0001127602-16-048901.txt : 20160405 0001127602-16-048901.hdr.sgml : 20160405 20160405191510 ACCESSION NUMBER: 0001127602-16-048901 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: Bisaccia Lisa CENTRAL INDEX KEY: 0001479663 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 161556151 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 0001479663 Bisaccia Lisa ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP and Chief HR Officer Common Stock 2016-04-01 4 F 0 4625 104.82 D 34955 D Common Stock (restricted) 2016-04-01 4 A 0 5247 104.82 A 22613.0004 D ESOP Common Stock 565.4908 I Direct Stock Unit 29771.7159 D Stock Option 104.82 2016-04-01 4 A 0 39433 104.82 A 2017-04-01 2023-04-01 Common Stock 39433 39433 D Phantom Stock Credits 1.00 Common Stock 467.0197 467.0197 D Stock Option 45.07 2013-04-02 2019-04-02 Common Stock 7764 7764 D Stock Option 54.53 2014-04-01 2020-04-01 Common Stock 13770 13770 D Stock Option 74.29 2015-04-01 2021-04-01 Common Stock 25177 25177 D Stock Option 102.26 2016-04-01 2022-04-01 Common Stock 34241 34241 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. Reflects year-end company-match share credits under a non-qualified deferred compensation plan; share credits are payable in cash only, as such time as has been elected by the reporting person. 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 became exercisable in four equal annual installments, commencing 4/1/2016. Lisa G. Bisaccia 2016-04-05