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