0001127602-17-011593.txt : 20170314 0001127602-17-011593.hdr.sgml : 20170314 20170314162100 ACCESSION NUMBER: 0001127602-17-011593 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170313 FILED AS OF DATE: 20170314 DATE AS OF CHANGE: 20170314 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: Sussman Andrew CENTRAL INDEX KEY: 0001515706 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 17688289 MAIL ADDRESS: STREET 1: ONE CVS DRIVE CITY: WOONSOCKET STATE: RI ZIP: 02895 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-03-13 0000064803 CVS HEALTH Corp CVS 0001515706 Sussman Andrew ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP, Clinical Services Common Stock 2017-03-13 4 M 0 6655 45.07 A 22801 D Common Stock 2017-03-13 4 S 0 6655 80.40 D 16146 D Common Stock 2017-03-13 4 S 0 7449 80.40 D 8697 D Common Stock (restricted) 17313 D Stock Unit 10144.5863 D Stock Option 45.07 2017-03-13 4 M 0 6655 0 D 2012-04-02 2019-04-02 Common Stock 6655 0 D Stock Option 54.53 2014-04-01 2020-04-01 Common Stock 11802 11802 D Stock Option 74.29 2015-04-01 2021-04-01 Common Stock 29373 29373 D Stock Option 102.26 2016-04-01 2022-04-01 Common Stock 23968 23968 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 23301 23301 D All sales were effected pursuant to a Rule 10b5-1 plan. 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. Option becomes exercisable in four equal annual installments, commencing 4/1/2017. /s/ Andrew Sussman 2017-03-14