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