0001016281-21-000215.txt : 20211222 0001016281-21-000215.hdr.sgml : 20211222 20211222175508 ACCESSION NUMBER: 0001016281-21-000215 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211221 FILED AS OF DATE: 20211222 DATE AS OF CHANGE: 20211222 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: 211514247 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_164021368967896.xml FORM 4 X0306 4 2021-12-21 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 2021-12-21 4 G 0 2125 60.89 D 1248219 D Common Stock 2021-12-22 4 G 0 2000 63.08 D 1246219 D Common Stock 4164 I Melvin C. Payne, Jr. 2016 Annuity Trust Common Stock 24354 I Spouse Common Stock 4164 I Karen P. Payne 2016 Annuity Trust /s/ Melvin C. Payne 2021-12-22