Sec Form 3 Filing - Groch Brian J. @ Acasti Pharma Inc. - 2020-04-01

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
Groch Brian J.
2. Issuer Name and Ticker or Trading Symbol
Acasti Pharma Inc. [ ACST]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
CHIEF COMMERCIAL OFFICER
(Last) (First) (Middle)
C/O ACASTI PHARMA INC., 545 PROMENADE DU CENTROPOLIS, SUITE 100
3. Date of Earliest Transaction (MM/DD/YY)
04/01/2020
(Street)
LAVAL, A8H7T 0A3
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
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
Share Option (Right to Buy) $ 0.77 ( 5 ) ( 1 ) 07/02/2028 Common Shares 300,000 D
Share Option (Right to Buy) $ 1.28 ( 5 ) ( 2 ) 04/15/2029 Common Shares 34,000 D
Share Option (Right to Buy) $ 1.28 ( 5 ) ( 3 ) 04/15/2029 Common Shares 116,000 D
Share Option (Right to Buy) $ 0.53 ( 5 ) ( 4 ) 03/31/2030 Common Shares 587,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Groch Brian J.
C/O ACASTI PHARMA INC.
545 PROMENADE DU CENTROPOLIS, SUITE 100
LAVAL, A8H7T 0A3
CHIEF COMMERCIAL OFFICER
Signatures
/s/ Kelsey Weiner, Attorney-in-Fact 04/01/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Represents 300,000 common shares underlying 300,000 share options granted on July 2, 2018. These share options vest in 12 equal installments on a quarterly basis starting from July 2, 2018 until July 2, 2021.
( 2 )Represents 34,000 common shares underlying 34,000 share options granted on April 15, 2019. These share options vest in 12 equal installments on a quarterly basis starting from April 15, 2019 until April 15, 2022.
( 3 )Represents 116,000 common shares underlying 116,000 share options granted on April 15, 2019. These share options vest in 12 equal installments on a quarterly basis starting from April 15, 2019 until April 15, 2022.
( 4 )Represents 587,000 common shares underlying 587,000 share options granted on March 31, 2020. These share options vest in 12 equal installments on a quarterly basis starting from March 31, 2020 until March 31, 2023.
( 5 )Canadian dollars.

Remarks:
Exhibit List - Exhibit 24 - Power of Attorney

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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