X0306 4 2012-08-02 0 0001016281 CARRIAGE SERVICES INC CSV 0001238752 SCOTT RICHARD WALDO P.O. BOX 650 NEW VERNON NJ 07976 1 0 0 0 Common Stock 97299 D Common Stock 1000 I minor children Performance Award 9.00 2012-08-02 4 A 0 80000 0.00 A 2017-08-02 Common Stock 80000 80000 D Represents performance-based stock awards granted under the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan. The award will vest (if at all) on or before August 2, 2017 on the date on which the closing price of Carriage's Common Stock is greater than or equal to $21.50 for the third time, whether or not consecutive, within a period of 30 consecutive calendar days. If these conditions are satisfied on or prior to the first anniversary of the grant date, which is August 2, 2013, then the vesting date of these awards will be August 2, 2013; provided that the Reporting Person has remained continuously employed by Carriage through such date. The award represents the right of the Reporting Person to receive shares of Carriage Common Stock in exchange for payment of a purchase price equal to $9.00 per share. /s/ Richard W. Scott 2012-08-06