Option (Right to Buy)

Award

Transaction value: $0
Shares: +12,509
Change %: +67%
Price: $0.000000
Shares after: 31,274
Date: 20 Aug 2024
Ownership: Direct
Underlying class: Class A Common Stock
Underlying amount: 12,509
Exercise price: $50.00
Footnotes: F1

^* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 1 footnote

Footnote F1

One-third of the Stock Options vest on each of the following dates: April 1, 2025, April 1, 2026, and April 1, 2027, each subject to the Reporting Person's continued service through the applicable vesting date or application of certain vesting acceleration rights.