0000899243-15-005045.txt : 20150918 0000899243-15-005045.hdr.sgml : 20150918 20150918173142 ACCESSION NUMBER: 0000899243-15-005045 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20150916 FILED AS OF DATE: 20150918 DATE AS OF CHANGE: 20150918 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NARDELLA BRUCE F. CENTRAL INDEX KEY: 0001618069 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36623 FILM NUMBER: 151116090 MAIL ADDRESS: STREET 1: C/O CIVITAS SOLUTIONS, INC. STREET 2: 313 CONGRESS STREET, 6TH FLOOR CITY: BOSTON STATE: MA ZIP: 02210 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-09-16 0 0001608638 Civitas Solutions, Inc. CIVI 0001618069 NARDELLA BRUCE F. C/O CIVITAS SOLUTIONS, INC. 313 CONGRESS STREET BOSTON MA 02210 1 1 0 0 President and CEO Common Stock 2015-09-16 4 F 0 6871 26.41 D 56548 D These shares were withheld by the Company to cover the payment of taxes incurred by the reporting person as a result of partial vesting of restricted stock units granted on September 16, 2014. Exhibit 24 - Power of Attorney /s/ Gina L. Martin, by power of attorney 2015-09-18 EX-24 2 attachment1.htm EX-24 DOCUMENT
                              September 18, 2015

                                POWER OF ATTORNEY

        KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and
appoints each of Denis M. Holler, Linda De Renzo and Gina L. Martin, signing
singly, the undersigned's true and lawful attorney-in-fact to: (i) execute for
and on behalf of the undersigned, in the undersigned's capacity as an officer
and/or director and/or owner of greater than 10% of the outstanding Common Stock
of Civitas Solutions, Inc. (the "Company"), Forms 3, 4 and 5 (including any
amendments, supplements or exhibits thereto) in accordance with Section 16(a) of
the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and the
rules thereunder, as well as Schedule 13D or Schedule 13G in accordance with
Section 13(d) of the Exchange Act and the rules thereunder and any amendments
thereto; (ii) do and perform any and all acts for and on behalf of the
undersigned which may be necessary or desirable to complete and execute any such
Form 3, 4 or 5 and Schedule 13D or 13G (including any amendments, supplements or
exhibits thereto) and timely file such forms with the United States Securities
and Exchange Commission and any stock exchange or similar authority, including
the New York Stock Exchange; and (iii) take any other action of any type
whatsoever in connection with the foregoing which, in the opinion of such
attorney-in-fact, may be of benefit to, in the best interest of, or legally
required by, the undersigned, it being understood that the documents executed by
such attorney-in-fact on behalf of the undersigned pursuant to this Power of
Attorney shall be in such form and shall contain such terms and conditions as
such attorney-in-fact may approve in such attorney-in-fact's discretion.

        The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary or proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of
substitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall
lawfully do or cause to be done by virtue of this power of attorney and the
rights and powers herein granted. The undersigned acknowledges that the
foregoing attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are not assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with Section 16 or Section 13(d) of the
Exchange Act.

        This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 and 5 or Schedule 13D or
Schedule 13G with respect to the undersigned's holdings of and transactions in
securities issued by the Company, unless earlier revoked by the undersigned in a
signed writing delivered to the foregoing attorneys-in-fact.

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        IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of date first written above.

                                        By: /s/ Bruce F. Nardella
                                           -------------------------------------
                                        Name: Bruce F. Nardella