SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Luebke William

(Last) (First) (Middle)
3170 FAIRVIEW PARK DRIVE

(Street)
FALLS CHURCH VA 22042

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
CSRA Inc. [ CSRA ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP, Controller and PAO
3. Date of Earliest Transaction (Month/Day/Year)
11/30/2015
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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 Stock 11/30/2015 J(1) 3,671 A $0 3,671(1) D
Common Stock 11/30/2015 J(2) 305 A $0 305 I by 401(k)(2)
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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: 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 Unit (3) 11/30/2015 A 2,122 (4) (4) Common Stock 2,122 $0 2,122 D
Employee Stock Options (right to buy) $20.14 11/30/2015 A 948 (5) 05/20/2023(6) Common Stock 948 $0 948 D
Employee Stock Options (right to buy) $27.47 11/30/2015 A 800 (7) 05/16/2024(6) Common Stock 800 $0 800 D
Employee Stock Options (right to buy) $30.89 11/30/2015 A 3,392 (8) 05/22/2025 Common Stock 3,392 $0 3,392 D
Explanation of Responses:
1. Computer Sciences Corporation ("CSC") stockholders of record on November 18, 2015 ("Record Date") received one share of CSRA Inc. ("CSRA") common stock for every one share of CSC common stock held on the Record Date. The total direct beneficial ownership reflects the shares acquired by the reporting person from the pro rata distribution on November 30, 2015.
2. Shares acquired by Trustee pursuant to CSRA Matched Asset Plan upon the distribution of CSRA.
3. Each restricted stock unit represents a contingent right to receive one share of Issuer's common stock.
4. 947 restricted stock units vest on May 20, 2016, 467 units on May 16, 2017 and 708 units on May 22, 2018.
5. The stock options vested on the grant date.
6. This option is no longer exercisable beginning on this date.
7. 600 stock options vested on the grant date and the remaining 200 vest 50% in May 2016 and 50% in May 2017.
8. The stock options vest in annual one-third installments beginning on May 22, 2016.
Remarks:
Paul D. Burns, Attorney-in-Fact 12/02/2015
** 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 4 (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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.