0001127602-16-048880.txt : 20160405
0001127602-16-048880.hdr.sgml : 20160405
20160405175003
ACCESSION NUMBER: 0001127602-16-048880
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160401
FILED AS OF DATE: 20160405
DATE AS OF CHANGE: 20160405
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: Foulkes Helena
CENTRAL INDEX KEY: 0001429996
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 161555799
MAIL ADDRESS:
STREET 1: ONE CVS DRIVE
CITY: WOONSOCKET
STATE: RI
ZIP: 02895
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2016-04-01
0000064803
CVS HEALTH Corp
CVS
0001429996
Foulkes Helena
ONE CVS DRIVE
WOONSOCKET
RI
02895-
1
EVP, President-CVS Pharmacy
Common Stock
2016-04-01
4
F
0
4411
104.82
D
45899.6389
D
Common Stock (restricted)
2016-04-01
4
A
0
9540
104.82
A
36556.1706
D
Common Stock (pep)
4615.8294
D
ESOP Common Stock
3991.8821
I
By ESOP
Stock Unit
30530.1649
D
Stock Option
104.82
2016-04-01
4
A
0
71696
104.82
A
2017-04-01
2023-04-01
Common Stock
71696
71696
D
Stock Option
34.96
2012-04-01
2018-04-01
Common Stock
12058
12058
D
Stock Option
45.07
2013-04-02
2019-04-02
Common Stock
19965
19965
D
Stock Option
54.53
2014-04-01
2020-04-01
Common Stock
39340
39340
D
Stock Option
34.96
2014-04-01
2021-04-01
Common Stock
28607
28607
D
Stock Option
74.29
2015-04-01
2021-04-01
Common Stock
52452
52452
D
Stock Option
102.26
2016-04-01
2022-04-01
Common Stock
59922
59922
D
Surrender of shares in payment of withholding taxes due upon the vesting of a restricted stock unit award.
Consists of restricted stock units awarded pursuant to Issuer's 2010 Incentive Compensation Plan. Restrictions lapse 50% on 4/1/2019 and 50% on 4/1/2021.
Option becomes exercisable in four equal annual installments, commencing 4/1/2017.
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 three equal annual installments, commencing 4/1/2014.
Option became exercisable in four equal annual installments, commencing 4/1/2015.
Option became exercisable in four equal annual installments, commencing 4/1/2016.
Helena Foulkes
2016-04-05