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*
Dean Matthew

(Last) (First) (Middle)
101 LEDGESTONE WAY

(Street)
GREER SC 29651

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/28/2018
3. Issuer Name and Ticker or Trading Symbol
SCANSOURCE, INC. [ SCSC ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP and General Counsel
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 Stock 2,990(1) D
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)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) (2) 02/09/2028 Common Stock 9,300 $32.25 D
Non-qualified Stock Option (Right to Buy) (3) 02/09/2028 Common Stock 700 $32.25 D
Explanation of Responses:
1. Includes 131 shares acquired under the ScanSource, Inc. Employee Stock Purchase Plan ("ESPP") for the purchase period of April 5, 2018 through November 15, 2018.
2. The option will vest in one-third increments on the anniversary of the grant date on 02/09/2019, 02/09/2020 and 02/09/2021.
3. The option will vest in three installments on the anniversary of the grant date, 300 shares vest on 02/09/2019, 200 shares vest on 02/09/2020 and 200 shares vest on 02/09/2021.
Remarks:
/s/Matthew Dean 12/10/2018
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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