0001127602-21-015776.txt : 20210506
0001127602-21-015776.hdr.sgml : 20210506
20210506175316
ACCESSION NUMBER: 0001127602-21-015776
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: Moriarty Thomas M
CENTRAL INDEX KEY: 0001412221
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 21899308
MAIL ADDRESS:
STREET 1: 100 PARSONS POND DRIVE
CITY: FRANKLIN LAKES
STATE: NJ
ZIP: 07417
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
0001412221
Moriarty Thomas M
ONE CVS DRIVE
WOONSOCKET
RI
02895
1
EVP & General Counsel
Common Stock
2021-05-04
4
M
0
49279
58.34
A
49279
D
Common Stock
81179.0221
I
By GRAT
Common Stock (restricted)
8008
D
Stock Unit
45747.7872
D
Stock Option
58.34
2021-05-04
4
M
0
49279
0
D
2021-04-01
2030-04-01
Common Stock
49279
147837
D
Stock Option
102.26
2016-04-01
2022-04-01
Common Stock
51361
51361
D
Stock Option
104.82
2017-04-01
2023-04-01
Common Stock
71696
71696
D
Stock Option
78.05
2018-04-03
2024-04-03
Common Stock
125224
125224
D
Stock Option
62.21
2019-04-01
2025-04-01
Common Stock
145959
145959
D
Stock Option
54.19
2020-04-01
2029-04-01
Common Stock
101004
101004
D
Stock Option
74.30
2022-04-01
2031-04-01
Common Stock
155495
155495
D
The number of shares subject to the option were calculated using a 30-day average price.
Option became exercisable in four equal annual installments, commencing 4/1/2021.
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.
Option becomes exercisable in four equal installments, commencing 4/1/2022.
/s/ Thomas M. Moriarty
2021-05-06