0001127602-21-001522.txt : 20210112
0001127602-21-001522.hdr.sgml : 20210112
20210112174315
ACCESSION NUMBER: 0001127602-21-001522
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210108
FILED AS OF DATE: 20210112
DATE AS OF CHANGE: 20210112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lotvin Alan
CENTRAL INDEX KEY: 0001472795
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 21524390
MAIL ADDRESS:
STREET 1: 55 NOD ROAD
CITY: AVON
STATE: CT
ZIP: 06001
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
2021-01-08
0000064803
CVS HEALTH Corp
CVS
0001472795
Lotvin Alan
ONE CVS DRIVE
WOONSOCKET
RI
02895
1
EVP and President-CVS Caremark
Common Stock
2021-01-08
4
M
0
10100
54.19
A
18468.6799
D
Common Stock
2021-01-08
4
M
0
15736
74.29
A
34204.6799
D
Common Stock
2021-01-08
4
S
0
25836
75.00
D
8368.6799
D
Common Stock
456.848
I
By Children's Trusts
Common Stock (restricted)
10346
D
Stock Unit
28643.2685
D
Stock Option
54.19
2021-01-08
4
M
0
10100
0
D
2020-04-01
2029-04-01
Common Stock
10100
70702
D
Stock Option
74.29
2021-01-08
4
M
0
15736
0
D
2015-04-01
2021-04-01
Common Stock
15736
0
D
Phantom Stock Credits
1.00
Common Stock
556.6312
556.6312
D
Stock Option
102.26
2016-04-01
2022-04-01
Common Stock
21386
21386
D
Stock Option
104.82
2017-04-01
2023-04-01
Common Stock
27395
27395
D
Stock Option
78.05
2018-04-03
2024-04-03
Common Stock
32911
32911
D
Stock Option
62.21
2019-04-01
2025-04-01
Common Stock
22541
22541
D
Stock Option
58.34
2021-04-01
2030-04-01
Common Stock
140797
140797
D
All sales were effected pursuant to a Rule 10b5-1 Trading Plan.
Option became exercisable in four equal annual installments, commencing 4/1/2020.
Remaining options became exercisable in four equal annual installments beginning on 4/1/2015.
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 beginning on 4/1/2016.
Option became exercisable in four equal annual installments beginning on 4/1/2017.
Option became exercisable in four equal annual installments beginning on 4/3/2018.
Option became exercisable in four equal annual installments, commencing 4/1/2019.
Option becomes exercisable in four equal annual installments, commencing 4/1/2021.
/s/ Alan M. Lotvin
2021-01-12