SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
McGee Maria

(Last) (First) (Middle)
313 CONGRESS STREET

(Street)
BOSTON MA 02210

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/12/2018
3. Issuer Name and Ticker or Trading Symbol
Civitas Solutions, Inc. [ CIVI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Human Resources Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 18,234(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Non-Qualified Stock Options 09/16/2015 09/16/2025 Non-Qualified Stock Options 4,402 $17 D
Non-Qualified Stock Options 12/03/2016 12/03/2026 Non-Qualified Stock Options 2,285(2) $26 D
Non-Qualified Stock Options 12/06/2017 12/06/2027 Non-Qualified Stock Options 4,095(3) $16.75 D
Non-Qualified Stock Options 03/09/2019 03/09/2029 Non-Qualified Stock Options 6,908(4) $14.45 D
Explanation of Responses:
1. 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.
2. 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.
3. 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.
4. 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.
Remarks:
/s/ Gina L. Martin, by power of attorney 03/22/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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