Sec Form 3 Filing - HUSSUSSIAN GUY @ Columbia Care Inc. - 2022-02-14

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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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1. Name and Address of Reporting Person
HUSSUSSIAN GUY
2. Issuer Name and Ticker or Trading Symbol
Columbia Care Inc. [ CCHW]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chief Data Officer
(Last) (First) (Middle)
C/O COLUMBIA CARE INC., 680 FIFTH AVENUE, 24TH FLOOR
3. Date of Earliest Transaction (MM/DD/YY)
02/14/2022
(Street)
NEW YORK, NY10019
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Shares 96,095 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Proportionate Voting Shares $ 0 ( 1 ) ( 1 ) Common Shares 31.13 D
Restricted Stock Units ( 3 ) ( 2 ) ( 2 ) Common Shares 7,004 D
Restricted Stock Units ( 3 ) ( 4 ) ( 4 ) Common Shares 32,651 D
Restricted Stock Units ( 3 ) ( 5 ) ( 5 ) Common Shares 20,496 D
Restricted Stock Units ( 3 ) ( 6 ) ( 6 ) Common Shares 95,857 D
Restricted Stock Units ( 3 ) ( 7 ) ( 7 ) Common Shares 36,342 D
Performance Stock Units ( 8 ) ( 8 ) 04/29/2022 Common Shares 65,302 D
Performance Stock Units ( 8 ) ( 8 ) 04/29/2024 Common Shares 65,302 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
HUSSUSSIAN GUY
C/O COLUMBIA CARE INC.
680 FIFTH AVENUE, 24TH FLOOR
NEW YORK, NY10019
Chief Data Officer
Signatures
/s/ David Sirolly as attorney-in-fact for Guy Hussussian 02/14/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Each proportionate voting share is convertible into 100 common shares of the Issuer. The proportionate voting shares vest on September 30, 2022.
( 2 )28,016 restricted stock units ("RSUs") were granted on September 28, 2018, with 21,012 RSUs vesting prior to the date of this Form 3. The remaining 7,004 RSUs will vest on April 1, 2022. Settlement of vested RSUs will occur within 60 days of the applicable vesting date.
( 3 )Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock.
( 4 )130,604 restricted stock units ("RSUs") were granted on April 29, 2019, with 97,953 vesting prior to the date of this Form 3. The remaining 32,651 RSUs vest on October 29, 2022. Settlement of vested RSUs will occur within 60 days of the applicable vesting date.
( 5 )40,991 restricted stock units ("RSUs") were granted on September 30, 2019, with 20,495 RSUs vesting prior to the date of this Form 3. The remaining RSUs will vest as follows: 10,248 on April 29, 2022 and April 29, 2023. Settlement of vested RSUs will occur within 60 days of the applicable vesting date.
( 6 )127,809 restricted stock units ("RSUs") were granted on March 31, 2020, with 31,952 RSUs vesting prior to the date of this Form 3. The remaining RSUs vest as follows; 31,952 on March 31, 2022 and March 31, 2023; and 31,953 on March 31, 2024. Settlement of vested RSUs will occur within 60 days of the applicable vesting date.
( 7 )The restricted stock units ("RSUs") were granted on March 23, 2021, and vest as follows: 9,085 on March 23, 2022 and March 23, 2024; and 9,086 on March 23, 2023 and March 23, 2025. Settlement of vested RSUs will occur within 60 days of the applicable vesting date.
( 8 )The performance stock units ("PSUs") were granted on April 29, 2019. Each PSU represents a contingent right to receive one share of the Issuer's common stock. The PSUs vest upon the Issuer's common stock achieving a specified price per share.

Remarks:
Exhibit 24.1

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