0001127602-21-012693.txt : 20210402
0001127602-21-012693.hdr.sgml : 20210402
20210402165901
ACCESSION NUMBER: 0001127602-21-012693
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210201
FILED AS OF DATE: 20210402
DATE AS OF CHANGE: 20210402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brennan Troyen A
CENTRAL INDEX KEY: 0001351402
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 21802669
MAIL ADDRESS:
STREET 1: AETNA INC.
STREET 2: 151 FARMINGTON AVENUE
CITY: HARTFORD
STATE: CT
ZIP: 06156
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
2021-02-01
0000064803
CVS HEALTH Corp
CVS
0001351402
Brennan Troyen A
ONE CVS DRIVE
WOONSOCKET
RI
02895
1
EVP and Chief Medical Officer
Common Stock
2021-02-01
4
A
0
94516
0
A
195074.059
D
Common Stock
2021-04-01
4
F
0
42855
74.30
D
152219.059
D
Common Stock
2021-04-01
4
F
0
1623
74.30
D
154174.059
D
Common Stock (restricted)
4805
D
Stock Option
74.30
2021-04-01
4
A
0
99344
74.30
A
2022-04-01
2031-04-01
Common Stock
99344
99344
D
Stock Option
102.26
2016-04-01
2022-04-01
Common Stock
47937
47937
D
Stock Option
104.82
2017-04-01
2023-04-01
Common Stock
53772
53772
D
Stock Option
78.05
2018-04-03
2024-04-03
Common Stock
75134
75134
D
Stock Option
62.21
2019-04-01
2025-04-01
Common Stock
87575
87575
D
Stock Option
54.19
2020-04-01
2029-04-01
Common Stock
161605
161605
D
Stock Option
58.34
2021-04-01
2030-04-01
Common Stock
112637
112637
D
Represents shares earned by the reporting person pursuant to certain performance stock units (the "PSUs"), which were granted to the reporting person under the Issuer's 2017 Incentive Compensation Plan on February 1, 2021. The PSUs were earned based on the attainment of certain performance metrics, which performance metrics were certified by the Management and Planning Committee of the Board of Directors of the Issuer on February 1, 2021. The PSUs vested and settled on April 1, 2021.
Surrender of shares in payment of taxes due upon the vesting and settlement of the PSUs on April 1, 2021.
Surrender of shares in payment of taxes due upon the vesting and settlement of a restricted stock unit award on April 1, 2021.
Option becomes exercisable in four equal annual installments, commencing 4/1/2022.
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.
Options became exercisable in four equal annual installments, commencing 4/1/2021.
/s/ Troyen Brennan
2021-04-02