0001127602-22-007423.txt : 20220301 0001127602-22-007423.hdr.sgml : 20220301 20220301175843 ACCESSION NUMBER: 0001127602-22-007423 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220226 FILED AS OF DATE: 20220301 DATE AS OF CHANGE: 20220301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PELUSO MICHELLE A CENTRAL INDEX KEY: 0001271739 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 22700133 MAIL ADDRESS: STREET 1: 3150 SABRE DRIVE CITY: SOUTHLAKE STATE: TX ZIP: 76092 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 2022-02-26 0000064803 CVS HEALTH Corp CVS 0001271739 PELUSO MICHELLE A 1 CVS DRIVE WOONSOCKET RI 02895 1 EVP and Co-President of Retail Common Stock 2022-02-26 4 F 0 12609 104.30 D 14911 D Common Stock (RSU) 82563 D Common Stock (PSUs) 96277 D Common Stock (PSUs) 50875 D Stock Option 74.30 2022-04-01 2031-04-01 Common Stock 86386 86386 D Surrender of shares in payment of withholding taxes due upon the vesting of a restricted stock award. Consists of Restricted Stock Unit awarded pursuant to Issuer's 2017 Incentive Compensation Plan. Restrictions lapse in four equal annual installments, commencing 02/26/2022. Option becomes exercisable in four equal annual installments, commencing 4/1/2022. /s/ Michelle A. Peluso 2022-03-01