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