0001127602-16-053784.txt : 20160527 0001127602-16-053784.hdr.sgml : 20160527 20160527162727 ACCESSION NUMBER: 0001127602-16-053784 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160401 FILED AS OF DATE: 20160527 DATE AS OF CHANGE: 20160527 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/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 161682745 MAIL ADDRESS: STREET 1: ONE CVS DRIVE CITY: WOONSOCKET STATE: RI ZIP: 02895 4/A 1 form4a.xml PRIMARY DOCUMENT X0306 4/A 2016-04-01 2016-04-05 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 2199 104.82 D 43495.8095 D Common Stock (pep) 0 D Common Stock (restricted) 41172 D Stock Unit 35293.2299 D The purpose of this Amended Form 4/A is to correct the number of surrender of shares in payment of withholding taxes due upon the vesting of restricted stock awards, one of which was deferred, and to correct the resulting share balances in the reporting person's accounts. Corrects the share balance of Common Stock. Corrects the share balance of Common Stock (pep). Corrects the share balance of Common Stock (restricted). Corrects the share balance of Stock Units (deferred). Helena Foulkes 2016-05-27