0000899243-16-035491.txt : 20161213 0000899243-16-035491.hdr.sgml : 20161213 20161213201727 ACCESSION NUMBER: 0000899243-16-035491 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161209 FILED AS OF DATE: 20161213 DATE AS OF CHANGE: 20161213 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: 162050152 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 2016-12-09 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 2016-12-09 4 A 0 6048 0.00 A 73914 D Employee Stock Option (right to buy) 17.05 2016-12-09 4 A 0 7872 0.00 A 2026-12-06 Common Stock 7872 7872 D Represents restricted stock units issued to the reporting person. The restricted stock units are subject to the terms and conditions of the Civitas Solutions, Inc. 2014 Omnibus Incentive Plan, and vest in three equal annual increments over a three-year period, with the first vesting date on December 6, 2017. The stock options are subject to the terms and conditions of the Civitas Solutions, Inc. 2014 Omnibus Incentive Plan, and vest in three equal annual increments over a three-year period, with the first vesting date on December 6, 2017. /s/ Gina L. Martin, by power of attorney 2016-12-13