<SEC-DOCUMENT>9999999995-23-001741-index.html : 20230614 <SEC-HEADER>9999999995-23-001741.hdr.sgml : 20230614 <ACCEPTANCE-DATETIME>20230614001531 ACCESSION NUMBER: 9999999995-23-001741 CONFORMED SUBMISSION TYPE: EFFECT PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20230613 DATE AS OF CHANGE: 20230614 EFFECTIVENESS DATE: 20230613 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES INC CENTRAL INDEX KEY: 0001016281 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200] IRS NUMBER: 760423828 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350 FILM NUMBER: 231012886 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BOULEVARD STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BOULEVARD STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FUNERAL MANAGEMENT, INC. CENTRAL INDEX KEY: 0001160898 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-11 FILM NUMBER: 231012897 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FORMER COMPANY: FORMER CONFORMED NAME: CARRIAGE MERGER II INC DATE OF NAME CHANGE: 20011016 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE PENNSYLVANIA HOLDINGS, INC. CENTRAL INDEX KEY: 0001160899 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-12 FILM NUMBER: 231012898 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FORMER COMPANY: FORMER CONFORMED NAME: CARRIAGE MERGER I INC DATE OF NAME CHANGE: 20011016 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE LIFE EVENTS INC CENTRAL INDEX KEY: 0001160900 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-13 FILM NUMBER: 231012899 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HORIZON CREMATION SOCIETY INC CENTRAL INDEX KEY: 0001160901 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-14 FILM NUMBER: 231012900 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: COCHRANES CHAPEL OF THE ROSES INC CENTRAL INDEX KEY: 0001160902 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-15 FILM NUMBER: 231012901 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE MANAGEMENT, INC. CENTRAL INDEX KEY: 0001160903 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-16 FILM NUMBER: 231012902 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FORMER COMPANY: FORMER CONFORMED NAME: CARRIAGE MANAGEMENT LP DATE OF NAME CHANGE: 20011016 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE INSURANCE AGENCY OF MASSACHUSETTS INC CENTRAL INDEX KEY: 0001160906 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-17 FILM NUMBER: 231012903 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE CEMETERY SERVICES OF CALIFORNIA INC CENTRAL INDEX KEY: 0001160907 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-18 FILM NUMBER: 231012904 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE MUNICIPAL CEMETERY SERVICES OF NEVADA INC CENTRAL INDEX KEY: 0001160908 IRS NUMBER: 760635742 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-19 FILM NUMBER: 231012905 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM KANSAS LLC CENTRAL INDEX KEY: 0001160909 IRS NUMBER: 760627587 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-20 FILM NUMBER: 231012906 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF OHIO LLC CENTRAL INDEX KEY: 0001160910 IRS NUMBER: 760627588 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-21 FILM NUMBER: 231012907 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM FLORIDA FUNERAL LLC CENTRAL INDEX KEY: 0001160911 IRS NUMBER: 760627586 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-22 FILM NUMBER: 231012908 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM FLORIDA CEMETERY LLC CENTRAL INDEX KEY: 0001160912 IRS NUMBER: 760627585 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-23 FILM NUMBER: 231012909 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM CALIFORNIA FUNERAL LLC CENTRAL INDEX KEY: 0001160913 IRS NUMBER: 760627584 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-24 FILM NUMBER: 231012910 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE TEAM CALIFORNIA CEMETERY LLC CENTRAL INDEX KEY: 0001160914 IRS NUMBER: 760627583 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-25 FILM NUMBER: 231012911 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF NEVADA INC CENTRAL INDEX KEY: 0001160915 IRS NUMBER: 760595471 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-27 FILM NUMBER: 231012913 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HUBBARD FUNERAL HOME INC CENTRAL INDEX KEY: 0001160917 IRS NUMBER: 530226299 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-26 FILM NUMBER: 231012912 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF OKLAHOMA LLC CENTRAL INDEX KEY: 0001160918 IRS NUMBER: 760590850 STATE OF INCORPORATION: OK FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-28 FILM NUMBER: 231012914 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE CEMETERY SERVICES INC CENTRAL INDEX KEY: 0001160919 IRS NUMBER: 760592642 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-29 FILM NUMBER: 231012915 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF NEW MEXICO INC CENTRAL INDEX KEY: 0001160920 IRS NUMBER: 760585891 STATE OF INCORPORATION: NM FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-31 FILM NUMBER: 231012917 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ROLLING HILLS MEMORIAL PARK CENTRAL INDEX KEY: 0001160921 IRS NUMBER: 941495168 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-35 FILM NUMBER: 231012921 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CHC INSURANCE AGENCY OF OHIO INC CENTRAL INDEX KEY: 0001160923 IRS NUMBER: 760584854 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-32 FILM NUMBER: 231012918 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE SERVICES OF CONNECTICUT INC CENTRAL INDEX KEY: 0001160924 IRS NUMBER: 061491781 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-34 