SEC Form 4 · accession 0001209191-17-065319
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
Dec 6, 2017
Accepted (ET)
Dec 12, 2017 · 9:02 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 Stock | Dec 6, 2017 | F | 789 | $18.95 | D | 263,852 | D | |
| Common StockF2 | Dec 8, 2017 | A | 6,316 | $0.00 | A | 270,168 | 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)F3 | $19.00 | Dec 8, 2017 | A | 8,658 | A | — | Dec 8, 2027 | Common Stock | 8,658 | 8,658 | D |
Explanation of responses
- F1These 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.
- F2Represents 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.
- F3The 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.