Form 4 for CSV CARRIAGE SERVICES INC
Accepted 2021-12-01 00:00:00 ET · period of report 2021-11-29 · accession 0001016281-21-000205 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DM | 2021-12-01 | 2021-11-29+ | CSV | PAYNE MELVIN C | CEO, Dir | G - Gift | $52.26 | -5,175 | 1.25M | -0.4% | -$270.4K |
| D | 2021-12-01 | 2021-11-30 | CSV | PAYNE MELVIN C | CEO, Dir | M - OptEx | $22.58 | +81.0K | 1.33M | +6% | +$1.83M |
| D | 2021-12-01 | 2021-11-30 | CSV | PAYNE MELVIN C | CEO, Dir | F - Tax | $51.74 | -54.2K | 1.28M | -4% | -$2.81M |
| DM | 2021-12-01 | 2021-11-30+ | CSV | PAYNE MELVIN C | CEO, Dir | S - Sale+OE | $51.34 | -26.8K | 1.25M | -2% | -$1.37M |
| D | 2021-12-01 | 2021-11-30 | CSV | PAYNE MELVIN C | CEO, Dir | M - OptEx | $22.58 | -81.0K | 0 | -100% | -$1.83M |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Common Stock | 2021-11-29 | G | D | 1,100 | $53.86 | 1,255,119 | D | — | — | |
| 2 | Common | Common Stock | 2021-11-30 | G | D | 3,075 | $51.74 | 1,252,044 | D | — | — | |
| 3 | Common | Common Stock | 2021-11-30 | M | A | 81,000 | $22.58 | 1,333,044 | D | — | — | |
| 4 | Common | Common Stock | 2021-11-30 | F | D | 54,227 | $51.74 | 1,278,817 | D | — | — | (F1) Represents shares withheld on 11/30/2021 to cover the option price and taxes associated with the exercise of stock options. |
| 5 | Common | Common Stock | 2021-11-30 | S | D | 26,500 | $51.33 | 1,252,317 | D | — | — | (F2) The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $50.88 to $51.79, inclusive. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, on request, full information regarding the number of shares sold at each separate price. |
| 6 | Common | Common Stock | 2021-12-01 | S | D | 273 | $52.63 | 1,252,044 | D | — | — | |
| 7 | Common | Common Stock | 2021-12-01 | G | D | 1,000 | $52.09 | 1,251,044 | D | — | — | |
| 8 | Derivative | Stock Options | 2021-11-30 | M | D | 81,000 | $22.58 | 0 | D | $22.58 · — to 2022-02-24 | 81,000 Common Stock | (F3) 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 on 2/24/2018. 81,000 options were exercised on 11/30/2021. These stock options expire on 2/24/2022. |