0001127602-19-001770.txt : 20190110 0001127602-19-001770.hdr.sgml : 20190110 20190110162602 ACCESSION NUMBER: 0001127602-19-001770 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190108 FILED AS OF DATE: 20190110 DATE AS OF CHANGE: 20190110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MERLO LARRY J CENTRAL INDEX KEY: 0001194413 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 19520480 MAIL ADDRESS: STREET 1: ONE CVS DR 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 2019-01-08 0000064803 CVS HEALTH Corp CVS 0001194413 MERLO LARRY J ONE CVS DRIVE WOONSOCKET RI 02895- 1 1 President and CEO Common Stock 2019-01-08 4 M 0 166368 45.07 A 496576.9407 D Common Stock 2019-01-08 4 S 0 166368 69.04 D 330208.9407 D Common Stock 378463.0286 I By Trust As Beneficiary Common Stock (restricted) 127881 D ESOP Common Stock 6972.3829 I By ESOP Stock Unit 646898.8547 D Stock Option 45.07 2019-01-08 4 M 0 166368 0 D 2013-04-02 2019-04-02 Common Stock 166368 166368 D Phantom Stock Credits 1.00 Common Stock 5142.9337 5142.9337 D Stock Option 54.53 2014-04-01 2020-04-01 Common Stock 314713 314713 D Stock Option 74.29 2015-04-01 2021-04-01 Common Stock 335697 335697 D Stock Option 102.26 2016-04-01 2022-04-01 Common Stock 273929 273929 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 286787 286787 D Stock Option 78.05 2018-04-03 2024-04-03 Common Stock 338105 338105 D Stock Option 62.21 2019-04-01 2025-04-01 Common Stock 394091 394091 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 $68.72 and $69.65 per share. Option became exercisable in four equal annual installments, commencing 4/2/2013. Each share credit is equivalent to one share; 1-for-1 conversion. 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. 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 4/1/2014. 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. Option becomes exercisable in four equal annual installments, commencing 4/1/2019. Larry J. Merlo 2019-01-10