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