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