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Name | Symbol | Market | Type |
---|---|---|---|
ATI Physical Therapy Inc (PK) | USOTC:ATIPW | OTCMarkets | Equity Warrant |
Price Change | % Change | Price | Bid Price | Offer Price | High Price | Low Price | Open Price | Traded | Last Trade | |
---|---|---|---|---|---|---|---|---|---|---|
0.00 | 0.00% | 0.0008 | 0.0008 | 0.0039 | 0.0008 | 0.0008 | 0.0008 | 718 | 14:30:00 |
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Transaction Valuation
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Amount of Filing Fee
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$4,702,500
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$719.96
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Exhibit No.
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Description
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| (a)(1)(A) | | | Offer to Purchase, dated December 17, 2024.* | |
| (a)(1)(B) | | | Letter of Transmittal (including Guidelines for Certification of Taxpayer Identification Number on IRS Form W-9).* | |
| (a)(1)(C) | | | Notice of Guaranteed Delivery.* | |
| (a)(1)(D) | | | Letter to Brokers, Dealers, Commercial Banks, Trust Companies and Other Nominees.* | |
| (a)(1)(E) | | | Letter to Clients for use by Brokers, Dealers, Commercial Banks, Trust Companies and Other Nominees.* | |
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Exhibit No.
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Description
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| (a)(1)(F) | | | Summary Advertisement, dated December 17, 2024.* | |
| (a)(5)(A) | | | Press Release issued by ATI on December 17, 2024.* | |
| (a)(5)(B) | | | Employee Letter issued by ATI on December 17, 2024.* | |
| (b)(1) | | | Third Amendment to Note Purchase Agreement, dated December 12, 2024, by and among ATI, Wilco Holdco, Inc. (“Wilco”), Wilco Intermediate Holdings, Inc. (“Holdings”), ATI Holdings Acquisition, Inc. (“Opco”), the subsidiary guarantors party thereto, the purchasers from time to time party thereto (in such capacity, the “Third Amendment Purchasers”) and Wilmington Savings Fund Society, FSB, as purchaser representative (incorporated by reference to the Form 8-K filed by ATI on December 17, 2024). | |
| (b)(2) | | | Form of Third Amendment Notes (incorporated by reference to the Form 8-K filed by ATI on December 17, 2024). | |
| (b)(3) | | | Escrow Agreement, dated as of December 12, 2024, by and among ATI, the Third Amendment Purchasers and Computershare Trust Company, N.A. (incorporated by reference to the Form 8-K filed by ATI on December 17, 2024). | |
| (b)(4) | | | Amendment No. 3 to the Credit Agreement and Amendment No. 1 to Parent Loan Guaranty, dated December 13, 2024, by and among ATI, Wilco, Holdings, Opco, the subsidiary guarantors party thereto, the lenders from time to time party thereto, HPS Investment Partners, as lender representative, and Barclays Bank plc, as administrative agent (incorporated by reference to the Form 8-K filed by ATI on December 17, 2024). | |
| (d) | | | Non-Tender Agreement, dated as of December 14, 2024, by and among the persons listed on Schedule A thereto, in each such person’s capacity as a stockholder of ATI, and ATI.* | |
| (g) | | | Not applicable. | |
| (h) | | | Not applicable. | |
| 107 | | | Filing Fee Table.* | |
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THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE AT 12:00 MIDNIGHT, EASTERN TIME, AT THE END OF JANUARY 15, 2025, UNLESS THE OFFER IS EXTENDED OR WITHDRAWN (SUCH DATE, AS IT MAY BE EXTENDED, THE “EXPIRATION DATE”).
