0001127602-22-002431.txt : 20220128
0001127602-22-002431.hdr.sgml : 20220128
20220128165803
ACCESSION NUMBER: 0001127602-22-002431
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220127
FILED AS OF DATE: 20220128
DATE AS OF CHANGE: 20220128
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Roberts Jonathan C
CENTRAL INDEX KEY: 0001410515
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 22569724
MAIL ADDRESS:
STREET 1: ONE CVS DRIVE
CITY: WOONSOCKET
STATE: RI
ZIP: 02895
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
2022-01-27
0000064803
CVS HEALTH Corp
CVS
0001410515
Roberts Jonathan C
ONE CVS DRIVE
WOONSOCKET
RI
02895-
1
EVP & Chief Operating Officer
Common Stock
2022-01-27
4
M
0
68482
102.26
A
175596.717
D
Common Stock
2022-01-27
4
S
0
68482
107.50
D
107114.717
D
Common Stock
34707
I
By GRAT
Common Stock (restricted)
12812
D
ESOP Common Stock
6045
I
By ESOP
Stock Option
102.26
2022-01-27
4
M
0
68482
0
D
2016-04-01
2022-04-01
Common Stock
68482
0
D
Phantom Stock Credits
1.00
Common Stock
1422.6711
1422.6711
D
All sales were effected pursuant to a Rule 10b5-1 plan.
Option became exercisable in four equal annual installments, commencing 4/1/2016.
Reflects year-end company-match share credits under a non-qualified deferred compensation plan; share credits are payable in cash only, at such time as has been elected by the reporting person.
Jonathan C. Roberts
2022-01-28