0001209191-12-052639.txt : 20121113 0001209191-12-052639.hdr.sgml : 20121112 20121113102407 ACCESSION NUMBER: 0001209191-12-052639 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121112 FILED AS OF DATE: 20121113 DATE AS OF CHANGE: 20121113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DECARLO DAVID J CENTRAL INDEX KEY: 0001211957 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11961 FILM NUMBER: 121196588 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: 7133328475 MAIL ADDRESS: STREET 1: 3040 POST OAK BOULEVARD STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2012-11-12 0 0001016281 CARRIAGE SERVICES INC CSV 0001211957 DECARLO DAVID J 1130 MERIDIAN DRIVE PRESTO PA 15142 1 0 0 0 Common Stock 2012-11-12 4 P 0 2500 10.9104 A 29875 D Common Stock 17306 I David J. DeCarlo Trust IMA /s/ David J. DeCarlo 2012-11-13