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Securities Sought
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| | Up to 1,650,000 shares of common stock, par value $0.0001 per share, of ATI (the “Shares”). | |
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Price Offered Per Share
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| | $2.85, net to the seller in cash, without interest thereon and subject to any required tax withholding. | |
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Scheduled Expiration of Offer
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| | 12:00 Midnight, Eastern Time, at the end of January 15, 2025, unless the Offer is otherwise extended. | |
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Purchaser
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| | ATI Physical Therapy, Inc., a Delaware corporation. | |
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High
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Low
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Fiscal Year Ending December 31, 2024 | | | | | | | | | | | | | |
First Quarter
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| | | $ | 7.74 | | | | | $ | 5.18 | | |
Second Quarter
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| | | $ | 5.83 | | | | | $ | 3.92 | | |
Third Quarter
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| | | $ | 6.59 | | | | | $ | 4.45 | | |
Fourth Quarter (through December 16, 2024)
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| | | $ | 6.46 | | | | | $ | 0.41 | | |
Fiscal Year Ended December 31, 2023 | | | | | | | | | | | | | |
First Quarter
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| | | $ | 0.50 | | | | | $ | 0.25 | | |
Second Quarter
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| | | $ | 13.48 | | | | | $ | 0.15 | | |
Third Quarter
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| | | $ | 9.80 | | | | | $ | 6.00 | | |
Fourth Quarter
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| | | $ | 9.02 | | | | | $ | 6.10 | | |
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High
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Low
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Fiscal Year Ended December 31, 2022 | | | | | | | | | | | | | |
First Quarter
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| | | $ | 3.93 | | | | | $ | 1.58 | | |
Second Quarter
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| | | $ | 2.26 | | | | | $ | 1.25 | | |
Third Quarter
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| | | $ | 1.71 | | | | | $ | 0.85 | | |
Fourth Quarter
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| | | $ | 1.18 | | | | | $ | 0.22 | | |
Name and Position
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| |
Present Principal Occupation or Employment; Material Positions
Held During the Last Five Years |
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Joanne Burns
Director |
| | Ms. Burns, age 64, joined our Board in 2021, and currently is a member of our Audit Committee and Compensation Committee. Prior to serving on the Board, Ms. Burns served as the Chief Strategy Officer for Cerner Corporation, a healthcare IT company, from 2013 to 2019. Ms. Burns serves on the board of directors of Availity, a healthcare claims clearinghouse, as the chair of the performance and compensation committee and a member of the finance committee. Ms. Burns is chair of the management board and the compensation committee of SNOMED International, an international non-profit organization focused on clinical terminology used in electronic health records. Ms. Burns received her B.S. from the State University of New York College at Plattsburgh and her M.P.A. from the University of San Francisco. | |
Daniel Dourney
Director |
| | Mr. Dourney, age 68, joined our Board in February 2022. Mr. Dourney joined the Board of National Spine and Pain Centers in February 2023. From April 2019 to June 2021, Mr. Dourney served as President and Chief Executive Officer of Professional PT, LLC, a provider of outpatient physical and hand therapy and rehabilitation services. Previously, from May 2016 to March 2019, he was the President and Chief Operations Officer of OptimisCorp, a medical technology provider, and, prior to that was the COO of Physiotherapy Associates, an outpatient physical and occupational rehabilitation service and health and wellness program provider, from May 2014 to March 2016. Mr. Dourney has served on the board of directors of OptimisCorp since May 2016. Mr. Dourney received a bachelor’s degree from State University of New York Upstate Medical University and is a physical therapist. | |
