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Share Name | Share Symbol | Market | Type |
---|---|---|---|
Carriage Services Inc | NYSE:CSV | NYSE | Common Stock |
Price Change | % Change | Share Price | High Price | Low Price | Open Price | Shares Traded | Last Trade | |
---|---|---|---|---|---|---|---|---|
-0.10 | -0.38% | 26.34 | 26.70 | 26.25 | 26.56 | 34,678 | 17:19:31 |
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
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OMB APPROVAL
OMB Number: 3235-0287 Estimated average burden hours per response... 0.5 |
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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 |
3040 POST OAK BLVD, SUITE 300 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
|
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HOUSTON, TX 77056 |
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 | 3/3/2017 | F | 5150 (1) | D | $25.78 | 1230409 | D | |||
Common Stock | 3518 | I | Spouse | |||||||
Common Stock | 25000 | I | Melvin C. Payne, Jr. 2016 Annuity Trust | |||||||
Common Stock | 25000 | I | Karen P. Payne 2016 Annuity Trust | |||||||
Common Stock | 90000 | I | daughter in same household |
Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities) |
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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 | $20.06 | (2) | 2/23/2026 | Common Stock | 58500.0 | 58500 | D | ||||||||
Performance Award | (3) | (3) | 12/31/2020 | Common Stock | 17900.0 | 17900 | D | ||||||||
Stock Options | $22.58 | (4) | 2/24/2022 | Common Stock | 100000.0 | 100000 | D | ||||||||
Stock Options | $20.49 | (5) | 3/3/2019 | Common Stock | 100000.0 | 100000 | D | ||||||||
Stock Options | $16.73 | (6) | 5/22/2018 | Common Stock | 100000.0 | 100000 | D | ||||||||
Stock Options | $5.7 | (7) | 2/28/2021 | Common Stock | 3284.0 | 3284 | D |
Reporting Owners
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Reporting Owner Name / Address |
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Director | 10% Owner | Officer | Other | ||
PAYNE MELVIN C
3040 POST OAK BLVD SUITE 300 HOUSTON, TX 77056 |
X |
|
CEO |
|
Signatures
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||
/s/ Melvin C. Payne | 3/6/2017 | |
** 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. |
1 Year Carriage Services Chart |
1 Month Carriage Services Chart |
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