0001127602-19-014682.txt : 20190403 0001127602-19-014682.hdr.sgml : 20190403 20190403170323 ACCESSION NUMBER: 0001127602-19-014682 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190401 FILED AS OF DATE: 20190403 DATE AS OF CHANGE: 20190403 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clark James David CENTRAL INDEX KEY: 0001757584 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 19729879 MAIL ADDRESS: STREET 1: ONE CVS DRIVE CITY: WOONSOCKET STATE: RI ZIP: 02760 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 2019-04-01 0000064803 CVS HEALTH Corp CVS 0001757584 Clark James David ONE CVS DRIVE WOONSOCKET RI 02895 1 SVP, Cont & Chief Acct Officer Common Stock (restricted) 2019-04-01 4 A 0 5536 54.19 A 13793 D Common Stock 2019-04-01 4 F 0 253 54.19 D 9135.2554 D Stock Option 54.19 2019-04-01 4 A 0 24240 54.19 A 2020-04-01 2029-04-01 Common Stock 24240 24240 D Stock Option 54.53 2014-04-01 2020-04-01 Common Stock 3030 3030 D Stock Option 74.29 2015-04-01 2021-04-01 Common Stock 5350 5350 D Stock Option 102.26 2016-04-01 2022-04-01 Common Stock 6059 6059 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 7044 7044 D Stock Option 78.05 2018-04-03 2024-04-03 Common Stock 9050 9050 D Stock Option 62.21 2019-04-01 2025-04-01 Common Stock 7513 7513 D Consists of restricted stock units awarded pursuant to Issuer's 2017 Incentive Compensation Plan. Restrictions lapse in four equal installments, commencing 4/1/2020. 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 4/1/2020. Remaining options became exercisable in four equal annual installments beginning on 4/1/2014. Remaining options became exercisable in four equal annual installments beginning on 4/1/2015. Options became exercisable in four equal annual installments beginning on 4/1/2016. Options became exercisable in four equal annual installments beginning on 4/1/2017. Options became exercisable in four equal annual installments beginning on 4/3/2018. Option became exercisable in four equal annual installments, commencing 4/1/2019. /s/ James D. Clark 2019-04-03