0000899243-15-005046.txt : 20150918 0000899243-15-005046.hdr.sgml : 20150918 20150918173510 ACCESSION NUMBER: 0000899243-15-005046 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: ROBSON DWIGHT D. CENTRAL INDEX KEY: 0001618090 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36623 FILM NUMBER: 151116103 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 0001618090 ROBSON DWIGHT D. C/O CIVITAS SOLUTIONS, INC. 313 CONGRESS STREET BOSTON MA 02210 0 1 0 0 See Remarks Common Stock 2015-09-16 4 F 0 887 26.41 D 7385 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. Chief Pub. Strategy and Mktg. Off. 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 Bruce F. Nardella, 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/ Dwight D. Robson
                                            -----------------------------------
                                        Name: Dwight D. Robson