SEC Form 4 · accession 0000899243-16-011812
Civitas Solutions, Inc. · CIVI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David M. Petersen
Officer — Redwood Op. Group President
Period of report
Jan 13, 2016
Accepted (ET)
Jan 15, 2016 · 5:28 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001608638
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jan 13, 2016 | A | 4,800 | $0.00 | A | 255,003 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F2 | $25.10 | Jan 13, 2016 | A | 6,500 | A | — | Dec 3, 2025 | Common Stock | 6,500 | 6,500 | D |
Explanation of responses
- F1Represents 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 in three equal annual increments over a three-year period, with the first vesting date on December 3, 2016.
- F2The 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 3, 2016.