0001127602-21-028310.txt : 20211103 0001127602-21-028310.hdr.sgml : 20211103 20211103164410 ACCESSION NUMBER: 0001127602-21-028310 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211101 FILED AS OF DATE: 20211103 DATE AS OF CHANGE: 20211103 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: 211376160 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 2021-11-01 0000064803 CVS HEALTH Corp CVS 0001351402 Brennan Troyen A ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP and Chief Medical Officer Common Stock 2021-11-01 4 M 0 28159 58.34 A 166405.059 D Common Stock 2021-11-01 4 S 0 28159 90.00 D 138246.059 D Common Stock (restricted) 4805 D Stock Option 58.34 2021-11-01 4 M 0 28159 0 D 2021-04-01 2030-04-01 Common Stock 28159 84478 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 21894 21894 D Stock Option 54.19 2020-04-01 2029-04-01 Common Stock 80803 80803 D Stock Option 74.30 2022-04-01 2031-04-01 Common Stock 99344 99344 D 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. 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. Option becomes exercisable in four equal annual installments, commencing 4/1/2022. /s/ Troyen Brennan 2021-11-03