SEC Form 4 · accession 0001209191-16-119096
SERVICE CORP INTERNATIONAL · SCI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
W Blair Waltrip
Director
Period of report
May 11, 2016
Accepted (ET)
May 11, 2016 · 4:02 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000089089
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | May 11, 2016 | A | 10,000 | $0.00 | A | 701,409 | D | |
| Common StockF2 | holding | — | — | — | 16,108 | I | See Footnote | |
| Common StockF3 | holding | — | — | — | 212,000 | I | See Footnote | |
| Common StockF4 | holding | — | — | — | 40,000 | I | By 1997 Grandchildren's Trust | |
| Common StockF5 | holding | — | — | — | 367,150 | I | See Footnote | |
| Common Stock | holding | — | — | — | 152,204 | I | By W.B. Waltrip Trust | |
| Common StockF6 | holding | — | — | — | 101,234 | I | See Footnote | |
| Common StockF7 | holding | — | — | — | 994 | I | See Footnote | |
| Common StockF8 | holding | — | — | — | 50,177 | I | See Footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The shares were acquired under the Issuer's Amended and Restated Director Fee Plan.
- F2The shares are held by the William Blair Waltrip Children's Trusts of 1985 and Mr. Waltrip expressly disclaims beneficial ownership of such shares.
- F3The 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.
- F4The shares are held by the Waltrip 1997 Grandchildren's Trust. Mr. Waltrip expressly disclaims beneficial ownership of the indicated shares.
- F5The shares are held by three Wanda McGee 1972 Trusts. Mr. Waltrip expressly disclaims beneficial ownership of 2/3 of the indicated shares.
- F6The shares are held by the Robet L. Waltrip Family Trust. Mr. Waltrip expressly disclaims beneficial ownership of 2/3 of the indicated shares.
- F7The 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.
- F8The shares are held by the John B. McGee and Wanda A. McGee Irrevocable Trusts. Mr. Waltrip expressly disclaims beneficial ownership of such shares.