0001127602-21-002274.txt : 20210121
0001127602-21-002274.hdr.sgml : 20210121
20210121171700
ACCESSION NUMBER: 0001127602-21-002274
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210119
FILED AS OF DATE: 20210121
DATE AS OF CHANGE: 20210121
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MERLO LARRY J
CENTRAL INDEX KEY: 0001194413
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 21542917
MAIL ADDRESS:
STREET 1: ONE CVS DR
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
2021-01-19
0000064803
CVS HEALTH Corp
CVS
0001194413
MERLO LARRY J
ONE CVS DRIVE
WOONSOCKET
RI
02895-
1
1
President and CEO
Common Stock
2021-01-19
4
M
0
64350
74.29
A
586221.9407
D
Common Stock
2021-01-19
4
S
0
62893
77.00
D
523328.9407
D
Common Stock
403808.084
I
By Trust As Beneficiary
Common Stock (restricted)
40701
D
ESOP Common Stock
7304
I
By ESOP
Stock Unit
684489.1285
D
Stock Option
74.29
2021-01-19
4
M
0
64350
0
D
2015-04-01
2021-04-01
Common Stock
64350
271347
D
Phantom Stock Credits
1.00
Common Stock
5151.9988
5151.9988
D
Stock Option
102.26
2016-04-01
2022-04-01
Common Stock
273929
273929
D
Stock Option
104.82
2017-04-01
2023-04-01
Common Stock
286787
286787
D
Stock Option
78.05
2018-04-03
2024-04-03
Common Stock
338105
338105
D
Stock Option
62.21
2019-04-01
2025-04-01
Common Stock
394091
394091
D
Stock Option
54.19
2020-04-01
2029-04-01
Common Stock
545419
545419
D
Stock Option
58.34
2021-04-01
2030-04-01
Common Stock
478711
478711
D
All sales were effected pursuant to a Rule 10b5-1 plan. The transaction was a sell-to-cover exercise, with shares sold to cover the option exercise price and taxes, and the reporting person retaining all remaining shares.
Option became exercisable in four equal annual installments, commencing 4/1/2015.
Each share credit is equivalent to one share; 1-for-1 conversion.
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 4/1/2016.
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.
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.
Larry J. Merlo
2021-01-21