0001127602-21-018741.txt : 20210602 0001127602-21-018741.hdr.sgml : 20210602 20210602165912 ACCESSION NUMBER: 0001127602-21-018741 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210528 FILED AS OF DATE: 20210602 DATE AS OF CHANGE: 20210602 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GUERTIN SHAWN M CENTRAL INDEX KEY: 0001231553 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 21989962 MAIL ADDRESS: STREET 1: TRINET GROUP, INC. STREET 2: ONE PARK PLACE, SUITE 600 CITY: DUBLIN STATE: CA ZIP: 94568 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 2021-05-28 0000064803 CVS HEALTH Corp CVS 0001231553 GUERTIN SHAWN M ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP & Chief Financial Officer Common Stock (restricted) 2021-05-28 4 A 0 34706 86.44 A 34706 D Common Stock 9260 D Stock Option 1.00 2021-05-28 4 A 0 97562 86.44 A 2022-05-28 2031-05-28 Common Stock 97562 97562 D Consists of restricted stock units awarded pursuant to Issuer's 2017 Incentive Compensation Plan. Restrictions lapse 5/28/2024. Option becomes exercisable in four equal annual installments, commencing 5/28/2022. /s/ Shawn M. Guertin 2021-06-02