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