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