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