Jeff Goldberg
Director |
| | Mr. Goldberg, age 58, joined our Board in December 2023 and currently is a member of our Audit Committee and Health Care Compliance Committee. Mr. Goldberg serves as chair of the board of Lannett, a generic pharmaceutical company, and as a board member of Banza, a national pasta company. Previously, Mr. Goldberg served from April 2023 to May 2024 as Interim Chief Financial Officer of Advantia Health, a women’s health platform seeking to transform health care for all women, including OB/Gyn, lactation, mental health and wellness. Mr. Goldberg also previously served on the board of directors of a number of private health care services companies, including from January 2014 to March 2016, as chair of the board of Physiotherapy Associates, a national provider of outpatient physical therapy services. | |
John Larsen
Director, Chair of the Board |
| | Mr. Larsen, age 67, has served on our Board since 2018 and has served as the Chair of the Board since 2021. Mr. Larsen currently is a member of our Compensation Committee and is the Chair of the Nominating and Corporate Governance Committee. He also served as | |
Name and Position
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| |
Present Principal Occupation or Employment; Material Positions
Held During the Last Five Years |
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| | | Executive Chairman and a member of the leadership team fulfilling the role of Principal Executive Officer until April 28, 2022. Mr. Larsen’s role at the Company has primarily been to work alongside executives and board members, participating in and nurturing broad networks of alliances with others. Mr. Larsen is an executive at Bridgeway Partners LLC (“Bridgeway”) and Cloverfields, LLC. Prior to forming Bridgeway in 2020, Mr. Larsen served in various roles at UnitedHealth Group from 2005 until 2018. Mr. Larsen was also an executive at Gondola Eye, LLC from 2019 until 2020. | |
James Parisi
Director |
| | Mr. Parisi, age 59, joined our Board in 2021 and currently is a member of our Nominating and Corporate Governance Committee and is the Chair of the Audit Committee. Since May 2018, Mr. Parisi has served on the board of directors of Cboe Global Markets, Inc., a global exchange operator, as the chair of the audit committee and a member of the compensation committee. Previously, Mr. Parisi served on the board of directors of Cotiviti Inc., a clinical and financial analytics company, as the Chair of the audit committee and a member of the board strategy committee from 2015 until 2018. Mr. Parisi also served on the board of directors for Cboe Futures Inc., a futures exchange, where he was a member of the regulatory oversight committee from 2016 until 2018 and served on the board of directors of Pursuant Health, Inc., a provider of self-service health and wellness testing kiosks, as the chair of the audit committee from 2014 until 2021. Mr. Parisi served as Chief Financial Officer of CME Group Inc., a publicly traded company, from 2004 through 2014. Mr. Parisi received his B.S. from the University of Illinois at Urbana-Champaign and his M.B.A. from the University of Chicago Booth School of Business. | |
Carmine Petrone
Director |
| | Mr. Petrone, age 42, has served on our Board since 2016 and currently serves as the Chair of the Compensation Committee. Mr. Petrone is a Managing Director at Advent, focused on investments in the healthcare sector. Mr. Petrone has worked on more than 12 Advent investments. Mr. Petrone currently serves on the board of AccentCare, Iodine Software and Simtra BioPharma Solutions. Prior to joining Advent in 2010, Mr. Petrone was an associate at Thomas H. Lee Partners from 2006 to 2008. Mr. Petrone currently serves on the Board of Directors of AccentCare. He holds a B.A. in Economics from the John Hopkins University and an M.B.A. from Harvard Business School. | |
Randy Raisman
Director |
| | Mr. Raisman, age 47, joined our Board in June 2023 and currently is a member of our Compensation Committee and Health Care Compliance Committee. Mr. Raisman is a Managing Director focused on distressed investing opportunities and the high yield credit markets at Marathon Asset Management, L.P. (“MAM”). Mr. Raisman has led both distressed and performing investments for MAM in the healthcare sector, with a focus on hospitals, medical staffing, laboratory testing and branded and generic pharmaceuticals. Mr. Raisman has also led several large financial services related investments for MAM, with a focus on mortgage lending and mortgage servicing, the insurance sector and the consumer finance sector. Mr. Raisman has over 15 years of experience investing in distressed opportunities in the retail and consumer sectors, having led several restructurings in those industries. Mr. Raisman joined MAM | |
