0001127602-21-016880.txt : 20210514
0001127602-21-016880.hdr.sgml : 20210514
20210514170907
ACCESSION NUMBER: 0001127602-21-016880
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210513
FILED AS OF DATE: 20210514
DATE AS OF CHANGE: 20210514
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DECOUDREAUX ALECIA A
CENTRAL INDEX KEY: 0001233354
STATE OF INCORPORATION: TX
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 21925897
MAIL ADDRESS:
STREET 1: 699 WALNUT STREET
STREET 2: SUITE 2000
CITY: DES MOINES
STATE: IA
ZIP: 50309
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
2021-05-13
0000064803
CVS HEALTH Corp
CVS
0001233354
DECOUDREAUX ALECIA A
ONE CVS DRIVE
WOONSOCKET
RI
02895
1
Common Stock
2970
D
Share Credits
0
2021-05-13
4
A
0
1379.4945
84.27
A
Common Stock
1379.4945
20599.338
D
Consists of share credits issued for deferral of a semi-annual retainer, at the market price, pursuant to the 2017 Incentive Compensation Plan.
Consists of deferred stock compensation payable pursuant to Reporting Person's election.
/s/ Alecia A. DeCoudreaux
2021-05-14