0001127602-23-028624.txt : 20231201 0001127602-23-028624.hdr.sgml : 20231201 20231201175305 ACCESSION NUMBER: 0001127602-23-028624 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231130 FILED AS OF DATE: 20231201 DATE AS OF CHANGE: 20231201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COWHEY THOMAS F. CENTRAL INDEX KEY: 0001735242 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 231460686 MAIL ADDRESS: STREET 1: 310 SEVEN SPRINGS WAY STREET 2: SUITE 500 CITY: BRENTWOOD STATE: TN ZIP: 37027 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 X0508 4 2023-11-30 0000064803 CVS HEALTH Corp CVS 0001735242 COWHEY THOMAS F. ONE CVS DRIVE WOONSOCKET RI 02895 1 SVP, Interim CFO 0 Common Stock (Restricted) 2023-11-30 4 A 0 7358 67.95 A 60938 D Common Stock 14977 D Stock Option 101.09 2023-04-01 2032-04-01 Common Stock 20790 20790 D Stock Option 74.31 2024-04-01 2033-04-01 Common Stock 33402 33402 D Consists of restricted stock units awarded pursuant to Issuer's 2017 Incentive Compensation Plan. Restrictions lapse on 11/30/2026. Option became exercisable in four equal annual installments, commencing on 4/1/2023. Option becomes exercisable in four equal annual installments, commencing on 4/1/2024. /s/ Thomas F. Cowhey 2023-12-01