UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 15
CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION
UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934
OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934.
Commission File Number
001-36623
C
IVITAS
S
OLUTIONS
, I
NC
.*
(N
ATIONAL
M
ENTOR
H
OLDINGS
, I
NC
.
AS
SUCCESSOR
BY
MERGER
TO
C
IVITAS
S
OLUTIONS
, I
NC
.)
(Exact name of registrant as specified in its charter)
313 Congress
Street, Boston, Massachusetts 02210
(617)
790-4800
(Address, including zip code, and telephone number, including area code, of registrants principal executive offices)
Common Stock, par value $0.01 per share
(Title of each class of securities covered by this Form)
None
(Titles of all
other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)
Please place an X in the
box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:
|
|
|
Rule
12g-4(a)(1)
|
|
☒
|
Rule
12g-4(a)(2)
|
|
☐
|
Rule
12h-3(b)(1)(i)
|
|
☒
|
Rule
12h-3(b)(1)(ii)
|
|
☐
|
Rule
15d-6
|
|
☐
|
Rule
15d-22(b)
|
|
☐
|
Approximate number of holders of record as of the certification or notice date: 1
Explanatory Note:
* On March 8, 2019, pursuant to the
Agreement and Plan of Merger, dated December 18, 2018, by and among Civitas Solutions, Inc. (Civitas), Celtic Intermediate Corp. (Parent) and Celtic Tier II Corp., a wholly-owned subsidiary of Parent (Merger Sub),
Merger Sub merged with and into Civitas (the Merger), with Civitas surviving the Merger as the surviving corporation and a direct, wholly-owned subsidiary of Parent. Also on March 8, 2019, in connection with the Merger and as a
result of a series of subsequent transactions, National Mentor Holdings, Inc. (NMH) became a direct, wholly-owned subsidiary of Parent and successor to Civitas, at which time the separate corporate existence of Civitas ended.