0001127602-15-013953.txt : 20150403 0001127602-15-013953.hdr.sgml : 20150403 20150403164904 ACCESSION NUMBER: 0001127602-15-013953 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150401 FILED AS OF DATE: 20150403 DATE AS OF CHANGE: 20150403 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: 15751705 MAIL ADDRESS: STREET 1: ONE CVS DRIVE CITY: WOONSOCKET STATE: RI ZIP: 02895 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2015-04-01 0000064803 CVS HEALTH Corp CVS 0001410515 Roberts Jonathan C ONE CVS DRIVE WOONSOCKET RI 02895- 1 EVP & President, CVS/caremark Common Stock (restricted) 2015-04-01 4 A 0 9778 102.26 A 58753 D Common Stock 2015-04-02 4 F 0 4654 102.71 D 52087.0256 D Common Stock (pep) 11298.7838 D ESOP Common Stock 5148.5545 I By ESOP Stock Unit 74312.5489 D Stock Option 102.26 2015-04-01 4 A 0 68482 102.26 A 2016-04-01 2022-04-01 Common Stock 68482 68482 D Phantom Stock Credits 1.00 Common Stock 1417.0893 1417.0893 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 Consists of Restricted Stock Units awarded pursuant to Issuer's 2010 Incentive Compensation Plan. Restrictions lapse 50% on 4/1/2018 and 50% 4/1/2020. Surrender of shares in payment of withholding taxes due upon the vesting of a restricted stock award. Option becomes exercisable in four equal annual installments, commencing 4/1/2016. 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 became 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 2015-04-03