Name and Position
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Present Principal Occupation or Employment; Material Positions
Held During the Last Five Years |
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| | | from Chatham Asset Management (2010 – 2012) where he was an Analyst investing in distressed companies across a broad range of industries. Prior to Chatham Asset Management, Mr. Raisman was a senior member of the investment team at Durham Asset Management (2006 – 2009), a hedge fund focused on distressed investing. Mr. Raisman holds an M.B.A. degree in Finance from Columbia Business School and a Bachelors of Business Administration and a Masters of Accounting degree from The University of Michigan Business School. He sits on the Board of Directors of Kaleo Pharmaceuticals, Healogics and Auto Europe Group. | |
Andrew Shannahan
Director |
| | Mr. Shannahan, age 43, joined our Board in June 2023 and currently serves as a member of our Nominating and Corporate Governance Committee. Mr. Shannahan is Head of Research and Partner at Knighthead Capital Management, LLC (“Knighthead”), an event driven and deep value focused SEC-registered investment advisor, specializing in financial and operational restructuring. Mr. Shannahan has had sixteen years of investment experience at Knighthead, and oversees the Knighthead research team, leading complex investment deals. Prior to joining Knighthead in 2008, he spent six years as a senior research analyst for Litespeed Partners, an event-driven hedge fund. Mr. Shannahan serves as a member of the Investment Committee of certain funds managed by Knighthead. He is also on the Board of Directors of Birmingham City Football Club Limited, Birmingham City Limited, Birmingham City Stadium Ltd, Birmingham City Women Football Club Limited, Shelby Companies Limited, Homer City Holdings, LLC, Hertz Global Holdings, Inc., Bowhunter Holdings, LLC, Knighthead Annuity & Life Assurance Company and certain of its affiliates. Mr. Shannahan graduated from Columbia University in 2003. | |
Teresa Sparks
Director |
| | Ms. Sparks, age 56, joined our Board in December 2021 and is currently a member of the Audit Committee and is the Chair of the Health Care Compliance Committee. From October 2018 to August 2020, Ms. Sparks served as CFO and Executive Vice President of Envision Healthcare, a leading provider of physician-led services and post-acute care services in addition to ambulatory surgery services. Previously, from March 2018 to September 2018, she was the interim CFO at Brookdale Senior Living, and, prior to that, was the CFO at Surgery Partners and its predecessor company, Symbion, Inc., from November 2014 to January 2018. Ms. Sparks currently serves on the board of directors of Harrow Health, Inc., a publicly traded ophthalmic-focused healthcare company, where she is chair of the audit committee and a member of the nominating and governance and compensation committees. Ms. Sparks is also the chair of the audit committee for InnovAge, a publicly traded Program of All-inclusive Care for the Elderly (PACE) program. Ms. Sparks also serves on the board of directors and as chair of the audit committee of several other private companies. Ms. Sparks received a Bachelor’s Degree from Trevecca Nazarene University. | |
Sharon Vitti
Director, Chief Executive Officer |
| | Ms. Vitti, age 59, joined our Company as Chief Executive Officer in 2022 with nearly 30 years’ experience in healthcare. Before joining the Company, Ms. Vitti served as Senior Vice President at CVS Health and President of MinuteClinic, where she led all aspects of care delivery, | |
Name and Position
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Present Principal Occupation or Employment; Material Positions
Held During the Last Five Years |
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| | | business operations and strategic development. Prior to Ms. Vitti’s tenure at CVS Health and MinuteClinic, she served in executive leadership at Brigham and Women’s Hospital, including nine years as Senior Vice President of Clinical Services for Ambulatory and Women’s Health. Ms. Vitti received her Bachelor of Science degree from Clark University and a Master of Public Administration from New York University. | |
Joseph Jordan
Chief Financial Officer |
