0001127602-16-066173.txt : 20161104 0001127602-16-066173.hdr.sgml : 20161104 20161104162810 ACCESSION NUMBER: 0001127602-16-066173 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161102 FILED AS OF DATE: 20161104 DATE AS OF CHANGE: 20161104 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: DORMAN DAVID W CENTRAL INDEX KEY: 0001082870 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 161975492 MAIL ADDRESS: STREET 1: CVS HEALTH. STREET 2: ONE CVS DRIVE CITY: WOONSOCKET STATE: RI ZIP: 02895 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-11-02 0000064803 CVS HEALTH Corp CVS 0001082870 DORMAN DAVID W ONE CVS DRIVE WOONSOCKET RI 02895 1 Common Stock 2016-11-02 4 A 0 3394 83.95 A 72686 D Share Credits 0 Common Stock 16214.3387 16214.3387 D Consists of common stock issued in payment of a semi-annual retainer. Consists of deferred stock compensation payable pursuant to Reporting Person's election. David W. Dorman 2016-11-04