0001016281-21-000217.txt : 20211223
0001016281-21-000217.hdr.sgml : 20211223
20211223161450
ACCESSION NUMBER: 0001016281-21-000217
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211222
FILED AS OF DATE: 20211223
DATE AS OF CHANGE: 20211223
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: 211517332
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_164029407494018.xml
FORM 4
X0306
4
2021-12-22
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
2021-12-22
4
G
0
1400
63.08
D
1244819
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
2021-12-23