| | Mr. Jordan was named Chief Financial Officer of ATI in 2019. He is responsible for overseeing financial operations, including accounting, tax, treasury, and investor relations. Mr. Jordan has more than 20 years’ of financial experience in various industries including healthcare, retail, and manufacturing. Prior to being named as CFO, Mr. Jordan served as the Company’s Senior Vice President and Chief Accounting Officer, beginning in 2018. Before ATI, Mr. Jordan worked at Sears Holding Corporation (“Sears”), starting as the Assistant Controller and advancing to Vice President and Corporate Controller. He began his career in 2003 and held various positions at Deloitte and Sun Coke Energy before joining Sears. Mr. Jordan received his B.S. in Accounting from Purdue University and is a Certified Public Accountant. | |
Chris Cox
Chief Operating Officer |
| | Mr. Cox was named Chief Operating Officer of ATI in 2022. In this role, he oversees the Company’s ATI Worksite Solutions and Sports Medicine businesses — together known as Health Services — as well as field operations, revenue cycle management, payer contracting and reimbursement, central scheduling and telehealth support, and transformation & enterprise project management. Prior to ATI, Mr. Cox spent nearly 15 years in senior leadership positions at CVS Health. He holds an M.B.A. from The Wharton School at the University of Pennsylvania with a dual concentration in Finance and General Management, and an undergraduate degree from Duke University. | |
Erik Kantz
Chief Legal Officer, Corporate Secretary |
| | Mr. Kantz joined ATI in 2016 as Assistant General Counsel Mergers & Acquisitions. Prior to that, Mr. Kantz was a partner and Vice Chair of the Business Group at Saul Ewing Arnstein & Lehr LLP, and was previously partner and Director of Operations at College Sports Chicago. He holds a bachelor’s degree from Illinois Wesleyan University and a juris doctor degree from DePaul University. | |
Augustus Oakes
Chief Information Officer |
| | Mr. Oakes was named Chief Information Officer of ATI in 2020, and prior to assuming the role, Mr. Oakes served the Company as Vice President of Business Technology beginning in 2018. Prior to joining the Company, Mr. Oakes served as a management consultant at KPMG LLP from 2013 until 2018, where he helped companies build modern IT operating models and prepare for digital disruption. Mr. Oakes also served in various IT leadership roles at Walgreen Company, d/b/a Walgreens and as a management consultant with Accenture plc. Mr. Oakes holds a degree from Loyola University Chicago. | |
Scott Gregerson
Chief Growth Officer |
| | Mr. Gregerson joined ATI as Chief Growth Officer in January 2023. In this role, he leads growth initiatives across business development, mergers and acquisitions, sales, marketing, real estate, and other potential future growth opportunities. Prior to joining ATI, | |
Name and Position
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| |
Present Principal Occupation or Employment; Material Positions
Held During the Last Five Years |
|
| | | Mr. Gregerson served in executive-level positions with several large hospital and health systems. He holds a bachelor’s degree from the University of California, Santa Barbara and a juris doctor degree from Washington and Lee University School of Law. | |
Eimile Tansey
Chief People Officer |
| | Ms. Tansey joined ATI as Chief People Officer in August 2022 with more than 20 years’ experience in Human Resources and Operations. Before coming to ATI, she served as Chief People Officer at elder-care provider InnovAge. Prior to that, Ms. Tansey held various HR leadership positions at CVS Health for more than a decade, rising to Vice President of Human Resources. She holds a Master of Science, Human Resources Management from the University of Maryland Global Campus and a Bachelor of Arts in Political Science and Government from Ohio Wesleyan University. | |
Name of Beneficial Owner
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Shares
Beneficially Owned (#) |
| |
Percentage of
Beneficial Ownership |
| ||||||
5% or Greater Stockholders | | | | | | | | | | | | | |
Knighthead Capital Management, LLC(1)
|
| | | | 5,801,539 | | | | | | 58.3% | | |
Marathon Asset Management GP, L.L.C.(2)
|
| | | | 4,274,559 | | | | | | 49.2% | | |
Advent International, L.P.(3)
|
| | | | 2,316,613 | | | | | | 52.5% | | |
Onex Corporation(4)
|
| | | | 758,040 | | | | | | 14.7% | | |
Caspian Capital LP(5)
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| | | | 430,067 | | | | | | 8.9% | | |
Named Executive Officers and Directors | | | | | | | | | | | | | |
Andrew Shannahan
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| | | | 0 | | | | | | * | | |
Randy Raisman
|
| | | | 0 | | | | | | * | | |
Jeff Goldberg
|
| | | | 0 | | | | | | * | | |
John Larsen(6)
|
