0001127602-17-027732.txt : 20170919
0001127602-17-027732.hdr.sgml : 20170919
20170919164259
ACCESSION NUMBER: 0001127602-17-027732
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170918
FILED AS OF DATE: 20170919
DATE AS OF CHANGE: 20170919
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Roberts Jonathan C
CENTRAL INDEX KEY: 0001410515
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 171092374
MAIL ADDRESS:
STREET 1: ONE CVS DRIVE
CITY: WOONSOCKET
STATE: RI
ZIP: 02895
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
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2017-09-18
0000064803
CVS HEALTH Corp
CVS
0001410515
Roberts Jonathan C
ONE CVS DRIVE
WOONSOCKET
RI
02895-
1
EVP & Chief Operating Officer
Common Stock
2017-09-18
4
M
0
85743
34.96
A
119555.1293
D
Common Stock
2017-09-18
4
S
0
85743
83.14
D
33812.1293
D
Common Stock (restricted)
70780
D
ESOP Common Stock
5319.994
I
By ESOP
Stock Unit
154874.2001
D
Stock Option
34.96
2017-09-18
4
M
0
85743
0
D
2012-04-01
2018-04-01
Common Stock
85743
0
D
Phantom Stock Credits
1.00
Common Stock
1418.9113
1418.9113
D
Stock Option
45.07
2013-04-02
2019-04-02
Common Stock
77639
77639
D
Stock Option
54.53
2014-04-01
2020-04-01
Common Stock
68844
68844
D
Stock Option
74.29
2015-04-01
2021-04-01
Common Stock
73433
73433
D
Stock Option
45.93
2015-09-04
2022-09-04
Common Stock
108870
108870
D
Stock Option
102.26
2016-04-01
2022-04-01
Common Stock
68482
68482
D
Stock Option
104.82
2017-04-01
2023-04-01
Common Stock
161318
161318
D
Stock Option
78.05
2018-04-03
2024-04-03
Common Stock
200358
200358
D
All sales were effected pursuant to a Rule 10b5-1 plan.
Represents weighted average sale price for this group of sales, which occurred on the same trading day. Multiple sales were executed, with sales prices ranging between $82.89 and $83.35 per share.
Option became exercisable in four equal annual installments, commencing 4/1/2012.
Reflects year-end company-match share credits under a non-qualified deferred compensation plan; share credits are payable in cash only, at such time as has been elected by the reporting person.
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 three equal annual installments, commencing 9/4/2015.
Option became exercisable in four equal annual installments, commencing 4/1/2016.
Option became exercisable in four equal annual installments, commencing 4/1/2017.
Option becomes exercisable in four equal annual installments, commencing 4/3/2018.
Jonathan C. Roberts
2017-09-19