0001209191-17-065314.txt : 20171212
0001209191-17-065314.hdr.sgml : 20171212
20171212205534
ACCESSION NUMBER: 0001209191-17-065314
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171206
FILED AS OF DATE: 20171212
DATE AS OF CHANGE: 20171212
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: 171252878
MAIL ADDRESS:
STREET 1: C/O CIVITAS SOLUTIONS, INC.
STREET 2: 313 CONGRESS STREET, 6TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-12-06
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
2017-12-06
4
F
0
655
18.95
D
72972
D
Common Stock
2017-12-08
4
A
0
5428
0.00
A
78400
D
Employee Stock Option (right to buy)
19.00
2017-12-08
4
A
0
7440
0.00
A
2027-12-08
Common Stock
7440
7440
D
These sales 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 December 9, 2016.
Represents restricted stock units issued to the reporting person. The restricted stock units are subject to the terms and conditions of Civitas Solutions, Inc. 2014 Omnibus Plan, and vest in three equal annual increments over a three-year period, with the first vesting date on December 8, 2018.
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 8, 2018.
/s/ Gina L. Martin, by power of attorney
2017-12-12