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