0001127602-20-030563.txt : 20201204 0001127602-20-030563.hdr.sgml : 20201204 20201204161834 ACCESSION NUMBER: 0001127602-20-030563 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201202 FILED AS OF DATE: 20201204 DATE AS OF CHANGE: 20201204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mayhew Jonathan E. CENTRAL INDEX KEY: 0001806604 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 201370096 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 2020-12-02 0000064803 CVS HEALTH Corp CVS 0001806604 Mayhew Jonathan E. ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP - Transformation Common Stock 2020-12-02 4 F 0 926 69.63 D 6855 D Common Stock (restricted) 7543 D CVS Health Future Fund 401(k) Common Stock 505 D Stock Appreciation Rights 37.91 2026-02-18 Common Stock 6634 6634 D Stock Appreciation Rights 45.91 2027-02-16 Common Stock 11333 11333 D Stock Appreciation Rights 52.42 2027-05-09 Common Stock 3067 3067 D Stock Option 54.19 2029-04-01 Common Stock 44037 44037 D Stock Option 58.34 2021-04-01 2030-04-01 Common Stock 28159 28159 D Surrender of shares in payment of withholding taxes due upon the vesting of restricted stock awards. SARs became exercisable on 2/19/2019. SARs became exercisable in two equal annual installments beginning on 2/17/2019. SARs became exercisable in two equal annual installments beginning on 5/10/2019. Options became exercisable in four equal annual installments, commencing 4/1/2020. 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. /s/ Jonathan E. Mayhew 2020-12-04