0000899243-21-009318.txt : 20210303 0000899243-21-009318.hdr.sgml : 20210303 20210303124316 ACCESSION NUMBER: 0000899243-21-009318 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210302 FILED AS OF DATE: 20210303 DATE AS OF CHANGE: 20210303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wellenbach Patricia D CENTRAL INDEX KEY: 0001735739 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39172 FILM NUMBER: 21707951 MAIL ADDRESS: STREET 1: C/O STONEMOR PARTNERS L.P. STREET 2: 3600 HORIZON BOULEVARD CITY: TREVOSE STATE: PA ZIP: 19053 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 2021-03-02 0 0001753886 Stonemor Inc. STON 0001735739 Wellenbach Patricia D C/O STONEMOR INC. 3331 STREET ROAD, SUITE 200 BENSALEM PA 19020 1 0 0 0 Restricted Phantom Common Stock 2021-03-02 4 A 0 2272.727 2.20 A Common Stock 2272.727 36855.493 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 $5,000 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/ Lauren N. Kurtz, Attorney-in-Fact 2021-03-03