| | | | 14,841 | | | | | | * | | |
Sharon Vitti(7)
|
| | | | 36,432 | | | | | | * | | |
Joanne Burns(8)
|
| | | | 8,025 | | | | | | * | | |
Daniel Dourney(9)
|
| | | | 7,192 | | | | | | * | | |
James Parisi(10)
|
| | | | 9,065 | | | | | | * | | |
Carmine Petrone
|
| | | | 0 | | | | | | * | | |
Teresa Sparks(11)
|
| | | | 8,143 | | | | | | * | | |
Chris Cox
|
| | | | 13,853 | | | | | | * | | |
Joseph Jordan(12)
|
| | | | 19,617 | | | | | | * | | |
All Directors and Executive Officers of ATI as a group (16 persons)
|
| | | | 149,059 | | | | | | 3.4% | | |
Name
|
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Date of Transaction
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Nature of Transaction
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Number of
Shares |
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Price Per
Share |
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Joseph Jordan | | |
November 23, 2024
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| | Disposition of Shares to satisfy withholding in connection with vesting of RSUs | | | | | 230 | | | | | $ | 1.82 | | |
Augustus Oakes | | |
November 23, 2024
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| | Disposition of Shares to satisfy withholding in connection with vesting of RSUs | | | | | 72 | | | | | $ | 1.82 | | |
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By Mail:
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By Facsimile Transmission:
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By Hand or Overnight Courier:
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Continental Stock Transfer & Trust Company
Attn: Corporate Actions (ATI) 1 State Street, 30th Floor New York, New York 10004 (917) 262-2378 |
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Continental Stock Transfer & Trust Company
(212) 616-7610 (phone) |
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Continental Stock Transfer & Trust Company
Attn: Corporate Actions (ATI) 1 State Street, 30th Floor New York, New York 10004 (917) 262-2378 |
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By Electronic Upload (Citrix):
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THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE AT 12:00 MIDNIGHT, EASTERN TIME, AT THE END OF JANUARY 15, 2025, UNLESS THE OFFER IS EXTENDED OR WITHDRAWN (SUCH DATE, AS IT MAY BE EXTENDED, THE “EXPIRATION DATE”).
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By Mail:
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By Facsimile Transmission:
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By Hand or Overnight Courier:
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Continental Stock Transfer & Trust Company
Attn: Corporate Actions (ATI) 1 State Street, 30th Floor New York, New York 10004 |
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Continental Stock Transfer &
Trust Company (212) 616-7610 (phone) |
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Continental Stock Transfer &
Trust Company Attn: Corporate Actions (ATI) 1 State Street, 30th Floor New York, New York 10004 |
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By Electronic Upload (Citrix):
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ACCOUNT NUMBER CERT SHARES BOOK SHARES TOTAL SHARES ISSUE NUMBER
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FOR OFFICE USE ONLY Approved W-9 Completed
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DESCRIPTION OF SHARES TENDERED
(See Instructions 3 and 4). Attach separate schedule if needed. |
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Name(s) and Address(es) of Registered
Holder(s) (Please fill in exactly as name(s) appear(s) on certificate(s)) |
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Shares Tendered
(Attach additional signed list, if necessary) |
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Certificate
Number(s) |
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Number of
Shares Represented by Certificate(s)(1) |
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Number of
Shares Represented by Book Entry (electronic form)(2) |
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Total
Number of Shares Tendered |
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Total Shares
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(1)
If you wish to tender fewer than all Shares represented by any certificate listed above, please indicate in this column the number of Shares you wish to tender. Otherwise, all Shares represented by Share certificates delivered to the Depositary Agent will be deemed to have been tendered. See Instruction 4.
