Sec Form 3 Filing - VITA NICHOLAS @ 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
VITA NICHOLAS
2. Issuer Name and Ticker or Trading Symbol
Columbia Care Inc. [ CCHW]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
CEO
(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 200,600 D
Common Shares 35,858,075 I Held by Vita Holdings LLC( 1 )
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
Restricted Stock Units ( 3 ) ( 2 ) ( 2 ) Common Shares 217,673 D
Restricted Stock Units ( 3 ) ( 4 ) ( 4 ) Common Shares 131,758 D
Restricted Stock Units ( 3 ) ( 5 ) ( 5 ) Common Shares 670,998 D
Restricted Stock Units ( 3 ) ( 6 ) ( 6 ) Common Shares 342,652 D
Performance Stock Units ( 7 ) ( 7 ) 04/29/2022 Common Shares 870,691 D
Performance Stock Units ( 7 ) ( 7 ) 04/29/2024 Common Shares 870,691 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
VITA NICHOLAS
C/O COLUMBIA CARE INC.
680 FIFTH AVENUE, 24TH FLOOR
NEW YORK, NY10019
X CEO
Signatures
/s/ David Sirolly as attorney-in-fact for Nicholas Vita 04/14/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Held by Vita Holdings LLC, a company wholly-owned and controlled by the reporting person.
( 2 )870,691 restricted stock units ("RSUs") were granted on April 29, 2019, with 653,018 vesting prior to the date of this Form 3. The remaining 217,673 RSUs vest on October 29, 2022. Settlement of vested RSUs will occur within 60 days of the applicable vesting date.
( 3 )Each restricted stock unit ("RSU") represents a contingent right to receive one share of the Issuer's common stock.
( 4 )263,514 restricted stock units ("RSUs") were granted on September 30, 2019, with 131,756 vesting prior to the date of this Form 3. The remaining 131,758 RSUs vest as follows: 65,879 on April 29, 2022 and April 29, 2023. Settlement of vested RSUs will occur within 60 days of the applicable vesting date.
( 5 )894,663 restricted stock units ("RSUs") were granted on March 31, 2020, with 223,665 RSUs vesting prior to the date of this Form 3. The remaining 670,998 RSUs vest as follows: 223,666 on March 31, 2022, March 31, 2023 and March 31, 2024. Settlement of vested RSUs will occur within 60 days of the applicable vesting date.
( 6 )The restricted stock units ("RSUs") were granted on March 23, 2021 and vest as follows: 85,663 on March 23, 2022, March 23, 2023, March 23, 2024, and March 23, 2025. Settlement of vested RSUs will occur within 60 days of the applicable vesting date.
( 7 )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 specific price per share.

Remarks:
Exhibit 24.1 Power of Attorney

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