0001016281-21-000205.txt : 20211201 0001016281-21-000205.hdr.sgml : 20211201 20211201164013 ACCESSION NUMBER: 0001016281-21-000205 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211129 FILED AS OF DATE: 20211201 DATE AS OF CHANGE: 20211201 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: 211463517 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_163839479890609.xml FORM 4 X0306 4 2021-11-29 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 2021-11-29 4 G 0 1100 53.86 D 1255119 D Common Stock 2021-11-30 4 G 0 3075 51.74 D 1252044 D Common Stock 2021-11-30 4 M 0 81000 22.58 A 1333044 D Common Stock 2021-11-30 4 F 0 54227 51.74 D 1278817 D Common Stock 2021-11-30 4 S 0 26500 51.33 D 1252317 D Common Stock 2021-12-01 4 S 0 273 52.63 D 1252044 D Common Stock 2021-12-01 4 G 0 1000 52.09 D 1251044 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 Stock Options 22.58 2021-11-30 4 M 0 81000 22.58 D 2022-02-24 Common Stock 81000.0 0 D Stock Options 2031-02-17 Common Stock 150000.0 150000 D Stock Options 34.79 2031-02-17 Common Stock 150000.0 150000 D Performance Award 2024-12-31 Common Stock 55897.0 55897 D Stock Options 25.43 2028-02-14 Common Stock 50000.0 50000 D Stock Options 26.54 2027-03-21 Common Stock 116100.0 116100 D Stock Options 20.06 2026-02-23 Common Stock 54545.0 54545 D Represents shares withheld on 11/30/2021 to cover the option price and taxes associated with the exercise of stock options. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $50.88 to $51.79, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, on request, full information regarding the number of shares sold at each separate price. Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan which vested 1/3 on 2/24/2016, 1/3 on 2/24/2017 and 1/3 on 2/24/2018. 81,000 options were exercised on 11/30/2021. These stock options expire on 2/24/2022. Stock Options granted on 2/17/2021 pursuant to the Carriage Services, Inc. 2017 Omnibus Incentive Plan. 50,000 stock options would immediately vest upon the stock reaching a price of $55.39 per share and 100,000 stock options would immediately vest upon the stock reaching a price of $77.34 per share, as long as each price is reached for three consecutive trading days during the next 7 year period. These options expire on 2/17/2028. Stock Options granted on 2/17/2021 pursuant to the Carriage Services, Inc. 2017 Omnibus Incentive Plan that will vest in equal 20% increments each year over the next five years. These options expire on 2/17/2031. Represents performance awards, payable in shares on December 31, 2024 granted under the Carriage Services, Inc. 2017 Omnibus Incentive Plan. The award will vest (if at all) on December 31, 2024 provided that the Company's common stock reaches one of five pre-determined growth targets for a sustained period beginning on the grant date of May 19, 2020 and ending on December 31, 2024. Stock Options granted pursuant to the Carriage Services, Inc. 2017 Omnibus Plan which vested 1/5 on 2/14/2019, 1/5 on 2/14/2020, 1/5 on 2/14/2021 and 1/5 will vest on 2/14/2022 and 2/14/2023. The options expire on 2/14/2028. Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan which vested 1/5 on 3/21/2018, 1/5 on 3/21/2019, 1/5 on 3/21/2020, 1/5 on 3/21/2021 and 1/5 will vest on 3/21/2022. These stock options expire on 3/21/2027. Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan which vested 1/5 on 2/23/2017, 1/5 on 2/23/2018, 1/5 on 2/23/2019, 1/5 on 2/23/2020 and 1/5 on 2/23/2021. These stock options expire on 2/23/2026. /s/ Melvin C. Payne 2021-12-01