0000899243-22-035162.txt : 20221104 0000899243-22-035162.hdr.sgml : 20221104 20221104133358 ACCESSION NUMBER: 0000899243-22-035162 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221103 FILED AS OF DATE: 20221104 DATE AS OF CHANGE: 20221104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Trost Keith Edward Jr CENTRAL INDEX KEY: 0001932674 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39172 FILM NUMBER: 221361516 MAIL ADDRESS: STREET 1: 149 FIRST AVENUE CITY: NEWTOWN SQUARE STATE: PA ZIP: 19073 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 2022-11-03 0 0001753886 Stonemor Inc. STON 0001932674 Trost Keith Edward Jr C/O STONEMOR INC. 3331 STREET ROAD, SUITE 200 BENSALEM PA 19020 0 1 0 0 See Remarks Common Stock 2022-11-03 4 D 0 65331 3.50 D 0 D Employee Stock Option (right to buy) 1.71 2022-11-03 4 D 0 12500 1.79 D 2030-12-03 Common Stock 12500 0 D Employee Stock Option (right to buy) 1.71 2022-11-03 4 D 0 12500 D 2030-12-03 Common Stock 12500 0 D Employee Stock Option (right to buy) 1.20 2022-11-03 4 D 0 12500 2.30 D 2029-12-18 Common Stock 12500 0 D Employee Stock Option (right to buy) 1.20 2022-11-03 4 D 0 12500 D 2029-12-18 Common Stock 12500 0 D This option, which provided for vesting in equal annual installments over a three-year period, commencing on the first anniversary following the date of grant which was December 3, 2020, was cancelled in the merger contemplated by an Agreement and Plan of Merger among Axar Cemetery Parent Corp. ("Axar"), StoneMor Inc. and Axar Cemetery Merger Corp. in exchange for a cash payment of $22,375, representing the difference between the exercise price of the option and the cash merger consideration per share. This option, which provided for vesting in equal annual installments over a three-year period, commencing on the first anniversary following the date of grant which was December 3, 2020, was assumed by Axar in the merger and replaced with a fully vested option to purchase 12,500 shares of Axar common stock for $1.71 per share. This option, which provided for vesting in equal annual installments over a three-year period, commencing on the first anniversary following the date of grant which was December 18, 2019, was cancelled in the merger in exchange for a cash payment of $28,750, representing the difference between the exercise price of the option and the cash merger consideration per share. This option, which provided for vesting in equal annual installments over a three-year period, commencing on the first anniversary following the date of grant which was December 18, 2019, was assumed by Axar in the merger and replaced with a fully vested option to purchase 12,500 shares of Axar common stock for $1.20 per share SVP of Corporate Development 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 2022-11-04