0001127602-21-004365.txt : 20210208 0001127602-21-004365.hdr.sgml : 20210208 20210208163145 ACCESSION NUMBER: 0001127602-21-004365 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210201 FILED AS OF DATE: 20210208 DATE AS OF CHANGE: 20210208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Finke Daniel P CENTRAL INDEX KEY: 0001844305 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 21601839 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 3 1 form3.xml PRIMARY DOCUMENT X0206 3 2021-02-01 0 0000064803 CVS HEALTH Corp CVS 0001844305 Finke Daniel P ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP/Pres, Health Care Benefits Common Stock 9799.1519 D Common Stock (restricted) 11072 D Common Stock (restricted) 7687 D Common Stock (restricted) 3023.1519 D Common Stock (restricted) 24425 D Stock Option 54.19 2020-04-01 2029-04-01 Common Stock 64642 D Stock Option 58.34 2021-04-01 2030-04-01 Common Stock 54332 D Stock Option 52.37 2022-05-31 2029-05-31 Common Stock 28640 D Consists of Restricted Stock Units ("RSUs") awarded pursuant to Issuer's Aetna Inc. 2010 Stock Incentive Plan ("SIP"). Restrictions on remaining RSUs lapse in three equal installments, commencing 4/1/2021. Consists of RSUs that were converted from Aetna Performance Stock Units ("PSUs"), pursuant to the CVS Health-Aetna Merger Agreement, and that vest on 3/2/2021. Consists of matching RSUs awarded pursuant to Issuer's Partnership Equity Program, a sub-plan under its SIP. Restrictions lapse on 5/31/2024. Consists of RSUs awarded pursuant to Issuer's SIP. Restrictions lapse in four equal installments, commencing 4/1/2021. Option became exercisable in four equal annual installments, beginning on 4/1/2020. Option becomes exercisable in four equal annual installments, commencing 4/1/2021. Option becomes exercisable in three equal installments, commencing 5/31/2022. /s/ Daniel P. Finke 2021-02-08