0000899243-19-007259.txt : 20190312
0000899243-19-007259.hdr.sgml : 20190312
20190312165611
ACCESSION NUMBER: 0000899243-19-007259
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190308
FILED AS OF DATE: 20190312
DATE AS OF CHANGE: 20190312
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ROTH GREG
CENTRAL INDEX KEY: 0001216848
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36623
FILM NUMBER: 19675703
MAIL ADDRESS:
STREET 1: ONE PARK PLAZA
CITY: NASHVILLE
STATE: TN
ZIP: 37203
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Civitas Solutions, Inc.
CENTRAL INDEX KEY: 0001608638
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082]
IRS NUMBER: 651309110
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 313 CONGRESS STREET
STREET 2: 6TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: 617-790-4800
MAIL ADDRESS:
STREET 1: 313 CONGRESS STREET
STREET 2: 6TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
FORMER COMPANY:
FORMER CONFORMED NAME: CIVITAS SOLUTIONS, INC.
DATE OF NAME CHANGE: 20140523
FORMER COMPANY:
FORMER CONFORMED NAME: NMH HOLDINGS, INC.
DATE OF NAME CHANGE: 20140520
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-03-08
1
0001608638
Civitas Solutions, Inc.
CIVI
0001216848
ROTH GREG
C/O CIVITAS SOLUTIONS, INC.
313 CONGRESS STREET
BOSTON
MA
02210
1
0
0
0
Common Stock
2019-03-08
4
D
0
36137
D
0
D
At the effective time of the merger contemplated by the Agreement and Plan of Merger, dated as of December 18, 2018 (the "Merger Agreement"), by and among Civitas Solutions, Inc. (the "Company"), Celtic Tier II Corp. and Celtic Intermediate Corp. (the "Effective Time"), each issued and outstanding share of common stock of the Company (the "Common Stock") held by the reporting person was converted into the right to receive $17.75 in cash. Includes 7,958 restricted stock units ("RSU") that were scheduled to vest on March 9, 2019.
/s/ Gina L. Martin, by power of attorney
2019-03-12