0001209191-18-021335.txt : 20180322 0001209191-18-021335.hdr.sgml : 20180322 20180322191642 ACCESSION NUMBER: 0001209191-18-021335 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20180312 FILED AS OF DATE: 20180322 DATE AS OF CHANGE: 20180322 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McGee Maria CENTRAL INDEX KEY: 0001734969 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36623 FILM NUMBER: 18708031 MAIL ADDRESS: STREET 1: 313 CONGRESS STREET STREET 2: 5TH 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2018-03-12 0 0001608638 Civitas Solutions, Inc. CIVI 0001734969 McGee Maria 313 CONGRESS STREET BOSTON MA 02210 0 1 0 0 Chief Human Resources Officer Common Stock 18234 D Non-Qualified Stock Options 17.00 2015-09-16 2025-09-16 Non-Qualified Stock Options 4402 D Non-Qualified Stock Options 26.00 2016-12-03 2026-12-03 Non-Qualified Stock Options 2285 D Non-Qualified Stock Options 16.75 2017-12-06 2027-12-06 Non-Qualified Stock Options 4095 D Non-Qualified Stock Options 14.45 2019-03-09 2029-03-09 Non-Qualified Stock Options 6908 D Includes 288 restricted stock units that vest on December 3, 2018, 1,045 restricted stock units that vest in two equal installments on December 6, 2017 and December 6, 2018, 2,800 restricted stock units that will vest in two equal increments over a three-year period, with the first vesting date on March 1, 2019, 2,763 restricted stock units that will vest in three annual increments over a three-year period, with the first vesting date on December 8, 2018, and 5,450 restricted stock units that will vest in three equal annual increments over a three-year period, with the first vesting date on March 9, 2019. The restricted stock units are subject to the terms and conditions of the Civitas Solutions, Inc. 2014 Omnibus Incentive Plan. The stock options are subject to the terms and conditions of Civitas Solutions, Inc. 2014 Omnibus Plan. Includes 762 non-qualified stock options that will vest on December 3, 2018. The stock options are subject to the terms and conditions of Civitas Solutions, Inc. 2014 Omnibus Plan. Includes 2,730 non-qualified stock options that will vest in two equal installments on December 6, 2018 and December 6, 2019. 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 March 9, 2019. /s/ Gina L. Martin, by power of attorney 2018-03-22 EX-24.3_780289 2 poa.txt POA DOCUMENT March 21, 2018 POWER OF ATTORNEY KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and appoints each of Bruce F. Nardella, Denis M. Holler 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. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of date first written above. By: /s/ Maria D. McGee Name: Maria D. McGee