FILM NUMBER: 231012920 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: WILSON & KRATZER MORTUARIES CENTRAL INDEX KEY: 0001160925 IRS NUMBER: 942677490 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-36 FILM NUMBER: 231012922 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE CEMETERY SERVICES OF IDAHO INC CENTRAL INDEX KEY: 0001160926 IRS NUMBER: 820210596 STATE OF INCORPORATION: ID FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-37 FILM NUMBER: 231012923 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FUNERAL SERVICES OF CALIFORNIA INC CENTRAL INDEX KEY: 0001160932 IRS NUMBER: 760517196 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-38 FILM NUMBER: 231012924 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FUNERAL SERVICES OF KENTUCKY INC CENTRAL INDEX KEY: 0001160933 IRS NUMBER: 611015339 STATE OF INCORPORATION: KY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-39 FILM NUMBER: 231012925 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FUNERAL SERVICES OF MICHIGAN INC CENTRAL INDEX KEY: 0001160935 IRS NUMBER: 383149715 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-40 FILM NUMBER: 231012926 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE HOLDING CO INC CENTRAL INDEX KEY: 0001160936 IRS NUMBER: 760393194 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-41 FILM NUMBER: 231012927 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CFS FUNERAL SERVICES INC CENTRAL INDEX KEY: 0001160937 IRS NUMBER: 760386580 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-42 FILM NUMBER: 231012928 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FUNERAL HOLDINGS INC CENTRAL INDEX KEY: 0001160938 IRS NUMBER: 760339922 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-43 FILM NUMBER: 231012929 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Forastiere Family Funeral Service, Inc. CENTRAL INDEX KEY: 0001325150 IRS NUMBER: 760615410 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-30 FILM NUMBER: 231012916 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: (713) 332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CSI Funeral Services of Massachusetts, Inc. CENTRAL INDEX KEY: 0001325155 IRS NUMBER: 043406556 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-33 FILM NUMBER: 231012919 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: (713) 332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Cataudella Funeral Home, Inc. CENTRAL INDEX KEY: 0001507438 IRS NUMBER: 042588311 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-08 FILM NUMBER: 231012894 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BOULEVARD STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BOULEVARD STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Cloverdale Park, Inc. CENTRAL INDEX KEY: 0001507485 IRS NUMBER: 820251267 STATE OF INCORPORATION: ID FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-09 FILM NUMBER: 231012895 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BOULEVARD STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BOULEVARD STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Carriage Services Investment Advisors, Inc. CENTRAL INDEX KEY: 0001595767 IRS NUMBER: 455172629 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-07 FILM NUMBER: 231012893 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: (713) 332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Carriage Services of Louisiana, Inc. CENTRAL INDEX KEY: 0001702037 IRS NUMBER: 454566991 STATE OF INCORPORATION: LA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-03 FILM NUMBER: 231012889 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Carriage Services of Tennessee, Inc. CENTRAL INDEX KEY: 0001702041 IRS NUMBER: 455195328 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-04 FILM NUMBER: 231012890 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Carriage Operations, Inc. CENTRAL INDEX KEY: 0001702045 IRS NUMBER: 455172914 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-05 FILM NUMBER: 231012891 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PNCA, Inc. CENTRAL INDEX KEY: 0001702089 IRS NUMBER: 455172856 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-06 FILM NUMBER: 231012892 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 7133328400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fairfax Memorial Funeral Home, L.L.C. CENTRAL INDEX KEY: 0001812470 IRS NUMBER: 540628653 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-02 FILM NUMBER: 231012888 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BOULEVARD, SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: (713) 332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BOULEVARD, SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Calvary Memorial Park, Inc. CENTRAL INDEX KEY: 0001812480 IRS NUMBER: 540628653 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-01 FILM NUMBER: 231012887 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BOULEVARD, SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: (713) 332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BOULEVARD, SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARRIAGE FLORIDA HOLDINGS, INC. CENTRAL INDEX KEY: 0001160897 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: EFFECT SEC ACT: 1933 Act SEC FILE NUMBER: 333-272350-10 FILM NUMBER: 231012896 BUSINESS ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: 713-332-8400 MAIL ADDRESS: STREET 1: 3040 POST OAK BLVD. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77056 FORMER COMPANY: FORMER CONFORMED NAME: CARRIAGE MERGER III INC DATE OF NAME CHANGE: 20011016 </SEC-HEADER> <DOCUMENT> <TYPE>EFFECT <SEQUENCE>1 <FILENAME>primary_doc.xml <TEXT> Document 1 - file: primary_doc.html
Document 1 - RAW XML: primary_doc.xml
</DOCUMENT> </SEC-DOCUMENT>