0001127602-21-029713.txt : 20211119 0001127602-21-029713.hdr.sgml : 20211119 20211119164344 ACCESSION NUMBER: 0001127602-21-029713 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211117 FILED AS OF DATE: 20211119 DATE AS OF CHANGE: 20211119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DEPARLE NANCY ANN CENTRAL INDEX KEY: 0001144511 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 211428896 MAIL ADDRESS: STREET 1: CERNER CORP STREET 2: 2800 ROCKCREEK PKWY CITY: KANSAS CITY STATE: MO ZIP: 64117-2551 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 2021-11-17 0000064803 CVS HEALTH Corp CVS 0001144511 DEPARLE NANCY ANN ONE CVS DRIVE WOONSOCKET RI 02895 1 Common Stock 2021-11-17 4 A 0 1334 92.73 A 23402 D Share Credits 0 Common Stock 3278.0795 3278.0795 D Consists of common stock issued in payment 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/ Nancy-Ann M. DeParle 2021-11-19