0001127602-22-011643.txt : 20220405
0001127602-22-011643.hdr.sgml : 20220405
20220405194154
ACCESSION NUMBER: 0001127602-22-011643
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: PELUSO MICHELLE A
CENTRAL INDEX KEY: 0001271739
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 22809004
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
2022-04-01
0000064803
CVS HEALTH Corp
CVS
0001271739
PELUSO MICHELLE A
1 CVS DRIVE
WOONSOCKET
RI
02895
1
EVP and Co-President of Retail
Common Stock
14911
D
Common Stock (restricted)
82563
D
Stock Option
101.09
2022-04-01
4
A
0
57172
101.09
A
2023-04-01
2032-04-01
Common Stock
57172
57172
D
Stock Option
74.30
2022-04-01
2031-04-01
Common Stock
86386
86386
D
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 4/1/2023.
Option becomes exercisable in four equal annual installments, commencing 4/1/2022.
/s/ Michelle A. Peluso
2022-04-05