0001016281-21-000207.txt : 20211203 0001016281-21-000207.hdr.sgml : 20211203 20211203181132 ACCESSION NUMBER: 0001016281-21-000207 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211201 FILED AS OF DATE: 20211203 DATE AS OF CHANGE: 20211203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brink Carl Benjamin CENTRAL INDEX KEY: 0001643336 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11961 FILM NUMBER: 211471413 MAIL ADDRESS: STREET 1: 28634 PLEASANT FOREST DRIVE CITY: KATY STATE: TX ZIP: 77056 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES INC CENTRAL INDEX KEY: 0001016281 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200] IRS NUMBER: 760423828 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BOULEVARD STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BOULEVARD STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 4 1 wf-form4_163857307702754.xml FORM 4 X0306 4 2021-12-01 0 0001016281 CARRIAGE SERVICES INC CSV 0001643336 Brink Carl Benjamin 3040 POST OAK BLVD. SUITE 300 HOUSTON TX 77056 0 1 0 0 EVP & Chief Financial Officer Common Stock 2021-12-01 4 M 0 17572 22.58 A 37186 D Common Stock 2021-12-01 4 F 0 11500 52.47 D 25686 D Common Stock 2021-12-03 4 S 0 2000 52.84 D 23686 D Common Stock 2021-12-03 4 M 0 4428 22.58 A 28114 D Common Stock 4695 I Spouse Stock Options 22.58 2021-12-01 4 M 0 17572 0 D 2022-02-24 Common Stock 17572.0 4428 D Stock Options 22.58 2021-12-03 4 M 0 4428 0 D 2022-02-24 Common Stock 4428.0 0 D Performance Award 2024-12-31 Common Stock 13974.0 13974 D Stock Options 34.79 2031-02-17 Common Stock 50000.0 50000 D Stock Options 25.43 2028-02-14 Common Stock 15000.0 15000 D Stock Options 26.54 2027-03-21 Common Stock 34900.0 34900 D Stock Options 20.06 2026-02-23 Common Stock 10000.0 10000 D Represents shares withheld on 12/1/2021 to cover the option price and taxes associated with the exercise of stock options. The price reported in column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $52.84 to $52.88, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price. Stock 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. 17,572 options were exercised on 12/1/2021. These stock options expire on 02/24/2022. Stock 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. 4,428 options were exercised on 12/3/2021. These stock options expire on 02/24/2022. Represents performance awards, payable in shares on December 31, 2024 granted under the Carriage Services, Inc. 2017 Omnibus Incentive Plan. The award will vest (if at all) on December 31, 2024 provided that the Company's common stock reaches one of five pre-determined growth targets for a sustained period beginning on the grant date of May 19, 2020 and ending on December 31, 2024. Stock Options granted on 2/17/2021 pursuant to the Carriage Services, Inc. 2017 Omnibus Incentive Plan that will vest in equal 20% increments each year over the next five years. These options expire on 2/17/2031. Stock Options granted pursuant to the Carriage Services, Inc. 2017 Omnibus Plan which 1/5 vested each year on 2/14/2019, 2/14/2020 and 2/14/2021 and 1/5 will vest on 2/14/2022 and 2/14/2023. The options expire on 2/14/2028. Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan which vested 1/5 each year on 3/21/2018, 3/21/2019, 3/21/2020 and 3/21/2021 and 1/5 will vest on 3/21/2022. These stock options expire on 3/21/2027. Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan which vested 1/5 each year on 2/23/2017, 2/23/2018, 2/23/2019, 2/23/2020 and 2/23/2021. These stock options expire on 2/23/2026. /s/ Carl B. Brink 2021-12-03