0000899243-22-034006.txt : 20221024 0000899243-22-034006.hdr.sgml : 20221024 20221024135725 ACCESSION NUMBER: 0000899243-22-034006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221020 FILED AS OF DATE: 20221024 DATE AS OF CHANGE: 20221024 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Connolly Thomas A CENTRAL INDEX KEY: 0001789662 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39172 FILM NUMBER: 221325770 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 2022-10-20 0 0001753886 Stonemor Inc. STON 0001789662 Connolly Thomas A C/O STONEMOR INC. 3331 STREET ROAD, SUITE 200 BENSALEM PA 19020 0 1 0 0 See Remarks Common Stock 2022-10-20 4 M 0 18833 1.71 A 70747 D Common Stock 2022-10-20 4 M 0 300000 1.20 A 370747 D Common Stock 2022-10-20 4 F 0 163887 3.44 D 206860 D Employee Stock Options (right to buy) 1.71 2022-10-20 4 M 0 18833 0.00 A 2030-12-03 Common Stock 18833 37667 D Employee Stock Options (right to buy) 1.20 2022-10-20 4 M 0 300000 0.00 A 2029-12-18 Common Stock 300000 150000 D This option vests in equal annual installments over a three-year period, commencing on the first anniversary following the date of grant which was December 3, 2020. This option vests in equal annual installments over a three-year period, commencing on the first anniversary following the date of grant which was December 18, 2019. SVP of Business Planning and Operations 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 owners 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 2022-10-24