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