0001127602-17-003867.txt : 20170203 0001127602-17-003867.hdr.sgml : 20170203 20170203161132 ACCESSION NUMBER: 0001127602-17-003867 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170201 FILED AS OF DATE: 20170203 DATE AS OF CHANGE: 20170203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CVS HEALTH Corp CENTRAL INDEX KEY: 0000064803 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912] IRS NUMBER: 050494040 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE CVS DR. CITY: WOONSOCKET STATE: RI ZIP: 02895 BUSINESS PHONE: 4017651500 MAIL ADDRESS: STREET 1: ONE CVS DR. CITY: WOONSOCKET STATE: RI ZIP: 02895 FORMER COMPANY: FORMER CONFORMED NAME: CVS CAREMARK CORP DATE OF NAME CHANGE: 20070509 FORMER COMPANY: FORMER CONFORMED NAME: CVS/CAREMARK CORP DATE OF NAME CHANGE: 20070322 FORMER COMPANY: FORMER CONFORMED NAME: CVS CORP DATE OF NAME CHANGE: 19970128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MERLO LARRY J CENTRAL INDEX KEY: 0001194413 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 17572222 MAIL ADDRESS: STREET 1: ONE CVS DR CITY: WOONSOCKET STATE: RI ZIP: 02895 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-02-01 0000064803 CVS HEALTH Corp CVS 0001194413 MERLO LARRY J ONE CVS DRIVE WOONSOCKET RI 02895- 1 1 President and CEO Common Stock 2017-02-01 4 M 0 76494 36.23 A 318705.5612 D Common Stock 2017-02-01 4 S 0 76494 78.32 D 242211.5612 D Common Stock 360627.1752 I By Trust As Beneficiary Common Stock (restricted) 209398 D ESOP Common Stock 6643.1158 I By ESOP Stock Unit 605987.9724 D Stock Option 36.23 2017-02-01 4 M 0 76494 0 D 2011-04-01 2017-04-01 Common Stock 76494 0 D Phantom Stock Credits 1.00 Common Stock 5131.08 5131.08 D Stock Option 34.96 2012-04-01 2018-04-01 Common Stock 241150 241150 D Stock Option 45.07 2013-04-02 2019-04-02 Common Stock 332736 332736 D Stock Option 54.53 2014-04-01 2020-04-01 Common Stock 314713 314713 D Stock Option 74.29 2015-04-01 2021-04-01 Common Stock 335697 335697 D Stock Option 102.26 2016-04-01 2022-04-01 Common Stock 273929 273929 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 286787 286787 D All sales were effected pursuant to a Rule 10b5-1 plan. Represents weighted average sale price for this trading day. Multiple sales were executed, with sales prices ranging between $77.75 and $79.10 per share. Option became exercisable in three equal annual installments, commencing 4/1/2011. Each share credit is equivalent to one share; 1-for-1 conversion. Reflects year end company match share credits under a non-qualified deferred compensation plan; share credits are payable in cash only, at such time as has been elected by the reporting person. Reflects year end company match share credits under a non-qualified deferred compensation plan; share credits are payable in cash only, at such time as has been elected by the reporting person. Option became exercisable in four equal annual installments, commencing 4/1/2012. Option became exercisable in four equal annual installments, commencing 4/2/2013. Option became exercisable in four equal annual installments, commencing 4/1/2014. Option became exercisable in four equal annual installments, commencing 4/1/2015. Option became exercisable in four equal annual installments, commencing 4/1/2016. Option becomes exercisable in four equal annual installments, commencing 4/1/2017. Larry J. Merlo 2017-02-03