0001127602-22-011639.txt : 20220405 0001127602-22-011639.hdr.sgml : 20220405 20220405193621 ACCESSION NUMBER: 0001127602-22-011639 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: Brennan Troyen A CENTRAL INDEX KEY: 0001351402 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 22808971 MAIL ADDRESS: STREET 1: AETNA INC. STREET 2: 151 FARMINGTON AVENUE CITY: HARTFORD STATE: CT ZIP: 06156 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 0001351402 Brennan Troyen A ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP and Chief Medical Officer Common Stock 2022-04-01 4 F 0 77960 101.09 D 234855.059 D Common Stock 2022-04-03 4 F 0 2179 101.09 D 232676.059 D Common Stock (restricted) 4805 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 53772 53772 D Stock Option 78.05 2018-04-03 2024-04-03 Common Stock 75134 75134 D Stock Option 62.21 2019-04-01 2025-04-01 Common Stock 21894 21894 D Stock Option 54.19 2020-04-01 2029-04-01 Common Stock 80803 80803 D Stock Option 58.34 2021-04-01 2030-04-01 Common Stock 84478 84478 D Stock Option 74.30 2022-04-01 2031-04-01 Common Stock 99344 99344 D Surrender of shares in payment of taxes due upon the vesting and settlement of the PSUs on April 1, 2022. Surrender of shares in payment of withholding taxes due upon the vesting of a restricted stock unit award under the Registrant's 2017 Incentive Compensation Plan. Option became exercisable in four equal annual installments, commencing 4/1/2017. Option became exercisable in four equal annual installments, commencing 4/3/2018. Option became exercisable in four equal annual installments, commencing 4/1/2019. Option 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/ Troyen Brennan 2022-04-05