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(2)
If Shares are held in Book-Entry form or in a Reinvestment Plan, you must indicate the number of Shares you are tendering.
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| | Indicate below the order (by certificate number) in which Shares are to be purchased in the event of proration (attach additional signed list, if necessary). If you do not designate an order and if less than all Shares tendered are purchased due to proration, Shares will be selected for purchase by the Depositary. See Instruction 14. | | | ||||||
| | 1st: | | | 2nd: | | | 3rd: | | |
| | 4th: | | | 5th: | | | | | |
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NOTE: SIGNATURES MUST BE PROVIDED BELOW. PLEASE READ ACCOMPANYING INSTRUCTIONS CAREFULLY.
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| Name: | | |
(PLEASE PRINT)
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| Address: | | |
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(INCLUDE ZIP CODE)
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(RECIPIENT MUST COMPLETE THE IRS FORM W-9 INCLUDED HEREIN OR
AN APPLICABLE IRS FORM W-8) |
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| Name: | | |
(PLEASE PRINT)
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| Address: | | |
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(INCLUDE ZIP CODE)
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Signature(s) of Owner(s) |
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Capacity (full title) |
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Address: |
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Area Code and Telephone Number |
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GUARANTEE OF SIGNATURE(S)
(If required — See Instructions 1 and 5)
APPLY MEDALLION GUARANTEE STAMP BELOW
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By Mail:
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By Facsimile Transmission:
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By Hand or Overnight Courier:
|
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Continental Stock Transfer &
Trust Company Attn: Corporate Actions (ATI) 1 State Street, 30th Floor New York, New York 10004 |
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Continental Stock Transfer &
Trust Company (212) 616-7610 (phone) |
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Continental Stock Transfer &
Trust Company Attn: Corporate Actions (ATI) 1 State Street, 30th Floor New York, New York 10004 |
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| | | |
By Electronic Upload (Citrix):
|
| | | |
| |
THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE AT 12:00 MIDNIGHT, EASTERN TIME, AT THE END OF JANUARY 15, 2025, UNLESS THE OFFER IS EXTENDED OR WITHDRAWN (SUCH DATE, AS IT MAY BE EXTENDED, THE “EXPIRATION DATE”).
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|
By Mail:
Continental Stock Transfer & Trust Company
Attn: Corporate Actions (ATI) 1 State Street, 30th Floor New York, New York 10004 |
| |
By Facsimile Transmission:
Continental Stock Transfer & Trust Company
(212) 616-7610 (phone) |
| |
By Hand or Overnight Courier:
Continental Stock Transfer & Trust Company
Attn: Corporate Actions (ATI) 1 State Street, 30th Floor New York, New York 10004 |
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By Electronic Upload (Citrix):
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Name(s) of Record Holder(s): |
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Address(es): |
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Daytime Area Code and Telephone Number: |
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Number of Shares (and Certificate No(s), if available): |
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Signature(s): |
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Name of Firm: |
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Authorized Signature: |
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Zip Code: |
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Area Code and Telephone Number: |
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THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE AT 12:00 MIDNIGHT, EASTERN TIME, AT THE END OF JANUARY 15, 2025, UNLESS THE OFFER IS EXTENDED OR WITHDRAWN (SUCH DATE, AS IT MAY BE EXTENDED, THE “EXPIRATION DATE”).
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THE OFFER, PRORATION PERIOD AND WITHDRAWAL RIGHTS WILL EXPIRE AT 12:00 MIDNIGHT, EASTERN TIME, AT THE END OF JANUARY 15, 2025, UNLESS THE OFFER IS EXTENDED OR WITHDRAWN (SUCH DATE, AS IT MAY BE EXTENDED, THE “EXPIRATION DATE”).
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Number of Shares to be Tendered:
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SIGN HERE
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Shares*
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Signature(s) |
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Account No.
