SEC FORM 3

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

HART DAVID JAMES

(Last)

(First)

(Middle)

C/O COLUMBIA CARE INC.

680 FIFTH

(Street)

NEW YORK

10019

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
02/14/2022

3. Issuer Name and Ticker or Trading Symbol
Columbia Care Inc. [ CCHW ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
	Chief Operating Officer

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Shares	827,903	D
Common Shares	14,000	I	Held in Individual Retirement Account

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Proportionate Voting Shares	⁽¹⁾	⁽¹⁾	Common Shares	746.92	$0	D
Restricted Stock Units	⁽²⁾	⁽²⁾	Common Shares	168,089	⁽³⁾	D
Restricted Stock Units	⁽⁴⁾	⁽⁴⁾	Common Shares	108,837	⁽³⁾	D
Restricted Stock Units	⁽⁵⁾	⁽⁵⁾	Common Shares	58,560	⁽³⁾	D
Restricted Stock Units	⁽⁶⁾	⁽⁶⁾	Common Shares	328,653	⁽³⁾	D
Restricted Stock Units	⁽⁷⁾	⁽⁷⁾	Common Shares	155,751	⁽³⁾	D
Performance Stock Units	⁽⁸⁾	04/29/2022	Common Shares	217,673	⁽⁸⁾	D
Performance Stock Units	⁽⁸⁾	04/29/2024	Common Shares	217,673	⁽⁸⁾	D

Explanation of Responses:

1. Each proportionate share is convertible into 100 common shares of the issuer. The proportionate voting shares vest on March 31, 2022.

2. 672,356 restricted stock units ("RSUs") were granted on September 28, 2018, with 504,267 RSUs vesting prior to the date of this Form 3. The remaining 168,089 RSUs will vest on March 31, 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. 435,346 restricted stock units ("RSUs") were granted on April 29, 2019, with 326,509 RSUs vesting prior to the date of this Form 3. The remaining 108,837 RSUs will vest on October 29, 2022. Settlement of vested RSUs will occur within 60 days of the applicable vesting date.

5. 117,118 restricted stock units ("RSUs") were granted on September 30, 2019, with 58,558 vesting prior to the date of this Form 3. The remaining 58,560 RSUs vest as follows: 29,280 on April 29, 2022, and 29,280 on April 29, 2023. Settlement of vested RSUs will occur within 60 days of the applicable vesting date.

6. 438,203 restricted stock units ("RSUs") were granted on March 31, 2020, with 109,550 vesting prior to the date of this Form 3. The remaining 328,653 RSUs vest as follows: 109,551 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.

7. The restricted stock units ("RSUs") were granted on March 23, 2021, and vest as follows: 38,937 on March 23, 2022; 38,938 on March 23, 2023, March 23, 2024 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 Power of Attorney

	/s/ David Sirolly as attorney-in-fact for David James Hart	02/15/2022
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (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).
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