9999999995-17-000923.txt : 20170425 9999999995-17-000923.hdr.sgml : 20170425 20170425001521 ACCESSION NUMBER: 9999999995-17-000923 CONFORMED SUBMISSION TYPE: EFFECT PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20170424 DATE AS OF CHANGE: 20170425 EFFECTIVENESS DATE: 20170424 FILER: 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 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234 FILM NUMBER: 17779530 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 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE HOLDING CO INC CENTRAL INDEX KEY: 0001160936 IRS NUMBER: 760393194 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-10 FILM NUMBER: 17779540 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM CALIFORNIA CEMETERY LLC CENTRAL INDEX KEY: 0001160914 IRS NUMBER: 760627583 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-34 FILM NUMBER: 17779556 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HORIZON CREMATION SOCIETY INC CENTRAL INDEX KEY: 0001160901 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-41 FILM NUMBER: 17779570 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM KANSAS LLC CENTRAL INDEX KEY: 0001160909 IRS NUMBER: 760627587 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-29 FILM NUMBER: 17779580 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Carriage Merger VI, Inc. CENTRAL INDEX KEY: 0001595780 IRS NUMBER: 455172743 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-20 FILM NUMBER: 17779593 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: (713) 332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FLORIDA HOLDINGS, INC. CENTRAL INDEX KEY: 0001160897 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-24 FILM NUMBER: 17779597 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FORMER COMPANY: FORMER CONFORMED NAME: CARRIAGE MERGER III INC DATE OF NAME CHANGE: 20011016 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FUNERAL MANAGEMENT, INC. CENTRAL INDEX KEY: 0001160898 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-25 FILM NUMBER: 17779598 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FORMER COMPANY: FORMER CONFORMED NAME: CARRIAGE MERGER II INC DATE OF NAME CHANGE: 20011016 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE CEMETERY SERVICES OF IDAHO INC CENTRAL INDEX KEY: 0001160926 IRS NUMBER: 820210596 STATE OF INCORPORATION: ID FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-07 FILM NUMBER: 17779525 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CFS FUNERAL SERVICES INC CENTRAL INDEX KEY: 0001160937 IRS NUMBER: 760386580 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-09 FILM NUMBER: 17779528 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CHC INSURANCE AGENCY OF OHIO INC CENTRAL INDEX KEY: 0001160923 IRS NUMBER: 760584854 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-03 FILM NUMBER: 17779538 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FUNERAL SERVICES OF KENTUCKY INC CENTRAL INDEX KEY: 0001160933 IRS NUMBER: 611015339 STATE OF INCORPORATION: KY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-12 FILM NUMBER: 17779544 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM CALIFORNIA FUNERAL LLC CENTRAL INDEX KEY: 0001160913 IRS NUMBER: 760627584 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-33 FILM NUMBER: 17779554 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HUBBARD FUNERAL HOME INC CENTRAL INDEX KEY: 0001160917 IRS NUMBER: 530226299 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-35 FILM NUMBER: 17779558 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF OKLAHOMA LLC CENTRAL INDEX KEY: 0001160918 IRS NUMBER: 760590850 STATE OF INCORPORATION: OK FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-37 FILM NUMBER: 17779562 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE LIFE EVENTS INC CENTRAL INDEX KEY: 0001160900 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-40 FILM NUMBER: 17779568 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE INSURANCE AGENCY OF MASSACHUSETTS INC CENTRAL INDEX KEY: 0001160906 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-43 FILM NUMBER: 17779574 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Carriage Services of Louisiana, Inc. CENTRAL INDEX KEY: 0001702037 IRS NUMBER: 454566991 STATE OF INCORPORATION: LA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-15 FILM NUMBER: 17779583 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM FLORIDA FUNERAL LLC CENTRAL INDEX KEY: 0001160911 IRS NUMBER: 760627586 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-32 FILM NUMBER: 17779552 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE PENNSYLVANIA HOLDINGS, INC. CENTRAL INDEX KEY: 0001160899 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-39 FILM NUMBER: 17779566 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FORMER COMPANY: FORMER CONFORMED NAME: CARRIAGE MERGER I INC DATE OF NAME CHANGE: 20011016 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE INTERNET STRATEGIES INC CENTRAL INDEX KEY: 0001160905 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-44 FILM NUMBER: 17779576 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Carriage Services Investment Advisors, Inc. CENTRAL INDEX KEY: 0001595767 IRS NUMBER: 455172629 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-21 FILM NUMBER: 17779594 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: (713) 332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Cloverdale Park, Inc. CENTRAL INDEX KEY: 0001507485 IRS NUMBER: 820251267 STATE OF