0001127602-21-014345.txt : 20210423 0001127602-21-014345.hdr.sgml : 20210423 20210423165723 ACCESSION NUMBER: 0001127602-21-014345 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210421 FILED AS OF DATE: 20210423 DATE AS OF CHANGE: 20210423 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: 21850517 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 2021-04-21 0000064803 CVS HEALTH Corp CVS 0001412221 Moriarty Thomas M ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP & General Counsel Common Stock 2021-04-21 4 M 0 101003 54.19 A 103423 D Common Stock 2021-04-21 4 S 0 101003 77.00 D 2420 D Common Stock 2021-04-21 4 S 0 2420 77.00 D 0 D Common Stock 81179.0221 I By GRAT Common Stock (restricted) 8008 D Stock Unit 45455.2448 D Stock Option 54.19 2021-04-21 4 M 0 101003 0 D 2020-04-01 2029-04-01 Common Stock 101003 101004 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 Stock Option 62.21 2019-04-01 2025-04-01 Common Stock 145959 145959 D Stock Option 58.34 2021-04-01 2030-04-01 Common Stock 197116 197116 D Stock Option 74.30 2022-04-01 2031-04-01 Common Stock 155495 155495 D All sales were effected pursuant to a Rule 10b5-1 plan. All sales were effected pursuant to a Rule 10b5-1 trading plan. Option became exercisable in four equal annual installments, commencing 4/1/2020. 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. The number of shares subject to the option were calculated using a 30-day average price. Option became exercisable in four equal annual installments, commencing 4/1/2021. Option becomes exercisable in four equal installments, commencing 4/1/2022. /s/ Thomas M. Moriarty 2021-04-23