0001127602-24-005449.txt : 20240216
0001127602-24-005449.hdr.sgml : 20240216
20240216184648
ACCESSION NUMBER: 0001127602-24-005449
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240216
FILED AS OF DATE: 20240216
DATE AS OF CHANGE: 20240216
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shah Prem S
CENTRAL INDEX KEY: 0001900910
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 24650050
MAIL ADDRESS:
STREET 1: ONE CVS DRIVE
CITY: WOONSOCKET
STATE: RI
ZIP: 02895
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CVS HEALTH Corp
CENTRAL INDEX KEY: 0000064803
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912]
ORGANIZATION NAME: 07 Trade & Services
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
2024-02-16
0000064803
CVS HEALTH Corp
CVS
0001900910
Shah Prem S
ONE CVS DRIVE
WOONSOCKET
RI
02895
1
EVP and Pres-Pharm, Consumer W
0
Common Stock
2024-02-16
4
S
0
29473
76.95
D
39764.7624
D
Common Stock (Restricted)
29649
D
ESOP Common Stock
4788.9422
D
Stock Unit (deferred)
3350.3557
D
Phantom Stock Credits
1.00
Common Stock
33754.62
33754.62
D
Stock Option
62.21
2019-04-01
2025-04-01
Common Stock
846
846
D
Stock Option
54.19
2020-04-01
2029-04-01
Common Stock
9469
9469
D
Stock Option
58.34
2021-04-01
2030-04-01
Common Stock
28596
28596
D
Stock Option
75.24
2021-08-31
2028-08-31
Common Stock
26580
26580
D
Stock Option
74.30
2022-04-01
2031-04-01
Common Stock
28723
28723
D
Stock Option
101.09
2023-04-01
2032-04-01
Common Stock
41580
41580
D
Stock Option
74.31
2024-04-01
2033-04-01
Common Stock
89073
89073
D
Represents weighted average sale price for this group of sales, which occurred on the same trading day. Multiple sales were executed, with sales prices ranging between 76.93 to 76.99 per share.
Consists of Stock Units awarded pursuant to Issuer's 2010 & 2017 Incentive Compensation Plans, the receipt of which the reporting person has elected to defer.
Reflects year-end company-match share credits under a non-qualified deferred compensation plan; share credits are payable in cash only, at such time as has been elected by the reporting person.
Reflects year-end company-match share credits under a non-qualified deferred compensation plan; share credits are payable in cash only, at such time as has been elected by the reporting person.
Option became exercisable in four equal installments commencing 04/01/2019. Additional options from this award have been exercised.
Option became exercisable in four equal installments commencing 04/01/2020. Additional options from this award have been exercised
Option became exercisable in four equal installments commencing 04/01/2021. Additional options from this award have been exercised.
Option became exercisable in three equal installments, commencing on 8/31/2021.
Option became exercisable in three equal installments commencing 04/01/2022.
Option became exercisable in four equal installments, commencing 4/1/2023.
Option becomes exercisable in four equal annual installments, commencing 4/1/2024.
/s/ Prem S. Shah
2024-02-16