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