0001127602-18-013817.txt : 20180403 0001127602-18-013817.hdr.sgml : 20180403 20180403172603 ACCESSION NUMBER: 0001127602-18-013817 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180401 FILED AS OF DATE: 20180403 DATE AS OF CHANGE: 20180403 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bisaccia Lisa CENTRAL INDEX KEY: 0001479663 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 18734677 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 2018-04-01 0000064803 CVS HEALTH Corp CVS 0001479663 Bisaccia Lisa ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP and Chief HR Officer Common Stock 2018-04-01 4 F 0 2162 62.21 D 21086 D Common Stock (restricted) 17430.0004 D ESOP Common Stock 592.536 I Direct Stock Unit 30522.1848 D Stock Option 62.21 2018-04-01 4 A 0 64222 62.21 A 2019-04-01 2025-04-01 Common Stock 64222 64222 D Phantom Stock Credits 1.00 Common Stock 468.325 468.325 D Stock Option 45.07 2013-04-02 2019-04-02 Common Stock 7764 7764 D Stock Option 54.53 2014-04-01 2020-04-01 Common Stock 13770 13770 D Stock Option 74.29 2015-04-01 2021-04-01 Common Stock 25177 25177 D Stock Option 102.26 2016-04-01 2022-04-01 Common Stock 34241 34241 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 39433 39433 D Stock Option 78.05 2018-04-03 2024-04-03 Common Stock 55098 55098 D Surrender of shares in payment of withholding taxes due upon the vesting of a stock award under an incentive compensation plan. Option becomes exercisable in four equal annual installments, commencing 4/1/2019. Reflects year-end company-match share credits under a non-qualified deferred compensation plan; share credits are payable in cash only, as 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 four equal annual installments, commencing 4/1/2016. Option became exercisable in four equal annual installments, commencing 4/1/2017. Option became exercisable in four equal annual installments, commencing 4/3/2018. Lisa G. Bisaccia 2018-04-03