0001209191-17-053927.txt : 20170926
0001209191-17-053927.hdr.sgml : 20170926
20170926150021
ACCESSION NUMBER: 0001209191-17-053927
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170925
FILED AS OF DATE: 20170926
DATE AS OF CHANGE: 20170926
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WALTRIP W BLAIR
CENTRAL INDEX KEY: 0001078418
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-06402
FILM NUMBER: 171101907
MAIL ADDRESS:
STREET 1: C/O PINNACLE GLOBAL GROUP
STREET 2: 5599 SAN FELIPE #1212
CITY: HOUSTON
STATE: TX
ZIP: 77056
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SERVICE CORP INTERNATIONAL
CENTRAL INDEX KEY: 0000089089
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200]
IRS NUMBER: 741488375
STATE OF INCORPORATION: TX
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1929 ALLEN PKWY
STREET 2: P O BOX 130548
CITY: HOUSTON
STATE: TX
ZIP: 77019
BUSINESS PHONE: 7135225141
MAIL ADDRESS:
STREET 1: P O BOX 130548
CITY: HOUSTON
STATE: TX
ZIP: 77219-0548
FORMER COMPANY:
FORMER CONFORMED NAME: SERVICE CORPORATION INTERNATIONAL
DATE OF NAME CHANGE: 19920703
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-09-25
0
0000089089
SERVICE CORP INTERNATIONAL
SCI
0001078418
WALTRIP W BLAIR
1929 ALLEN PARKWAY
HOUSTON
TX
77019
1
0
0
0
Common Stock
2017-09-25
4
J
0
1424
0.00
D
0
I
See Footnote
Common Stock
661409
D
Common Stock
212000
I
See Footnote
Common Stock
40000
I
By 1997 Grandchildren's Trust
Common Stock
367150
I
See Footnote
Common Stock
152204
I
By W.B. Waltrip Trust
Common Stock
101234
I
See Footnote
Common Stock
994
I
See Footnote
Common Stock
10544
I
See Footnote
The shares were distributed by the William Blair Waltrip Children's Trusts of 1985 to the beneficiaries of the trust.
The shares are held by one of the Robert L. and Claire H. Waltrip Children's Trusts, of which Mr. Waltrip is sole trustee and beneficiary.
The shares are held by the Waltrip 1997 Grandchildren's Trust. Mr. Waltrip expressly disclaims beneficial ownership of the indicated shares.
The shares are held by three Wanda McGee 1972 Trusts. Mr. Waltrip expressly disclaims beneficial ownership of 2/3 of the indicated shares.
The shares are held by the Robert L. Waltrip Family Trust. Mr. Waltrip expressly disclaims beneficial ownership of 2/3 of the indicated shares.
The shares are held by Mr. Waltrip as custodian for three of his children under the Texas UGMA and Mr. Waltrip expressly disclaims beneficial ownership of such shares.
The shares are held by the John B. McGee and Wanda A. McGee Irrevocable Trusts. Mr. Waltrip expressly disclaims beneficial ownership of such shares.
Curtis G. Briggs, Attorney-in-Fact for W. Blair Waltrip
2017-09-26