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