0000947871-19-000284.txt : 20190412 0000947871-19-000284.hdr.sgml : 20190412 20190412170640 ACCESSION NUMBER: 0000947871-19-000284 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20181128 FILED AS OF DATE: 20190412 DATE AS OF CHANGE: 20190412 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Flum Joshua Matthew CENTRAL INDEX KEY: 0001412223 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 19746972 MAIL ADDRESS: STREET 1: 704 EXECUTIVE BOULEVARD CITY: VALLEY COTTAGE STATE: NY ZIP: 10989 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 3/A 1 ownership.xml X0206 3/A 2018-11-28 2018-11-30 0 0000064803 CVS HEALTH Corp CVS 0001412223 Flum Joshua Matthew ONE CVS DRIVE WOONSOCKET RI 02895 0 1 0 0 EVP, Ent. Strategy & Digital Common Stock 14690 D Common Stock (pep) 2616.0772 D Common Stock (restricted) 1385 D Common Stock (restricted) 814 D Common Stock (restricted) 378 D Common Stock (restricted) 2444 D Common Stock (restricted) 2146 D Common Stock (restricted) 6027 D Common Stock (restricted) 3523 D Stock Option 54.53 2014-04-01 2020-04-01 Common Stock 17703 D Stock Option 34.96 2014-04-01 2021-04-01 Common Stock 21460 D Stock Option 74.29 2015-04-01 2021-04-01 Common Stock 25177 D Stock Option 102.26 2016-04-01 2022-04-01 Common Stock 17822 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 17611 D Stock Option 103.87 2018-02-27 2025-02-27 Common Stock 24060 D Stock Option 78.05 2018-04-03 2024-04-03 Common Stock 30169 D Stock Option 62.21 2019-04-01 2025-04-01 Common Stock 22541 D Options became exercisable in four equal annual installments beginning on 4/1/2014. Options became exercisable in three equal annual installments beginning on 4/1/2014. Options became exercisable in four equal annual installments beginning on 4/1/2015. Options became exercisable in four equal annual installments beginning on 4/1/2016. Options became exercisable in four equal annual installments beginning on 4/1/2017. Options became exercisable in three equal annual installments beginning on 2/27/2018. Options became exercisable in four equal annual installments beginning on 4/3/2018. Options become exercisable in four equal annual installments, commencing 4/1/2019. This Form 3/A is being filed to reflect the correct address of the reporting person and to reflect the correct relationship of the reporting person to the issuer, i.e., to correct the reporting person's title. Exhibit 24 - Power of Attorney /s/ Joshua M. Flum 2019-04-12 EX-24 2 ss132827_ex24.htm POWER OF ATTORNEY

EXHIBIT 24


CVS Health Corp

Power of Attorney
for Executing Forms 3, 4 and 5

Know all men by these presents, that the undersigned, director or officer, or both, of CVS Health Corp, hereby constitutes and appoints each of Marilyn A. Rasicot, Thomas S. Moffatt, Darin P. Smith, Melanie K. Luker, signing singly, the undersigned's true and lawful attorney-in-fact to:


 (1)
execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of CVS Health Corp (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;


(2)
do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5 and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and


(3)
take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities of CVS Health Corp unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney as of this 28th day of November, 2018


 
/s/ Joshua M. Flum
Joshua M. Flum