0000899243-16-035063.txt : 20161207
0000899243-16-035063.hdr.sgml : 20161207
20161207170801
ACCESSION NUMBER: 0000899243-16-035063
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161205
FILED AS OF DATE: 20161207
DATE AS OF CHANGE: 20161207
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: COHEN JEFFREY MICHAEL
CENTRAL INDEX KEY: 0001619175
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36623
FILM NUMBER: 162039803
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
2016-12-05
0
0001608638
Civitas Solutions, Inc.
CIVI
0001619175
COHEN JEFFREY MICHAEL
C/O CIVITAS SOLUTIONS, INC.
313 CONGRESS STREET
BOSTON
MA
02210
0
1
0
0
Chief Information Officer
Common Stock
2016-12-05
4
F
0
445
16.65
D
67866
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 January 13, 2016.
/s/ Gina L. Martin, by power of attorney
2016-12-07