0001127602-23-000476.txt : 20230104 0001127602-23-000476.hdr.sgml : 20230104 20230104161652 ACCESSION NUMBER: 0001127602-23-000476 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230104 DATE AS OF CHANGE: 20230104 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: 23506611 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 2022-12-31 0000064803 CVS HEALTH Corp CVS 0001412221 Moriarty Thomas M ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP & General Counsel Common Stock 2022-12-31 4 F 0 292856 93.19 D 315273.0221 D Common Stock 159120 I By GRAT Stock Unit 47325.339 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 24248 24248 D Stock Option 54.19 2020-04-01 2029-04-01 Common Stock 50502 50502 D Stock Option 58.34 2021-04-01 2030-04-01 Common Stock 98558 98558 D Stock Option 74.30 2022-04-01 2031-04-01 Common Stock 116622 116622 D Stock Option 101.09 2023-04-01 2032-04-01 Common Stock 46777 46777 D Surrender of shares in payment of withholding taxes due upon the vesting and settlement of the PSUs. 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 4/1/2020. 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 became exercisable in four equal annual installments, commencing 4/1/2022. Option becomes exercisable in four equal annual installments, commencing 4/1/2023. /s/ Thomas M. Moriarty 2023-01-04