INCORPORATION: ID FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-23 FILM NUMBER: 17779596 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 FILER: COMPANY DATA: COMPANY CONFORMED NAME: WILSON & KRATZER MORTUARIES CENTRAL INDEX KEY: 0001160925 IRS NUMBER: 942677490 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-26 FILM NUMBER: 17779599 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: COCHRANES CHAPEL OF THE ROSES INC CENTRAL INDEX KEY: 0001160902 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-42 FILM NUMBER: 17779572 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE MANAGEMENT, INC. CENTRAL INDEX KEY: 0001160903 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-14 FILM NUMBER: 17779582 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FORMER COMPANY: FORMER CONFORMED NAME: CARRIAGE MANAGEMENT LP DATE OF NAME CHANGE: 20011016 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Carriage Operations, Inc. CENTRAL INDEX KEY: 0001702045 IRS NUMBER: 455172914 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-17 FILM NUMBER: 17779587 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF NEVADA INC CENTRAL INDEX KEY: 0001160915 IRS NUMBER: 760595471 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-36 FILM NUMBER: 17779560 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSI Funeral Services of Massachusetts, Inc. CENTRAL INDEX KEY: 0001325155 IRS NUMBER: 043406556 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-04 FILM NUMBER: 17779519 BUSINESS ADDRESS: STREET 1: 101 FEDERAL STREET CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 713.332.8400 MAIL ADDRESS: STREET 1: 101 FEDERAL STREET CITY: BOSTON STATE: MA ZIP: 02110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE CEMETERY SERVICES OF CALIFORNIA INC CENTRAL INDEX KEY: 0001160907 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-28 FILM NUMBER: 17779578 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FUNERAL SERVICES OF CALIFORNIA INC CENTRAL INDEX KEY: 0001160932 IRS NUMBER: 760517196 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-13 FILM NUMBER: 17779546 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE MUNICIPAL CEMETERY SERVICES OF NEVADA INC CENTRAL INDEX KEY: 0001160908 IRS NUMBER: 760635742 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-27 FILM NUMBER: 17779600 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE CEMETERY SERVICES INC CENTRAL INDEX KEY: 0001160919 IRS NUMBER: 760592642 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-38 FILM NUMBER: 17779564 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF CONNECTICUT INC CENTRAL INDEX KEY: 0001160924 IRS NUMBER: 061491781 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-05 FILM NUMBER: 17779521 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PNCA, Inc. CENTRAL INDEX KEY: 0001702089 IRS NUMBER: 455172856 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-18 FILM NUMBER: 17779589 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FUNERAL HOLDINGS INC CENTRAL INDEX KEY: 0001160938 IRS NUMBER: 760339922 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-08 FILM NUMBER: 17779527 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Carriage Services of Tennessee, Inc. CENTRAL INDEX KEY: 0001702041 IRS NUMBER: 455195328 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-16 FILM NUMBER: 17779585 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Cataudella Funeral Home, Inc. CENTRAL INDEX KEY: 0001507438 IRS NUMBER: 042588311 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-22 FILM NUMBER: 17779595 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 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF OHIO LLC CENTRAL INDEX KEY: 0001160910 IRS NUMBER: 760627588 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-30 FILM NUMBER: 17779548 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM FLORIDA CEMETERY LLC CENTRAL INDEX KEY: 0001160912 IRS NUMBER: 760627585 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-31 FILM NUMBER: 17779550 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSRE Holdings, Inc. CENTRAL INDEX KEY: 0001702051 IRS NUMBER: 455172787 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-19 FILM NUMBER: 17779591 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF NEW MEXICO INC CENTRAL INDEX KEY: 0001160920 IRS NUMBER: 760585891 STATE OF INCORPORATION: NM FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-02 FILM NUMBER: 17779536 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ROLLING HILLS MEMORIAL PARK CENTRAL INDEX KEY: 0001160921 IRS NUMBER: 941495168 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-06 FILM NUMBER: 17779523 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FUNERAL SERVICES OF MICHIGAN INC CENTRAL INDEX KEY: 0001160935 IRS NUMBER: 383149715 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-11 FILM NUMBER: 17779542 BUSINESS ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 MAIL ADDRESS: STREET 1: 1900 ST JAMES PLACE 4TH FLOOR CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Forastiere Family Funeral Service, Inc. CENTRAL INDEX KEY: 0001325150 IRS NUMBER: 760615410 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-217234-01 FILM NUMBER: 17779534 BUSINESS ADDRESS: STREET 1: 101 FEDERAL STREET CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 713.332.8400 MAIL ADDRESS: STREET 1: 101 FEDERAL STREET CITY: BOSTON STATE: MA ZIP: 02110 EFFECT 1 primary_doc.xml X0101 EFFECT 33 LIVE 2017-04-24 16:00:00
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