-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, HLjjNRmPy23eZbjsupM0AjQZBfdrQZXL2oM+V/gKc1DoNtyAn+SSnifoqhjayWjv 3o6+aGMZL1HdN3+Z6Kf5Bg== 9999999995-11-000560.txt : 20110301 9999999995-11-000560.hdr.sgml : 20110301 20110301001523 ACCESSION NUMBER: 9999999995-11-000560 CONFORMED SUBMISSION TYPE: EFFECT PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20110228 DATE AS OF CHANGE: 20110301 EFFECTIVENESS DATE: 20110228 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FUNERAL SERVICES OF CALIFORNIA INC CENTRAL INDEX KEY: 0001160932 IRS NUMBER: 760517196 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-33 FILM NUMBER: 11648818 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FUNERAL SERVICES OF KENTUCKY INC CENTRAL INDEX KEY: 0001160933 IRS NUMBER: 611015339 STATE OF INCORPORATION: KY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-34 FILM NUMBER: 11648819 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FUNERAL SERVICES OF MICHIGAN INC CENTRAL INDEX KEY: 0001160935 IRS NUMBER: 383149715 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-36 FILM NUMBER: 11648821 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE HOLDING CO INC CENTRAL INDEX KEY: 0001160936 IRS NUMBER: 760393194 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-37 FILM NUMBER: 11648822 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CFS FUNERAL SERVICES INC CENTRAL INDEX KEY: 0001160937 IRS NUMBER: 760386580 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-38 FILM NUMBER: 11648823 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FUNERAL HOLDINGS INC CENTRAL INDEX KEY: 0001160938 IRS NUMBER: 760339922 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-39 FILM NUMBER: 11648824 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: 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 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711 FILM NUMBER: 11648788 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BOULEVARD STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328475 MAIL ADDRESS: STREET 1: 3040 POST OAK BOULEVARD STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FLORIDA HOLDINGS, INC. CENTRAL INDEX KEY: 0001160897 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-04 FILM NUMBER: 11648792 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FORMER COMPANY: FORMER CONFORMED NAME: CARRIAGE MERGER III INC DATE OF NAME CHANGE: 20011016 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE MERGER II INC CENTRAL INDEX KEY: 0001160898 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-05 FILM NUMBER: 11648793 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE MERGER I INC CENTRAL INDEX KEY: 0001160899 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-06 FILM NUMBER: 11648794 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE LIFE EVENTS INC CENTRAL INDEX KEY: 0001160900 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-07 FILM NUMBER: 11648795 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HORIZON CREMATION SOCIETY INC CENTRAL INDEX KEY: 0001160901 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-08 FILM NUMBER: 11648796 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: COCHRANES CHAPEL OF THE ROSES INC CENTRAL INDEX KEY: 0001160902 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-09 FILM NUMBER: 11648782 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE MANAGEMENT LP CENTRAL INDEX KEY: 0001160903 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-10 FILM NUMBER: 11648783 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE INVESTMENTS INC CENTRAL INDEX KEY: 0001160904 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-11 FILM NUMBER: 11648784 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE INTERNET STRATEGIES INC CENTRAL INDEX KEY: 0001160905 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-12 FILM NUMBER: 11648785 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE INSURANCE AGENCY OF MASSACHUSETTS INC CENTRAL INDEX KEY: 0001160906 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-13 FILM NUMBER: 11648786 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE CEMETERY SERVICES OF CALIFORNIA INC CENTRAL INDEX KEY: 0001160907 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-01 FILM NUMBER: 11648789 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE MUNICIPAL CEMETERY SERVICES OF NEVADA INC CENTRAL INDEX KEY: 0001160908 IRS NUMBER: 760635742 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-14 FILM NUMBER: 11648808 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM KANSAS LLC CENTRAL INDEX KEY: 0001160909 IRS NUMBER: 760627587 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-35 FILM NUMBER: 11648820 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF OHIO LLC CENTRAL INDEX KEY: 0001160910 IRS NUMBER: 760627588 