Sec Form 4 Filing - PETERSEN DAVID M. @ Civitas Solutions, Inc. - 2018-08-15

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
PETERSEN DAVID M.
2. Issuer Name and Ticker or Trading Symbol
Civitas Solutions, Inc. [ CIVI]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Redwood Op. Group President
(Last) (First) (Middle)
C/O CIVITAS SOLUTIONS, INC., 313 CONGRESS STREET
3. Date of Earliest Transaction (MM/DD/YY)
08/15/2018
(Street)
BOSTON, MA02210
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (right to buy) $ 17 08/15/2018 D( 1 ) 23,477 ( 2 ) 10/30/2018 Common Stock 23,477 $ 0 0 D
Employee Stock Option (right to buy) $ 17 08/15/2018 A( 1 ) 23,477 ( 2 ) 01/30/2019 Common Stock 23,477 $ 0 23,477 D
Employee Stock Option (right to buy) $ 25.1 08/15/2018 D( 1 ) 6,515 ( 3 ) 10/30/2018 Common Stock 6,515 $ 0 0 D
Employee Stock Option (right to buy) $ 25.1 08/15/2018 A( 1 ) 6,515 ( 3 ) 03/01/2019 Common Stock 6,515 $ 0 6,515 D
Employee Stock Option (right to buy) $ 17.05 08/15/2018 D( 1 ) 9,160 ( 4 ) 10/30/2018 Common Stock 9,160 $ 0 0 D
Employee Stock Option (right to buy) $ 17.05 08/15/2018 A( 1 ) 9,160 ( 4 ) 03/01/2019 Common Stock 9,160 $ 0 9,160 D
Employee Stock Option (right to buy) $ 19 08/15/2018 D( 1 ) 8,658 ( 5 ) 10/30/2018 Common Stock 8,658 $ 0 0 D
Employee Stock Option (right to buy) $ 19 08/15/2018 A( 1 ) 8,658 ( 5 ) 03/01/2019 Common Stock 8,658 $ 0 8,658 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
PETERSEN DAVID M.
C/O CIVITAS SOLUTIONS, INC.
313 CONGRESS STREET
BOSTON, MA02210
Redwood Op. Group President
Signatures
/s/ Gina L. Martin, by Power of Attorney 08/17/2018
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The reported transactions involve the amendments of four outstanding option grants to extend the post-service exercise period following the reporting person's retirement, resulting in the deemed cancellation of the "old" option and the grant of a replacement option. The reporting person will retire on September 30, 2018. In addition, 2,172 unvested options with an exercise price of $25.10 will vest on December 3, 2018, 3,054 unvested options with an exercise price of $17.05 will vest on December 6, 2018 and 2,886 unvested options with an exercise price of $19.00 will vest on December 8, 2018, notwithstanding the reporting person's retirement prior to such dates.
( 2 )These options were fully vested.
( 3 )Of these options, 4,343 were vested as of the date of this report, and 2,172 will vest on December 3, 2018.
( 4 )Of these options, 3,053 were vested as of the date of this report, 3,054 will vest on December 6, 2018 and 3,053 were scheduled to vest on December 6, 2019 but will instead expire unexercised.
( 5 )None of these options was vested as of the date of this report. Of these options, 2,886 will vest on December 8, 2018, and 2,886 were scheduled to vest on each of December 8, 2019 and December 8, 2020 but will instead expire unexercised.

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