0001127602-22-020596.txt : 20220805 0001127602-22-020596.hdr.sgml : 20220805 20220805165047 ACCESSION NUMBER: 0001127602-22-020596 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220803 FILED AS OF DATE: 20220805 DATE AS OF CHANGE: 20220805 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lotvin Alan CENTRAL INDEX KEY: 0001472795 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 221141511 MAIL ADDRESS: STREET 1: 55 NOD ROAD CITY: AVON STATE: CT ZIP: 06001 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 2022-08-03 0000064803 CVS HEALTH Corp CVS 0001472795 Lotvin Alan ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP&President-PharmacyServices Common Stock 2022-08-03 4 M 0 70398 58.34 A 179581.3689 D Common Stock 2022-08-03 4 S 0 70398 98.00 D 109183.3689 D Common Stock 2022-08-03 4 M 0 50501 54.19 A 159684.3689 D Common Stock 2022-08-03 4 S 0 50501 98.00 D 109183.3689 D Common Stock 2022-08-04 4 M 0 22541 62.21 A 131724.3689 D Common Stock 2022-08-04 4 S 0 22541 104.00 D 109183.3689 D Common Stock 492 I By Children's Trusts Common Stock (restricted) 5827 D Stock Unit 30176.6725 D Stock Option 58.34 2022-08-03 4 M 0 70398 0 D 2021-04-01 2030-04-01 Common Stock 70398 70399 D Stock Option 54.19 2022-08-03 4 M 0 50501 0 D 2020-04-01 2029-04-01 Common Stock 50501 20201 D Stock Option 62.21 2022-08-04 4 M 0 22541 0 D 2019-04-01 2025-04-01 Common Stock 22541 0 D Phantom Stock Credits 1.00 Common Stock 554.276 554.276 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 27395 27395 D Stock Option 78.05 2018-04-03 2024-04-03 Common Stock 32911 32911 D Stock Option 74.30 2022-04-01 2031-04-01 Common Stock 120940 120940 D Stock Option 101.09 2023-04-01 2032-04-01 Common Stock 77962 77962 D All sales were effected pursuant to a Rule 10b5-1 plan. 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 became exercisable in four equal annual installments, commencing 4/1/2020. Option became exercisable in four equal annual installments, commencing 4/1/2019. Reflects year-end company-match share credits under a non-qualified deferred compensation plan; share credits are payable in cash only, at such time as has been elected by the reporting person. Reflects year-end company-match share credits under a non-qualified deferred compensation plan; share credits are payable in cash only, at such time as has been elected by the reporting person. 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 4/1/2022. Option becomes exercisable in four equal annual installments, commencing 4/1/2023. /s/ Alan M. Lotvin 2022-08-05