0001127602-19-034257.txt : 20191204
0001127602-19-034257.hdr.sgml : 20191204
20191204170111
ACCESSION NUMBER: 0001127602-19-034257
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191202
FILED AS OF DATE: 20191204
DATE AS OF CHANGE: 20191204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lynch Karen S
CENTRAL INDEX KEY: 0001333760
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 191268748
MAIL ADDRESS:
STREET 1: 151 FARMINGTON AVENUE
STREET 2: RW61
CITY: HARTFORD
STATE: CT
ZIP: 06156
FORMER NAME:
FORMER CONFORMED NAME: Rohan Karen
DATE OF NAME CHANGE: 20050721
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
2019-12-02
0000064803
CVS HEALTH Corp
CVS
0001333760
Lynch Karen S
ONE CVS DRIVE
WOONSOCKET
RI
02895
1
EVP & Pres, Aetna Bus Unit
Common Stock
2019-12-02
4
F
0
12778
75.55
D
57235
D
Common Stock (restricted)
95273
D
Stock Appreciation Rights
45.91
2019-02-17
2027-02-16
Common Stock
192741
192741
D
Stock Appreciation Rights
37.91
2019-02-19
2026-02-18
Common Stock
93989
93989
D
Stock Option
54.19
2020-04-01
2029-04-01
Common Stock
242408
242408
D
Surrender of shares in payment of withholding taxes due upon the vesting of a restricted stock award.
Represents unvested Aetna Inc. Stock Appreciation Rights ("SARs") granted under the Aetna Inc. 2010 Stock Incentive Plan (the "Aetna Plan") on February 17, 2017 that were converted into CVS Health SARs pursuant to the terms of the CVS/Aetna Merger Agreement. These SARs vest in two substantally equal annual installments beginning on February 17, 2019.
RemoveClose
Represents unvested SARs granted under the Aetna Plan on February 19, 2016 that were converted into CVS Health SARs pursuant to the terms of the CVS/Aetna Merger Agreement. These SARs vested on February 19, 2019.
Option becomes exercisable in four equal annual installments, commencing 4/1/2020.
/s/ Karen S. Lynch
2019-12-04