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