0001016281-23-000007.txt : 20230103 0001016281-23-000007.hdr.sgml : 20230103 20230103165815 ACCESSION NUMBER: 0001016281-23-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230103 FILED AS OF DATE: 20230103 DATE AS OF CHANGE: 20230103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brink Carl Benjamin CENTRAL INDEX KEY: 0001643336 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11961 FILM NUMBER: 23502972 MAIL ADDRESS: STREET 1: 28634 PLEASANT FOREST DRIVE CITY: KATY 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_167278307955683.xml FORM 4 X0306 4 2023-01-03 0 0001016281 CARRIAGE SERVICES INC CSV 0001643336 Brink Carl Benjamin 3040 POST OAK BLVD. SUITE 300 HOUSTON TX 77056 0 1 0 0 EVP & Chief Financial Officer Common Stock 2023-01-03 4 A 0 30000 27.54 A 62114 D Common Stock 4695 I Spouse Pursuant to Mr. Brink's separation agreement effective September 27, 2022, 30,000 unrestricted shares of Carriage's Common Stock were granted on January 3, 2023. /s/ Carl B. Brink 2023-01-03