0001016281-21-000170.txt : 20210817 0001016281-21-000170.hdr.sgml : 20210817 20210817161946 ACCESSION NUMBER: 0001016281-21-000170 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210816 FILED AS OF DATE: 20210817 DATE AS OF CHANGE: 20210817 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PAYNE MELVIN C CENTRAL INDEX KEY: 0001024177 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11961 FILM NUMBER: 211183018 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 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 4 1 wf-form4_162923155866316.xml FORM 4 X0306 4 2021-08-16 0 0001016281 CARRIAGE SERVICES INC CSV 0001024177 PAYNE MELVIN C 3040 POST OAK BLVD SUITE 300 HOUSTON TX 77056 1 1 0 0 CEO Common Stock 2021-08-16 4 G 0 600 39.48 D 1257188 D Common Stock 4164 I Melvin C. Payne, Jr. 2016 Annuity Trust Common Stock 4164 I Karen P. Payne 2016 Annuity Trust Common Stock 24354 I Spouse /s/ Melvin C. Payne 2021-08-17