0001127602-22-011604.txt : 20220405 0001127602-22-011604.hdr.sgml : 20220405 20220405173704 ACCESSION NUMBER: 0001127602-22-011604 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220401 FILED AS OF DATE: 20220405 DATE AS OF CHANGE: 20220405 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Havanec Laurie P. CENTRAL INDEX KEY: 0001807757 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 22808373 MAIL ADDRESS: STREET 1: ONE CARRIER PLACE CITY: FARMINGTON STATE: CT ZIP: 06032 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 2022-04-01 0000064803 CVS HEALTH Corp CVS 0001807757 Havanec Laurie P. ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP and Chief People Officer Common Stock 9754 D Common Stock (restricted) 29356 D Stock Option 101.09 2022-04-01 4 A 0 21829 101.09 A 2023-04-01 2032-04-01 Common Stock 21829 21829 D Stock Option 74.30 2022-04-01 2031-04-01 Common Stock 27643 27643 D Option becomes exercisable in four equal installments, commencing 4/1/2023. Option becomes exercisable in four equal installments, commencing 4/1/2022. /s/ Laurie P. Havanec 2022-04-05