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-15 FILM NUMBER: 11648809 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM FLORIDA FUNERAL LLC CENTRAL INDEX KEY: 0001160911 IRS NUMBER: 760627586 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-16 FILM NUMBER: 11648810 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM FLORIDA CEMETERY LLC CENTRAL INDEX KEY: 0001160912 IRS NUMBER: 760627585 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-17 FILM NUMBER: 11648811 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM CALIFORNIA FUNERAL LLC CENTRAL INDEX KEY: 0001160913 IRS NUMBER: 760627584 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-18 FILM NUMBER: 11648812 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM CALIFORNIA CEMETERY LLC CENTRAL INDEX KEY: 0001160914 IRS NUMBER: 760627583 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-19 FILM NUMBER: 11648813 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF NEVADA INC CENTRAL INDEX KEY: 0001160915 IRS NUMBER: 760595471 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-21 FILM NUMBER: 11648798 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HUBBARD FUNERAL HOME INC CENTRAL INDEX KEY: 0001160917 IRS NUMBER: 530226299 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-20 FILM NUMBER: 11648797 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF OKLAHOMA LLC CENTRAL INDEX KEY: 0001160918 IRS NUMBER: 760590850 STATE OF INCORPORATION: OK FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-22 FILM NUMBER: 11648799 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE CEMETERY SERVICES INC CENTRAL INDEX KEY: 0001160919 IRS NUMBER: 760592642 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-23 FILM NUMBER: 11648800 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF NEW MEXICO INC CENTRAL INDEX KEY: 0001160920 IRS NUMBER: 760585891 STATE OF INCORPORATION: NM FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-25 FILM NUMBER: 11648802 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ROLLING HILLS MEMORIAL PARK CENTRAL INDEX KEY: 0001160921 IRS NUMBER: 941495168 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-30 FILM NUMBER: 11648807 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BARNETT DEMROW & ERNST INC CENTRAL INDEX KEY: 0001160922 IRS NUMBER: 610680428 STATE OF INCORPORATION: KY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-26 FILM NUMBER: 11648803 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CHC INSURANCE AGENCY OF OHIO INC CENTRAL INDEX KEY: 0001160923 IRS NUMBER: 760584854 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-27 FILM NUMBER: 11648804 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF CONNECTICUT INC CENTRAL INDEX KEY: 0001160924 IRS NUMBER: 061491781 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-29 FILM NUMBER: 11648806 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: WILSON & KRATZER MORTUARIES CENTRAL INDEX KEY: 0001160925 IRS NUMBER: 942677490 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-31 FILM NUMBER: 11648815 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE CEMETERY SERVICES OF IDAHO INC CENTRAL INDEX KEY: 0001160926 IRS NUMBER: 820210596 STATE OF INCORPORATION: ID FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-32 FILM NUMBER: 11648817 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Forastiere Family Funeral Service, Inc. CENTRAL INDEX KEY: 0001325150 IRS NUMBER: 760615410 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-24 FILM NUMBER: 11648801 BUSINESS ADDRESS: STREET 1: 101 FEDERAL STREET CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 713.332.8400 MAIL ADDRESS: STREET 1: 101 FEDERAL STREET CITY: BOSTON STATE: MA ZIP: 02110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSI Funeral Services of Massachusetts, Inc. CENTRAL INDEX KEY: 0001325155 IRS NUMBER: 043406556 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-28 FILM NUMBER: 11648805 BUSINESS ADDRESS: STREET 1: 101 FEDERAL STREET CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 713.332.8400 MAIL ADDRESS: STREET 1: 101 FEDERAL STREET CITY: BOSTON STATE: MA ZIP: 02110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Cataudella Funeral Home, Inc. CENTRAL INDEX KEY: 0001507438 IRS NUMBER: 042588311 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-02 FILM NUMBER: 11648790 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 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Cloverdale Park, Inc. CENTRAL INDEX KEY: 0001507485 IRS NUMBER: 820251267 STATE OF INCORPORATION: ID FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-171711-03 FILM NUMBER: 11648791 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 EFFECT 1 primary_doc.xml X0101 EFFECT 33 LIVE 2011-02-28 16:00:00
S-3
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