0001127602-20-012450.txt : 20200401 0001127602-20-012450.hdr.sgml : 20200401 20200401171426 ACCESSION NUMBER: 0001127602-20-012450 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200330 FILED AS OF DATE: 20200401 DATE AS OF CHANGE: 20200401 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: 20766266 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 2020-03-30 0000064803 CVS HEALTH Corp CVS 0001757584 Clark James David ONE CVS DRIVE WOONSOCKET RI 02895 1 SVP, Cont & Chief Acct Officer Common Stock 2020-03-30 4 M 0 3030 54.53 A 12790.2554 D Common Stock 2020-03-30 4 S 0 3030 60.00 D 9760.2554 D Common Stock (restricted) 14733 D Stock Option 54.53 2020-03-30 4 M 0 3030 0 D 2014-04-01 2020-04-01 Common Stock 3030 0 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 Stock Option 54.19 2020-04-01 2029-04-01 Common Stock 24240 24240 D All sales were effected pursuant to a Rule 10b5-1 plan. 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. Options became exercisable in four equal annual installments, commencing 4/1/2019. Options became exercisable in four equal annual installments, commencing 4/1/2020. /s/ James D. Clark 2020-04-01