0001127602-22-007421.txt : 20220301 0001127602-22-007421.hdr.sgml : 20220301 20220301175640 ACCESSION NUMBER: 0001127602-22-007421 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220228 FILED AS OF DATE: 20220301 DATE AS OF CHANGE: 20220301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clark James David CENTRAL INDEX KEY: 0001757584 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 22700108 MAIL ADDRESS: STREET 1: ONE CVS DRIVE CITY: WOONSOCKET STATE: RI ZIP: 02760 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 2022-02-28 0000064803 CVS HEALTH Corp CVS 0001757584 Clark James David ONE CVS DRIVE WOONSOCKET RI 02895 1 SVP, Cont & Chief Acct Officer Common Stock 2022-02-28 4 F 0 183 103.65 D 26334.2554 D Common Stock 2022-02-28 4 F 0 253 103.65 D 26668.2554 D Common Stock (restricted) 15909 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 7044 7044 D Stock Option 78.05 2018-04-03 2024-04-03 Common Stock 9050 9050 D Stock Option 62.21 2019-04-01 2025-04-01 Common Stock 7513 7513 D Stock Option 54.19 2020-04-01 2029-04-01 Common Stock 24240 24240 D Stock Option 58.34 2021-04-01 2030-04-01 Common Stock 17157 17157 D Stock Option 74.30 2022-04-01 2031-04-01 Common Stock 12094 12094 D Surrender of shares in payment of withholding taxes due upon the vesting of a restricted stock award. Surrrender of shares in payment of withholding taxes due upon the vesting of restricted stock awards. Options became exercisable in four equal annual installments beginning on 4/1/2017. Options became exercisable in four equal annual installments beginning on 4/3/2018. Options became exercisable in four equal annual installments, commencing 4/1/2019. Options became exercisable in four equal annual installments, commencing 4/1/2020. The number of shares subject to the option were calculated using a 30-day average price. Options became exercisable in four equal annual installments, commencing 4/1/2021. Option becomes exercisable in four equal annual installments, commencing 4/1/2022. /s/ James D. Clark 2022-03-01