0000899243-22-035133.txt : 20221104
0000899243-22-035133.hdr.sgml : 20221104
20221104122939
ACCESSION NUMBER: 0000899243-22-035133
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20221103
FILED AS OF DATE: 20221104
DATE AS OF CHANGE: 20221104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Connolly Thomas A
CENTRAL INDEX KEY: 0001789662
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39172
FILM NUMBER: 221361231
MAIL ADDRESS:
STREET 1: C/O STONEMOR PARTNERS L.P.
STREET 2: 3600 HORIZON BOULEVARD
CITY: TREVOSE
STATE: PA
ZIP: 19053
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Stonemor Inc.
CENTRAL INDEX KEY: 0001753886
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3600 HORIZON BOULEVARD
CITY: TREVOSE
STATE: PA
ZIP: 19053
BUSINESS PHONE: (215) 826-2800
MAIL ADDRESS:
STREET 1: 3600 HORIZON BOULEVARD
CITY: TREVOSE
STATE: PA
ZIP: 19053
FORMER COMPANY:
FORMER CONFORMED NAME: Stonemor GP LLC
DATE OF NAME CHANGE: 20180921
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-11-03
0
0001753886
Stonemor Inc.
STON
0001789662
Connolly Thomas A
C/O STONEMOR INC.
3331 STREET ROAD, SUITE 200
BENSALEM
PA
19020
0
1
0
0
See Remarks
Common Stock
2022-11-03
4
D
0
206860
3.50
D
0
D
Employee Stock Option (right to buy)
1.71
2022-11-03
4
D
0
18834
1.79
D
2030-12-03
Common Stock
18834
0
D
Employee Stock Option (right to buy)
1.71
2022-11-03
4
D
0
18833
D
2030-12-03
Common Stock
18833
0
D
Employee Stock Option (right to buy)
1.20
2022-11-03
4
D
0
75000
2.30
D
2029-12-18
Common Stock
75000
0
D
Employee Stock Option (right to buy)
1.20
2022-11-03
4
D
0
75000
D
2029-12-18
Common Stock
75000
0
D
This option, which provided for vesting in equal annual installments over a three-year period, commencing on the first anniversary following the date of grant which was December 3, 2020, was cancelled in the merger contemplated by an Agreement and Plan of Merger among Axar Cemetery Parent Corp. ("Axar"), StoneMor Inc. and Axar Cemetery Merger Corp. in exchange for a cash payment of $33,712.86, representing the difference between the exercise price of the option and the cash merger consideration per share.
This option, which provided for vesting in equal annual installments over a three-year period, commencing on the first anniversary following the date of grant which was December 3, 2020, was assumed by Axar in the merger and replaced with a fully vested option to purchase 18,833 shares of Axar common stock for $1.71 per share.
This option, which provided for vesting in equal annual installments over a three-year period, commencing on the first anniversary following the date of grant which was December 18, 2019, was cancelled in the merger in exchange for a cash payment of $172,500, representing the difference between the exercise price of the option and the cash merger consideration per share.
This option, which provided for vesting in equal annual installments over a three-year period, commencing on the first anniversary following the date of grant which was December 18, 2019, was assumed by Axar in the merger and replaced with a fully vested option to purchase 75,000 shares of Axar common stock for $1.20 per share
SVP of Bus. Plan. & Opers.
The filing of this statement shall not be construed as an admission (a) that the person filing this statement is, for the purposes of Section 16 of the Securities Exchange Act of 1934, as amended, the beneficial owners of any equity securities covered by this statement, or (b) that this statement is legally required to be filed by such person.
/s/ Shirley Herman, Attorney-in-Fact
2022-11-04