0001127602-20-013233.txt : 20200403
0001127602-20-013233.hdr.sgml : 20200403
20200403172937
ACCESSION NUMBER: 0001127602-20-013233
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200401
FILED AS OF DATE: 20200403
DATE AS OF CHANGE: 20200403
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bisaccia Lisa
CENTRAL INDEX KEY: 0001479663
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 20774889
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
2020-04-01
0000064803
CVS HEALTH Corp
CVS
0001479663
Bisaccia Lisa
ONE CVS DRIVE
WOONSOCKET
RI
02895
1
EVP and Chief HR Officer
Common Stock
2020-04-01
4
F
0
1109
58.34
D
44663
D
Common Stock (restricted)
9670
D
ESOP Common Stock
970.084
I
Direct
Stock Unit
31582.8936
D
Stock Option
58.61
2020-04-01
4
A
0
98558
58.61
A
2021-04-01
2030-04-01
Common Stock
98558
98558
D
Phantom Stock Credits
1.00
Common Stock
468.9237
468.9237
D
Stock Option
74.29
2015-04-01
2021-04-01
Common Stock
25177
25177
D
Stock Option
102.26
2016-04-01
2022-04-01
Common Stock
34241
34241
D
Stock Option
104.82
2017-04-01
2023-04-01
Common Stock
39433
39433
D
Stock Option
78.05
2018-04-03
2024-04-03
Common Stock
55098
55098
D
Stock Option
62.21
2019-04-01
2025-04-01
Common Stock
64222
64222
D
Stock Option
54.19
2020-04-01
2029-04-01
Common Stock
141405
141405
D
Surrender of shares in payment of withholding taxes due upon the vesting of a restricted stock award.
The number of shares subject to the option were calculated using a 30-day average price.
Option becomes exercisable in four equal annual installments, commencing 4/1/2021.
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.
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 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 became exercisable in four equal annual installments, commencing 4/1/2020.
Lisa G. Bisaccia
2020-04-03