0001016281-19-000121.txt : 20191210 0001016281-19-000121.hdr.sgml : 20191210 20191210184813 ACCESSION NUMBER: 0001016281-19-000121 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191201 FILED AS OF DATE: 20191210 DATE AS OF CHANGE: 20191210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Goetz William CENTRAL INDEX KEY: 0001796285 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11961 FILM NUMBER: 191278686 MAIL ADDRESS: STREET 1: 1229 RIDGELEY DRIVE CITY: HOUSTON STATE: TX ZIP: 77055 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES INC CENTRAL INDEX KEY: 0001016281 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200] IRS NUMBER: 760423828 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BOULEVARD STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BOULEVARD STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 3 1 wf-form3_157602167601940.xml FORM 3 X0206 3 2019-12-01 0 0001016281 CARRIAGE SERVICES INC CSV 0001796285 Goetz William 1229 RIDGELEY DRIVE HOUSTON TX 77055 0 1 0 0 Chief Operating Officer Performance Award 2023-12-31 Common Stock 35000.0 D Stock Options 24.35 2029-12-02 Common Stock 100000.0 D Represents performance awards granted on 12/2/2019, payable in shares, granted under the Carriage Services, Inc. 2017 Omnibus Incentive Plan. The award will vest (if at all) on December 31, 2023 provided that certain criteria surrounding share price performance is achieved and the Reporting Person has remained continuously employed by Carriage through such date. Stock Options granted on 12/2/2019 pursuant to the Carriage Services, Inc. 2017 Omnibus Plan will vest 1/5 each year on 12/2/2020, 12/2/2021, 12/2/2022, 12/2/2013, and 12/2/2024. The options expire on 12/2/2029. /s/ William Goetz 2019-12-10