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Filing Details

Accession Number:: 0001016281-17-000088
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2017-08-21 18:05:16
Reporting Period:: 2017-08-18

Accepted Time:: 2017-08-21 17:05:16
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1016281	Carriage Services Inc	CSV	Services-Personal Services (7200)	760423828

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1024177	C Melvin Payne	3040 Post Oak Blvd Suite 300 Houston TX 77056	Ceo	Yes	Yes	No	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Disposition	2017-08-18	100,000	$23.85	1,131,753	No	4	S	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	S	Direct

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Common Stock	21,824	Indirect	Melvin C. Payne, Jr. 2016 Annuity Trust
Common Stock	21,824	Indirect	Karen P. Payne 2016 Annuity Trust
Common Stock	6,694	Indirect	Spouse

Reported Derivative Holdings

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Sec. Name	Sec. Type	Price	Expiration Date	Amount	Remaning Holdings	Nature of Ownership
Common Stock	Stock Options	$26.54	2027-03-21	116,100	116,100	Direct
Common Stock	Performance Award	$0.00	2021-12-31	26,380	26,380	Direct
Common Stock	Stock Options	$20.06	2026-02-23	58,500	58,500	Direct
Common Stock	Performance Award	$0.00	2020-12-31	17,900	17,900	Direct
Common Stock	Stock Options	$20.49	2019-03-03	100,000	100,000	Direct
Common Stock	Stock Options	$22.58	2022-02-24	100,000	100,000	Direct
Common Stock	Stock Options	$16.73	2018-05-22	100,000	100,000	Direct
Common Stock	Stock Options	$5.70	2021-02-28	3,284	3,284	Direct

Expiration Date	Amount	Remaning Holdings	Nature of Ownership
2027-03-21	116,100	116,100	Direct
2021-12-31	26,380	26,380	Direct
2026-02-23	58,500	58,500	Direct
2020-12-31	17,900	17,900	Direct
2019-03-03	100,000	100,000	Direct
2022-02-24	100,000	100,000	Direct
2018-05-22	100,000	100,000	Direct
2021-02-28	3,284	3,284	Direct

Footnotes

On August 18, 2017, Mr. Payne sold 100,000 shares to Carriage Services, Inc. in a privately negotiated transaction which was approved in advance by the Board of Directors.
Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan which will vest 1/5 each year on 3/21/2018, 3/21/2019, 3/21/2020, 3/21/2021 and 3/21/2022. These stock options expire on 3/21/2027.
Represents performance-based awards, payable in shares, granted under the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan. The award will vest (if at all) on December 31, 2021 provided that certain criteria surrounding Adjusted Consolidated EBITDA (Adjusted Earnings Before Interest Tax Depreciation and Amortization) and Adjusted Consolidated EBITDA Margin performance is achieved and the Reporting Person has remained continuously employed by Carriage through such date. The Adjusted Consolidated EBITDA performance represents 50% of the award and the Adjusted Consolidated EBITDA Margin performance represents 50% of the award.
Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan which 1/5 vested on 2/23/2017 and 1/5 will vest on 2/23/2018, 2/23/2019, 2/23/2020 and 2/23/2021. These stock options expire on 2/23/2026.
Represents performance-based awards, payable in shares, granted under the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan. The award will vest (if at all) on December 31, 2020 provided that certain criteria surrounding Adjusted Consolidated EBITDA (Adjusted Earnings Before Interest Tax Depreciation and Amortization) and Relative Shareholder Return performance is achieved and the Reporting Person has remained continuously employed by Carriage through such date. The Relative Shareholder Return performance represents 75% of the award and the Adjusted Consolidated EBITDA performance represents 25% of the award.
Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan which vested 1/3 on 3/3/2015, 1/3 on 3/3/2016 and 1/3 on 3/3/2017. These stock options expire on 3/3/2019.
Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan which vested 1/3 on 2/24/2016, 1/3 on 2/24/2017 and 1/3 will vest on 2/24/2018. These stock options expire on 2/24/2022.
Stock Options grant pursuant to the Carriage Services, Inc. Amended and Restated 2006 Long-Term Incentive Plan which vested 1/3 on 05/22/2014, 1/3 on 05/22/2015 and 1/3 on 05/22/2016. These stock options expire on 05/22/2018.
Stock Options granted pursuant to the Carriage Services, Inc. Second Amended and Restated 2006 Long-Term Incentive Plan of 44,702 options granted on 02/28/2011, of which 14,900 options vested on 02/28/2012 and 3,283 were exercised on 12/20/2012, 14,901 options vested on 02/28/2013 and 14,000 were exercised on 11/06/2015 and 24,135 options were exercised on 03/29/2016. These stock options expire on 02/28/2021.