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