0001209191-17-018967.txt : 20170307
0001209191-17-018967.hdr.sgml : 20170307
20170307184232
ACCESSION NUMBER: 0001209191-17-018967
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170303
FILED AS OF DATE: 20170307
DATE AS OF CHANGE: 20170307
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: PETERSEN DAVID M.
CENTRAL INDEX KEY: 0001618890
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36623
FILM NUMBER: 17673408
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
2017-03-03
0
0001608638
Civitas Solutions, Inc.
CIVI
0001618890
PETERSEN DAVID M.
C/O CIVITAS SOLUTIONS, INC.
313 CONGRESS STREET
BOSTON
MA
02210
0
1
0
0
Redwood Op. Group President
Common Stock
2017-03-03
4
A
0
6045
0.00
A
266364
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 50% on the second anniversary of the grant date and the remaining 50% on the third anniversary of the grant date.
/s/ Gina L. Martin, by power of attorney
2017-03-07