0001127602-16-048894.txt : 20160405 0001127602-16-048894.hdr.sgml : 20160405 20160405183902 ACCESSION NUMBER: 0001127602-16-048894 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: GOLD STEPHEN J CENTRAL INDEX KEY: 0001252005 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 161556049 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-04-01 0000064803 CVS HEALTH Corp CVS 0001252005 GOLD STEPHEN J ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP & CIO Common Stock 2016-04-01 4 M 0 21922 47.29 A 42048.3558 D Common Stock 2016-04-01 4 S 0 21922 105.00 D 20126.3558 D Common Stock 2016-04-01 4 F 0 1546 104.82 D 21560.3558 D Common Stock (restricted) 2016-04-01 4 A 0 6439 104.82 A 40862 D Common Stock (pep) 10056.8903 D Stock Unit 7093.3423 D Stock Option 47.29 2016-04-01 4 M 0 21922 0 D 2015-07-09 2022-07-09 Common Stock 21922 73238 D Stock Option 104.82 2016-04-01 4 A 0 48395 104.82 A 2017-04-01 2023-04-01 Common Stock 48395 48395 D Stock Option 54.53 2014-04-01 2020-04-01 Common Stock 25571 25571 D Stock Option 74.29 2015-04-01 2021-04-01 Common Stock 33569 33569 D Stock Option 102.26 2016-04-01 2022-04-01 Common Stock 41089 41089 D Sales were effected pursuant to a Rule 10b5-1 plan. 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 three equal annual installments, commencing 07/09/2015. Option becomes exercisable in four equal annual installments, commencing 4/1/2017. 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 became exercisable in four equal annual installments, commencing 4/1/2016. /s/ Stephen J. Gold 2016-04-05