0001127602-15-001445.txt : 20150108 0001127602-15-001445.hdr.sgml : 20150108 20150108161232 ACCESSION NUMBER: 0001127602-15-001445 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150107 FILED AS OF DATE: 20150108 DATE AS OF CHANGE: 20150108 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Roberts Jonathan C CENTRAL INDEX KEY: 0001410515 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 15516589 MAIL ADDRESS: STREET 1: ONE CVS DRIVE CITY: WOONSOCKET STATE: RI ZIP: 02895 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2015-01-07 0000064803 CVS HEALTH Corp CVS 0001410515 Roberts Jonathan C ONE CVS DRIVE WOONSOCKET RI 02895- 1 EVP & President, CVS/caremark Common Stock 2014-08-22 5 G 0 E 127 79.24 D 31396.9286 D Common Stock 2015-01-07 4 M 0 86487 41.17 A 117954.7177 D Common Stock 2015-01-07 4 S 0 86487 95.31 D 31467.7177 D Common Stock (pep) 11259.0233 D Common Stock (restricted) 61443 D ESOP Common Stock 7927.9129 I By ESOP Stock Unit 71320.2608 D Stock Option 41.17 2015-01-07 4 M 0 86487 0 D 2009-04-01 2015-04-01 Common Stock 86487 0 D Phantom Stock Credits 1.00 Common Stock 1423.465 1423.465 D Stock Option 36.23 2011-04-01 2017-04-01 Common Stock 61196 61196 D Stock Option 34.96 2012-04-01 2018-04-01 Common Stock 85743 85743 D Stock Option 45.07 2013-04-02 2019-04-02 Common Stock 77639 77639 D Stock Option 54.53 2014-04-01 2020-04-01 Common Stock 68844 68844 D Stock Option 74.29 2015-04-01 2021-04-01 Common Stock 73433 73433 D Stock Option 45.93 2015-09-04 2022-09-04 Common Stock 108870 108870 D All sales were effected pursuant to a Rule 10b5-1 plan. Represents weighted average sale price for this trading day. Multiple sales were executed, with sales prices ranging between $94.67 and $95.70 per share. Option became exercisable in three annual installments, commencing 4/1/2009. 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 three annual installments, commencing 4/1/2011. Option became exercisable in four equal annual installments, commencing 4/1/2012. Option became exercisable in four equal annual installments, commencing 4/2/2013. Option became exercisable in four equal annual installments, commencing 4/1/2014. Option becomes exercisable in four equal annual installments, commencing 4/1/2015. Option becomes exercisable in three equal annual installments, commencing 9/4/2015. Jonathan C. Roberts 2015-01-08