0000899243-22-027756.txt : 20220805 0000899243-22-027756.hdr.sgml : 20220805 20220805103239 ACCESSION NUMBER: 0000899243-22-027756 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220804 FILED AS OF DATE: 20220805 DATE AS OF CHANGE: 20220805 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Patrick Kevin CENTRAL INDEX KEY: 0001427759 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39172 FILM NUMBER: 221139072 MAIL ADDRESS: STREET 1: 151 MARPLE ROAD CITY: HAVERFORD STATE: PA ZIP: 19041 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Stonemor Inc. CENTRAL INDEX KEY: 0001753886 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3600 HORIZON BOULEVARD CITY: TREVOSE STATE: PA ZIP: 19053 BUSINESS PHONE: (215) 826-2800 MAIL ADDRESS: STREET 1: 3600 HORIZON BOULEVARD CITY: TREVOSE STATE: PA ZIP: 19053 FORMER COMPANY: FORMER CONFORMED NAME: Stonemor GP LLC DATE OF NAME CHANGE: 20180921 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2022-08-04 0 0001753886 Stonemor Inc. STON 0001427759 Patrick Kevin C/O STONEMOR INC. 3331 STREET ROAD, SUITE 200 BENSALEM PA 19020 1 0 0 0 Restricted Phantom Common Stock 2022-08-04 4 A 0 2199.413 3.41 A Common Stock 2199.413 16370.166 D Each share of restricted phantom common stock is the economic equivalent of one share of common stock. Restricted phantom common stock becomes payable, in cash or shares of common stock, at the election of the issuer, upon the separation of the reporting person from service as a director or upon the occurrence of certain other events specified in Section 409A of the Internal Revenue Code of 1986, as amended. The reporting person received these shares of restricted phantom common stock pursuant to the StoneMor Amended and Restated 2019 Long-Term Incentive Plan (as amended from time to time, the "Plan") in lieu of payment to the reporting person of $7,500 which represents a portion of the reporting person's annual director's retainer fee. Reflects the closing price of the issuer's common stock as reported by the New York Stock Exchange on the trading day immediately preceding the date on which the shares of restricted phantom common stock were credited. Represents shares of restricted phantom common stock allocated to the reporting person's deferred compensation account under the Plan. The filing of this statement shall not be construed as an admission (a) that the person filing this statement is, for the purposes of Section 16 of the Securities Exchange Act of 1934, as amended, the beneficial owner of any equity securities covered by this statement, or (b) that this statement is legally required to be filed by such person. /s/ Shirley Herman, Attorney-in-Fact 2022-08-05