0001127602-21-015775.txt : 20210506 0001127602-21-015775.hdr.sgml : 20210506 20210506175204 ACCESSION NUMBER: 0001127602-21-015775 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210504 FILED AS OF DATE: 20210506 DATE AS OF CHANGE: 20210506 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Boratto Eva C CENTRAL INDEX KEY: 0001580827 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 21899286 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 2021-05-04 0000064803 CVS HEALTH Corp CVS 0001580827 Boratto Eva C ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP & CFO Common Stock 2021-05-04 4 S 0 4905 80.00 D 115331.0445 D Common Stock (restricted) 2242 D Stock Option 102.26 2016-04-01 2022-04-01 Common Stock 27392 27392 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 21509 21509 D Stock Option 78.05 2018-04-03 2024-04-03 Common Stock 35062 35062 D Stock Option 62.21 2019-04-01 2025-04-01 Common Stock 35030 35030 D Stock Option 54.19 2020-04-01 2029-04-01 Common Stock 202007 202007 D Stock Option 58.34 2021-04-01 2030-04-01 Common Stock 168956 168956 D Stock Option 74.30 2022-04-01 2031-04-01 Common Stock 103663 103663 D All sales were effected pursuant to a Rule 10b5-1 plan. Option became exercisable in four equal annual installments, commencing 4/1/2016. Option becomes 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. Options became exercisable in four equal annual installments, commencing 4/1/2021. Option becomes exercisable in four equal annual installments, commencing 4/1/2022. /s/ Eva C. Boratto 2021-05-06