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