SEC Form 4 · accession 0001016281-15-000144
CARRIAGE SERVICES INC · CSV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Melvin C Payne
Officer — CEO · Director
Period of report
Nov 6, 2015
Accepted (ET)
Nov 10, 2015 · 4:34 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001016281
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Nov 6, 2015 | M | 21,200 | $4.78 | A | 1,303,343 | D | |
| Common Stock | Nov 6, 2015 | M | 14,000 | $5.70 | A | 1,317,343 | D | |
| Common StockF1 | Nov 6, 2015 | F | 7,508 | $24.13 | D | 1,309,835 | D | |
| Common Stock | Nov 9, 2015 | G | 425 | $23.35 | D | 1,309,410 | D | |
| Common Stock | holding | — | — | — | 3,518 | I | Spouse | |
| Common Stock | holding | — | — | — | 80,270 | I | daughter in same household |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF2 | $4.78 | Nov 6, 2015 | M | 21,200 | D | — | May 18, 2020 | Common Stock | 21,200 | 0 | D |
| Stock OptionsF3 | $5.70 | Nov 6, 2015 | M | 14,000 | D | — | Feb 28, 2021 | Common Stock | 14,000 | 27,419 | D |
| Stock OptionsF4 | $22.58 | holding | — | — | — | — | Feb 24, 2022 | Common Stock | 100,000 | 100,000 | D |
| Stock OptionsF5 | $20.49 | holding | — | — | — | — | Mar 3, 2019 | Common Stock | 100,000 | 100,000 | D |
| Stock OptionsF6 | $16.73 | holding | — | — | — | — | May 22, 2018 | Common Stock | 100,000 | 100,000 | D |
Explanation of responses
- F1Represents the surrender of already-owned shares on November 6, 2015 to cover payment of option exercise price.
- F2Stock Options granted pursuant to the Carriage Services, Inc. Amended and Restated 2006 Long-Term Incentive Plan which vested 1/3 on 05/18/2011, 1/3 vested on 5/18/2012 and 1/3 vested on 5/18/2013. These stock options expire on 5/18/2020.
- F3Stock Options grant pursuant to the Carriage Services, Inc. Amended and Restated 2006 Long-Term Incentive Plan which vest 1/3 on 02/28/2012, 1/3 on 02/28/2013 and 1/3 on 02/28/2014. These stock options expire on 02/28/2021.
- F4Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan which will vest 1/3 on 2/24/2016, 1/3 on 2/24/2017 and 1/3 on 2/24/2018. These stock options expire on 2/24/2022.
- F5Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan which will vest 1/3 on 3/3/2015, 1/3 on 3/3/2016 and 1/3 on 3/3/2017. These stock options expire on 3/3/2019.
- F6Stock Options grant pursuant to the Carriage Services, Inc. Amended and Restated 2006 Long-Term Incentive Plan which vest 1/3 on 05/22/2014, 1/3 on 05/22/2015 and 1/3 on 05/22/2016. These stock options expire on 05/22/2018.