0001016281-16-000212.txt : 20160601
0001016281-16-000212.hdr.sgml : 20160601
20160601181528
ACCESSION NUMBER: 0001016281-16-000212
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160601
FILED AS OF DATE: 20160601
DATE AS OF CHANGE: 20160601
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
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: 161690421
MAIL ADDRESS:
STREET 1: 28634 PLEASANT FOREST DRIVE
CITY: KATY
STATE: TX
ZIP: 77056
4
1
wf-form4_146481931426802.xml
FORM 4
X0306
4
2016-06-01
0
0001016281
CARRIAGE SERVICES INC
CSV
0001643336
Brink Carl Benjamin
28634 PLEASANT FOREST DRIVE
KATY
TX
77494
0
1
0
0
Principal Financial Officer
Common Stock
2016-06-01
4
P
0
1200
23.54
A
5999
D
Stock Options
20.06
2026-02-23
Common Stock
10000.0
10000
D
Performance Award
2020-12-31
Common Stock
3100.0
3100
D
Stock Options
22.58
2022-02-24
Common Stock
22000.0
22000
D
Stock Options
20.26
2019-02-25
Common Stock
12000.0
12000
D
Stock Options
16.73
2018-05-22
Common Stock
10000.0
10000
D
Stock 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 2/23/2017, 2/23/2018, 2/23/2019, 2/23/2020 and 2/23/2021. These stock options expire on 2/23/2026.
Represents 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.
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 will vest on 2/24/2017 and 1/3 on 2/24/2018. 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 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 6,000 options will vest on 2/25/2017. These options expire on 02/25/2019.
Stock 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. The options expire on 5/22/2018.
/s/ Carl B. Brink
2016-06-01