SEC Form 4 · accession 0001016281-18-000040
CARRIAGE SERVICES INC · CSV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Carl Benjamin Brink
Officer — Chief Financial Officer
Period of report
Mar 6, 2018
Accepted (ET)
Mar 6, 2018 · 7:26 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 | Mar 6, 2018 | M | 10,000 | $16.73 | A | 21,049 | D | |
| Common StockF1 | Mar 6, 2018 | F | 5,000 | $28.05 | D | 16,049 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF2 | $16.73 | Mar 6, 2018 | M | 10,000 | D | — | May 22, 2018 | Common Stock | 10,000 | 0 | D |
| Stock OptionsF3 | $25.43 | holding | — | — | — | — | Feb 14, 2028 | Common Stock | 15,000 | 15,000 | D |
| Performance AwardF4 | — | holding | — | — | — | — | Dec 31, 2022 | Common Stock | 7,980 | 7,980 | D |
| Stock OptionsF5 | $26.54 | holding | — | — | — | — | Mar 21, 2027 | Common Stock | 34,900 | 34,900 | D |
| Performance AwardF6 | — | holding | — | — | — | — | Dec 31, 2021 | Common Stock | 7,920 | 7,920 | D |
| Stock OptionsF7 | $20.06 | holding | — | — | — | — | Feb 23, 2026 | Common Stock | 10,000 | 10,000 | D |
| Performance AwardF8 | — | holding | — | — | — | — | Dec 31, 2020 | Common Stock | 3,100 | 3,100 | D |
| Stock OptionsF9 | $22.58 | holding | — | — | — | — | Feb 24, 2022 | Common Stock | 22,000 | 22,000 | D |
| Stock OptionsF10 | $20.26 | holding | — | — | — | — | Feb 25, 2019 | Common Stock | 12,000 | 12,000 | D |
Explanation of responses
- F1Represents shares withheld on 03/06/2018 to partly cover option price associated with the exercise of stock options granted on 05/22/2013.
- F10Stock Option Grant pursuant to the Carriage Services, Inc. Amended and Restated 2006 Long-Term Incentive Plan of 18,000 options granted on 02/25/2014, of which 6,000 options vested on 2/25/2015 and were exercised on 3/26/2015, 6,000 options vested on 2/25/2016 and 2/25/2017. These options expire on 02/25/2019.
- F2Stock Option Grant pursuant to the Carriage Services, Inc. Amended and Restated 2006 Long-Term Incentive Plan of 15,000 options on 5/22/2013, of which 5,000 options vested on 5/22/2014 and were exercised on 3/26/2015, 5,000 vested on 5/22/2015 and 5,000 vested on 5/22/2016. 10,000 options were exercised on 3/6/2018. The options expire on 5/22/2018.
- F3Stock Options granted pursuant to the Carriage Services, Inc. 2017 Omnibus Plan which will vest 1/5 on 2/14/2019, 2/14/2020, 2/14/2021, 2/14/2022 and 2/14/2023. The options expire on 2/14/2028.
- F4Represents performance-based awards, payable in shares, granted under the Carriage Services, Inc. 2017 Omnibus Incentive Plan. The award will vest (if at all) on December 31, 2022 provided that certain criteria surrounding Adjusted Consolidated EBITDA (Adjusted Earnings Before Interest Tax Depreciation and Amortization) and Adjusted Consolidated EBITDA Margin performance is achieved and the Reporting Person has remained continuously employed by Carriage through such date. The Adjusted Consolidated EBITDA performance represents 50% of the award and the Adjusted Consolidated EBITDA Margin performance represents 50% of the award.
- F5Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan which will vest 1/5 each year on 3/21/2018, 3/21/2019, 3/21/2020, 3/21/2021 and 3/21/2022. These stock options expire on 3/21/2027.
- F6Represents performance-based awards, payable in shares, granted under the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan. The award will vest (if at all) on December 31, 2021 provided that certain criteria surrounding Adjusted Consolidated EBITDA (Adjusted Earnings Before Interest Tax Depreciation and Amortization) and Adjusted Consolidated EBITDA Margin performance is achieved and the Reporting Person has remained continuously employed by Carriage through such date. The Adjusted Consolidated EBITDA performance represents 50% of the award and the Adjusted Consolidated EBITDA Margin performance represents 50% of the award.
- F7Stock 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, 1/5 on 2/23/2018 and 1/5 will vest on 2/23/2019, 2/23/2020 and 2/23/2021. These stock options expire on 2/23/2026.
- F8Represents performance-based awards, payable in shares, granted under the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan. The award will vest (if at all) on December 31, 2020 provided that certain criteria surrounding Adjusted Consolidated EBITDA (Adjusted Earnings Before Interest Tax Depreciation and Amortization) and Relative Shareholder Return performance is achieved and the Reporting Person has remained continuously employed by Carriage through such date. The Relative Shareholder Return performance represents 75% of the award and the Adjusted Consolidated EBITDA performance represents 25% of the award.
- F9Stock Option grant pursuant to the Carriage Services, Inc. Amended and Restated 2006 Long-Term Incentive Plan which vested 1/3 on 2/24/2016, 1/3 on 2/24/2017 and 1/3 on 2/24/2018. These stock options expire on 02/24/2022.