0001127602-20-001407.txt : 20200110 0001127602-20-001407.hdr.sgml : 20200110 20200110173135 ACCESSION NUMBER: 0001127602-20-001407 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200108 FILED AS OF DATE: 20200110 DATE AS OF CHANGE: 20200110 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Roberts Jonathan C CENTRAL INDEX KEY: 0001410515 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 20522061 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 2020-01-08 0000064803 CVS HEALTH Corp CVS 0001410515 Roberts Jonathan C ONE CVS DRIVE WOONSOCKET RI 02895- 1 EVP & Chief Operating Officer Common Stock 2020-01-08 4 M 0 68844 54.53 A 102607.6311 D Common Stock 2020-01-08 4 S 0 57563 72.63 D 45044.6311 D Common Stock (restricted) 41246 D ESOP Common Stock 5772.6789 I By ESOP Stock Unit 230362.6616 D Stock Option 54.53 2020-01-08 4 M 0 68844 0 D 2014-04-01 2020-04-01 Common Stock 68844 0 D Phantom Stock Credits 1.00 Common Stock 1424.1494 1424.1494 D Stock Option 74.29 2015-04-01 2021-04-01 Common Stock 73433 73433 D Stock Option 45.93 2015-09-04 2022-09-04 Common Stock 108870 108870 D Stock Option 102.26 2016-04-01 2022-04-01 Common Stock 68482 68482 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 161318 161318 D Stock Option 78.05 2018-04-03 2024-04-03 Common Stock 200358 200358 D Stock Option 62.21 2019-04-01 2025-04-01 Common Stock 248131 248131 D Stock Option 54.19 2020-04-01 2029-04-01 Common Stock 303010 303010 D All sales were effected pursuant to a Rule 10b5-1 plan. The transaction was a sell-to-cover exercise, with shares sold to cover the option exercise price and taxes, and the Reporting Person retaining all remaining shares. 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 $71.75 and 73.04 per share. Option became exercisable in four equal annual installments, commencing 4/1/2014. 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 4/1/2015. Option became exercisable in three equal annual installments, commencing 9/4/2015. 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 became exercisable in four equal annual installments, commencing 4/1/2019. Option becomes exercisable in four equal annual installments, commencing 4/1/2020. Jonathan C. Roberts 2020-01-10