0001127602-17-028904.txt : 20171003 0001127602-17-028904.hdr.sgml : 20171003 20171003160847 ACCESSION NUMBER: 0001127602-17-028904 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171002 FILED AS OF DATE: 20171003 DATE AS OF CHANGE: 20171003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Moriarty Thomas M CENTRAL INDEX KEY: 0001412221 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 171117891 MAIL ADDRESS: STREET 1: 100 PARSONS POND DRIVE CITY: FRANKLIN LAKES STATE: NJ ZIP: 07417 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 2017-10-02 0000064803 CVS HEALTH Corp CVS 0001412221 Moriarty Thomas M ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP & General Counsel Common Stock 2017-10-02 4 M 0 20547 0 A 43177.9183 D Common Stock 2017-10-02 4 S 0 20547 81.1686 D 22630.9183 D Common Stock (restricted) 43668 D Stock Unit 36220.47 D Stock Option 48.67 2017-10-02 4 M 0 20547 0 D 2015-10-01 2022-10-01 Common Stock 20547 0 D Stock Option 74.29 2015-04-01 2021-04-01 Common Stock 62943 62943 D Stock Option 102.26 2016-04-01 2022-04-01 Common Stock 51361 51361 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 71696 71696 D Stock Option 78.05 2018-04-03 2024-04-03 Common Stock 125224 125224 D All sales were effected pursuant to a Rule 10b5-1 plan. Represents weighted average sale price for this group of sales, which occurred on the same trading day. Multiple sales were executed, with sales prices ranging between $80.85 and $81.59 per share. Option became exercisable in three equal annual installments, commencing 10/1/2015. Option became exercisable in four equal annual installments, commencing 4/1/2015. 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 becomes exercisable in four equal annual installments, commencing 4/3/2018. /s/ Thomas M. Moriarty 2017-10-03