0001127602-22-011640.txt : 20220405 0001127602-22-011640.hdr.sgml : 20220405 20220405193908 ACCESSION NUMBER: 0001127602-22-011640 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: Moriarty Thomas M CENTRAL INDEX KEY: 0001412221 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 22808992 MAIL ADDRESS: STREET 1: 100 PARSONS POND DRIVE CITY: FRANKLIN LAKES STATE: NJ ZIP: 07417 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 0001412221 Moriarty Thomas M ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP & General Counsel Common Stock 2022-04-01 4 F 0 105854 101.09 D 730897 D Common Stock 2022-04-03 4 F 0 3556 101.09 D 735349 D Common Stock 81179.0221 I By GRAT Stock Unit 46518.7302 D Stock Option 101.09 2022-04-01 4 A 0 46777 101.09 A 2023-04-01 2032-04-01 Common Stock 46777 46777 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 71696 71696 D Stock Option 78.05 2018-04-03 2024-04-03 Common Stock 125224 125224 D Stock Option 62.21 2019-04-01 2025-04-01 Common Stock 36490 36490 D Stock Option 54.19 2020-04-01 2029-04-01 Common Stock 101004 101004 D Stock Option 58.34 2021-04-01 2030-04-01 Common Stock 147837 147837 D Stock Option 74.30 2022-04-01 2031-04-01 Common Stock 155495 155495 D Surrender of shares in payment of withholding taxes due upon the vesting and settlement of the PSUs. Surrender of shares in payment of taxes due upon the vesting and settlement of PSUs on April 1, 2022. Option becomes exercisable in four equal annual installments, commencing 4/1/2023. 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. Option became exercisable in four equal annual installments, commencing 4/1/2021. Option becomes exercisable in four equal annual installments, commencing 4/1/2022. /s/ Thomas M. Moriarty 2022-04-05