0001127602-21-012256.txt : 20210329 0001127602-21-012256.hdr.sgml : 20210329 20210329185305 ACCESSION NUMBER: 0001127602-21-012256 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210326 FILED AS OF DATE: 20210329 DATE AS OF CHANGE: 20210329 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: 21783081 MAIL ADDRESS: STREET 1: ONE CVS DR CITY: WOONSOCKET STATE: RI ZIP: 02895 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 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2021-03-26 0000064803 CVS HEALTH Corp CVS 0001194413 MERLO LARRY J ONE CVS DRIVE WOONSOCKET RI 02895- 1 Common Stock 2021-03-26 4 M 0 271347 74.29 A 794675.9407 D Common Stock 2021-03-26 4 S 0 270650 74.73 D 524025.9407 D Common Stock 406633.497 I By Trust As Beneficiary Common Stock (restricted) 40701 D ESOP Common Stock 7548 I By ESOP Stock Unit 688685.9876 D Stock Option 74.29 2021-03-26 4 M 0 271347 0 D 2015-04-01 2021-04-01 Common Stock 271347 0 D Phantom Stock Credits 1.00 Common Stock 5153.23 5153.23 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 Stock Option 78.05 2018-04-03 2024-04-03 Common Stock 338105 338105 D Stock Option 62.21 2019-04-01 2025-04-01 Common Stock 394091 394091 D Stock Option 54.19 2020-04-01 2029-04-01 Common Stock 545419 545419 D Stock Option 58.34 2021-04-01 2030-04-01 Common Stock 478711 478711 D All sales were effected pursuant to a Rule 10b5-1 Plan. The transaction was a sell-to-cover exercise, with shares sold to cover the option exercise price and taxes, and the Reporting Person retaining all remaining shares. Represents weighted average sale prices for this group of sales, which occurred on the same trading day. Multiple sales were executed, with sales prices ranging between $74.49 and $75.73 per share. Option became exercisable in four equal annual installments, commencing 4/1/2015. 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 4/1/2016. Option became exercisable in four equal annual installments, commencing 4/1/2017. Option became exercisable in four equal annual installments, commencing 4/3/2018. Option became exercisable in four equal annual installments, commencing 4/1/2019. Option became exercisable in four equal annual installments, commencing 4/1/2020. The number of shares subject to the option were calculated using a 30-day average price. Option becomes exercisable in four equal annual installments, commencing 4/1/2021. Larry J. Merlo 2021-03-29