0001127602-17-009734.txt : 20170302
0001127602-17-009734.hdr.sgml : 20170302
20170302163350
ACCESSION NUMBER: 0001127602-17-009734
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170228
FILED AS OF DATE: 20170302
DATE AS OF CHANGE: 20170302
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: Sussman Andrew
CENTRAL INDEX KEY: 0001515706
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 17659342
MAIL ADDRESS:
STREET 1: ONE CVS DRIVE
CITY: WOONSOCKET
STATE: RI
ZIP: 02895
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2017-02-28
0000064803
CVS HEALTH Corp
CVS
0001515706
Sussman Andrew
ONE CVS DRIVE
WOONSOCKET
RI
02895
1
EVP & Pres, CVS MinuteClinic
Common Stock
2017-02-28
4
A
0
5585
80.58
A
18058
D
Stock Unit
2017-02-28
4
A
0
1861
80.58
A
10144.5863
D
Common Stock
2017-02-28
4
F
0
1912
80.58
D
16146
D
Common Stock (restricted)
17313
D
Consists of stock awarded at market price pursuant to Issuer's 2010 Incentive Compensation Plan and its Long-Term Incentive Plan.
Consists of Stock Units awarded at market price pursuant to Issuer's 2010 Incentive Compensation Plan and its Long-Term Incentive Plan, the receipt of which the reporting person has elected to defer.
Surrender of shares in payment of withholding taxes due upon the vesting of a stock award under the Registrant's 2010 Incentive Compensation Plan and Long-Term Incentive Plan.
/s/ Andrew Sussman
2017-03-02