Statement of Changes in Beneficial Ownership (4)
February 25 2022 - 6:47PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
1. Name and Address of Reporting Person
*
PAYNE MELVIN C |
2. Issuer Name and Ticker or Trading Symbol
CARRIAGE SERVICES INC
[
CSV
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) CEO |
(Last)
(First)
(Middle)
3040 POST OAK BLVD, SUITE 300 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/23/2022 |
(Street)
HOUSTON, TX 77056
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security (Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. Code (Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
|
7. Nature of Indirect Beneficial Ownership (Instr. 4)
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
Common Stock | | | | | | | | 1204419 | 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 |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Stock Options | $49.48 | 2/23/2022 | | A | | 80000 | | (1) | 2/23/2032 | Common Stock | 80000.0 | (1) | 80000 | D | |
Performance Award | (2) | | | | | | | (2) | 12/31/2024 | Common Stock | 140476.0 | | 140476 | D | |
Stock Options | (3) | | | | | | | (3) | 2/17/2031 | Common Stock | 150000.0 | | 150000 | D | |
Stock Options | $34.79 | | | | | | | (4) | 2/17/2031 | Common Stock | 150000.0 | | 150000 | D | |
Stock Options | $25.43 | | | | | | | (5) | 2/14/2028 | Common Stock | 50000.0 | | 50000 | D | |
Stock Options | $26.54 | | | | | | | (6) | 3/21/2027 | Common Stock | 116100.0 | | 116100 | D | |
Stock Options | $20.06 | | | | | | | (7) | 2/23/2026 | Common Stock | 54545.0 | | 54545 | D | |
Explanation of Responses: |
(1) | Stock Options granted on 2/23/2022 pursuant to the Carriage Services, Inc. 2017 Omnibus Incentive Plan that will vest in equal increments each year over the next seven years. These options expire on 2/23/2032. |
(2) | Represents performance awards, payable in shares on December 31, 2024 granted under the Carriage Services, Inc. 2017 Omnibus Incentive Plan. The award will vest (if at all) on December 31, 2024 provided that the Company's common stock reaches one of five pre-determined growth targets for a sustained period beginning on the grant date of May 19, 2020 and ending on December 31, 2024. |
(3) | Stock Options granted on 2/17/2021 pursuant to the Carriage Services, Inc. 2017 Omnibus Incentive Plan. 50,000 stock options vested on 12/8/2021 when the stock price reached $55.39 per share and 100,000 stock options would immediately vest upon the stock reaching a price of $77.34 per share, as long as each price is reached for three consecutive trading days during the 10 year option term. These options expire on 2/17/2031. |
(4) | Stock Options granted on 2/17/2021 pursuant to the Carriage Services, Inc. 2017 Omnibus Incentive Plan which vested 20% on 2/17/2022 and will vest in equal 20% increments each year over the next four years. These options expire on 2/17/2031. |
(5) | Stock Options granted pursuant to the Carriage Services, Inc. 2017 Omnibus Plan which vested 1/5 on 2/14/2019, 2/14/2020, 2/14/2021, 2/14/2022 and 1/5 will vest on 2/14/2023. The options expire on 2/14/2028. |
(6) | Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan which vested 1/5 on 3/21/2018, 3/21/2019, 3/21/2020, 3/21/2021 and 1/5 will vest on 3/21/2022. These stock options expire on 3/21/2027. |
(7) | Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan which vested 1/5 on 2/23/2017, 2/23/2018, 2/23/2019, 2/23/2020 and 2/23/2021. 3,955 stock options were exercised on 6/4/2021. These stock options expire on 2/23/2026. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
PAYNE MELVIN C 3040 POST OAK BLVD SUITE 300 HOUSTON, TX 77056 | X |
| CEO |
|
Signatures
|
/s/ Melvin C. Payne | | 2/25/2022 |
**Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: | File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
Carriage Services (NYSE:CSV)
Historical Stock Chart
From Jul 2024 to Aug 2024
Carriage Services (NYSE:CSV)
Historical Stock Chart
From Aug 2023 to Aug 2024