0001016281-20-000194.txt : 20201209 0001016281-20-000194.hdr.sgml : 20201209 20201209175523 ACCESSION NUMBER: 0001016281-20-000194 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201209 FILED AS OF DATE: 20201209 DATE AS OF CHANGE: 20201209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PAYNE MELVIN C CENTRAL INDEX KEY: 0001024177 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11961 FILM NUMBER: 201378821 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD STREET 2: SUITE 300 CITY: HOUSTON 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_160755450842800.xml FORM 4 X0306 4 2020-12-09 0 0001016281 CARRIAGE SERVICES INC CSV 0001024177 PAYNE MELVIN C 3040 POST OAK BLVD SUITE 300 HOUSTON TX 77056 1 1 0 0 CEO Common Stock 2020-12-09 4 P 0 29000 30.02 A 1269409 D Common Stock 4164 I Melvin C. Payne, Jr. 2016 Annuity Trust Common Stock 4164 I Karen P. Payne 2016 Annuity Trust Common Stock 24354 I Spouse The price reported in column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $29.38 to $30.61, inclusive. The reporting person undertakes to provide to Carriage Services, Inc. any security holder of Carriage Services. Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth in this footnote. /s/ Melvin C. Payne 2020-12-09