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Dated:
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Area Code and Phone Number
Tax Identification Number or Social Security
Number |
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Please Print name(s) and address(es) here
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| By: | | | GPE VII GP S.à r.l., General Partner | | | | | | ||
| By: | | |
Advent International GPE VII, LLC,
Manager |
| | By: | | |
/s/ Justin Nuccio
Justin Nuccio, Manager
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Name of Stockholder
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Total Shares
Owned |
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Address for Notices (including email)
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| | Advent International GPE VII Limited Partnership | | | | 226,494 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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| | Advent International GPE VII-B Limited Partnership | | | | 619,408 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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| | Advent International GPE VII-C Limited Partnership | | | | 196,909 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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| | Advent International GPE VII-D Limited Partnership | | | | 135,543 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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| | Advent International GPE VII-F Limited Partnership | | | | 57,470 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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| | Advent International GPE VII-G Limited Partnership | | | | 57,470 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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Advent International GPE VII-A Limited Partnership
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| | | 209,635 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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Advent International GPE VII-E Limited Partnership
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| | | 446,324 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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| | Advent International GPE VII-H Limited Partnership | | | | 34,878 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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Name of Stockholder
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Total Shares
Owned |
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Address for Notices (including email)
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| | Advent Partners GPE VII 2014 Limited Partnership | | | | 1,301 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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| | Advent Partners GPE VII 2014 Cayman Limited Partnership | | | | 3,116 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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| | Advent Partners GPE VII–A 2014 Limited Partnership | | | | 3,587 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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| | Advent Partners GPE VII–A 2014 Cayman Limited Partnership | | | | 2,198 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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| | Advent Partners GPE VII Cayman Limited Partnership | | | | 16,123 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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| | Advent Partners GPE VII–B Cayman Limited Partnership | | | | 21,273 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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Advent Partners GPE VII Limited Partnership
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| | | 905 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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Advent Partners GPE VII–A Cayman Limited Partnership
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| | | 4,258 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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| | Advent Partners GPE VII–A Limited Partnership | | | | 2,143 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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| | GPE VII ATI Co-Investment (Delaware) Limited Partnership | | | | 277,578 | | | |
c/o Advent International, L.P.
800 Boylston Street Boston, MA 02199 Attention: Advent Legal Department Email: legalnotices@adventinternational.com |
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Exhibit 107
Calculation of Filing Fee Table
SC TO
(Form Type)
ATI Physical Therapy, Inc.
(Exact Name of Registrant as Specified in its Charter)
Table 1: Transaction Valuation
Transaction Valuation(1) |
Fee Rate(2) | Amount of Filing Fee |
||||||||||
Fees to be paid | $ | 4,702,500.00 | $ | 0.00015310 | $ | 719.96 | ||||||
Fees previously paid | — | — | ||||||||||
Total Transaction Valuation | $ | 4,702,500.00 | $ | 4,702,500.00 | ||||||||
Total Fees Due for Filing | $ | 719.96 | ||||||||||
Total Fee Offsets | — | |||||||||||
Net Fee Due | $ | 719.96 |
(1) | Estimated solely for purposes of calculating the filing fee. This calculation is based on ATI Physical Therapy, Inc.’s offer to purchase up to 1,650,000 shares of its Class A common stock, par value $0.0001 per share (the “Shares”) at a purchase price of $2.85 per Share, net to the seller in cash, without interest thereon and subject to any required tax withholding, upon the terms and subject to the conditions of the Offer to Purchase, dated December 17, 2024, and the related Letter of Transmittal. |
(2) | The filing fee, calculated in accordance with Rule 0-11 under the Securities Exchange Act of 1934, as amended, and Fee Rate Advisory No. 1 for Fiscal Year 2025, issued August 20, 2024, equals $153.10 per million dollars of the value of the transaction. |
1 Year ATI Physical Therapy (PK) Chart |
1 Month ATI Physical Therapy (PK) Chart |
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