0001127602-23-028625.txt : 20231201 0001127602-23-028625.hdr.sgml : 20231201 20231201175403 ACCESSION NUMBER: 0001127602-23-028625 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: Kane Brian A CENTRAL INDEX KEY: 0001609525 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 231460689 MAIL ADDRESS: STREET 1: 500 W MAIN STREET CITY: LOUISVILLE STATE: KY ZIP: 40202 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 0001609525 Kane Brian A ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP/President, Aetna 0 Common Stock 910 D Stock Option 67.95 2023-11-30 4 A 0 77017 67.95 A 2024-11-30 2033-11-30 Common Stock 77017 77017 D Option becomes exercisable in four equal annual installments, commencing 11/30/2024. /s/ Brian A. Kane 2023-12-01