0001127602-17-014061.txt : 20170404 0001127602-17-014061.hdr.sgml : 20170404 20170404174231 ACCESSION NUMBER: 0001127602-17-014061 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170401 FILED AS OF DATE: 20170404 DATE AS OF CHANGE: 20170404 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: GOLD STEPHEN J CENTRAL INDEX KEY: 0001252005 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 17739928 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-04-01 0000064803 CVS HEALTH Corp CVS 0001252005 GOLD STEPHEN J ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP & CIO Common Stock 2017-04-01 4 F 0 1396 78.50 D 29187.6785 D Common Stock (restricted) 2017-04-03 4 A 0 8648 78.05 A 46818 D Common Stock (pep) 10265.9554 D Stock Unit 7240.8004 D Stock Option 78.05 2017-04-03 4 A 0 67621 78.05 A 2018-04-03 2024-04-03 Common Stock 67621 67621 D Stock Option 54.53 2014-04-01 2020-04-01 Common Stock 25571 25571 D Stock Option 74.29 2015-04-01 2021-04-01 Common Stock 33569 33569 D Stock Option 47.29 2015-07-09 2022-07-09 Common Stock 63440 63440 D Stock Option 102.26 2016-04-01 2022-04-01 Common Stock 41089 41089 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 48395 48395 D Surrender of shares in payment of withholding taxes due upon the vesting of a restricted stock unit award. Consists of restricted stock units awarded pursuant to Issuer's 2010 Incentive Compensation Plan. Restrictions lapse 50% on 4/3/2020 and 50% on 4/3/2022. Option becomes exercisable in four equal annual installments, commencing 4/3/2018. 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 three equal annual installments, commencing 07/09/2015. Option became exercisable in four equal annual installments, commencing 4/1/2016. Option became exercisable in four equal annual installments, commencing 4/1/2017. /s/ Stephen J. Gold 2017-04-04