SEC Form 4 · accession 0001016281-15-000147

CARRIAGE SERVICES INC · CSV

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — CEO · Director

Period of report

Dec 4, 2015

Accepted (ET)

Dec 7, 2015 · 4:47 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	Dec 4, 2015	G	600	$25.59	D	1,306,060	D
Common Stock	Dec 7, 2015	G	357	$25.23	D	1,305,703	D
Common Stock	holding	—	—		—	3,518	I	Spouse
Common Stock	holding	—	—		—	80,270	I	daughter in same household

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Stock Options^F1	$22.58	holding	—	—	—	—	Feb 24, 2022	Common Stock	100,000	100,000	D
Stock Options^F2	$20.49	holding	—	—	—	—	Mar 3, 2019	Common Stock	100,000	100,000	D
Stock Options^F3	$16.73	holding	—	—	—	—	May 22, 2018	Common Stock	100,000	100,000	D
Stock Options^F4	$5.70	holding	—	—	—	—	Feb 28, 2021	Common Stock	27,419	27,419	D

F1Stock 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.
F2Stock 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.
F3Stock 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.
F4Stock 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.