0001127602-22-022028.txt : 20220902
0001127602-22-022028.hdr.sgml : 20220902
20220902164744
ACCESSION NUMBER: 0001127602-22-022028
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220831
FILED AS OF DATE: 20220902
DATE AS OF CHANGE: 20220902
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shah Prem S
CENTRAL INDEX KEY: 0001900910
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 221225815
MAIL ADDRESS:
STREET 1: ONE CVS DRIVE
CITY: WOONSOCKET
STATE: RI
ZIP: 02895
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
2022-08-31
0000064803
CVS HEALTH Corp
CVS
0001900910
Shah Prem S
ONE CVS DRIVE
WOONSOCKET
RI
02895
1
EVP and Co-President of Retail
Common Stock (RSU)
2022-08-31
4
A
0
20376
0
A
20376
D
Common Stock
43453.24
D
Common Stock (pep)
4438.1535
D
Common Stock (restricted)
16522
D
ESOP Common Stock
4538.8882
D
Common Stock (restricted)
2829
D
Stock Unit (deferred)
6671.959
D
Stock Option
104.82
2017-04-01
2023-04-01
Common Stock
2935
2935
D
Stock Option
62.21
2019-04-01
2025-04-01
Common Stock
846
846
D
Stock Option
54.19
2020-04-01
2029-04-01
Common Stock
9469
9469
D
Stock Option
58.34
2021-04-01
2030-04-01
Common Stock
28596
28596
D
Stock Option
74.30
2022-04-01
2031-04-01
Common Stock
28723
28723
D
Stock Option
101.09
2023-04-01
2032-04-01
Common Stock
41580
41580
D
Stock Option
75.24
2021-08-31
2028-08-31
Common Stock
26580
26580
D
Phantom Stock Credits
1.00
Common Stock
11259.1952
11259.1952
D
Consists of RSUs awarded pursuant to the Issuer's 2017 Stock Incentive Plan. Restrictions lapse on the third anniversary of the grant date.
Consists of Matching RSUs awarded pursuant to Issuer's Partnership Equity Program, a sub-plan under its ICP, and dividend equivalents on the Matching RSUs. Restrictions lapse on the RSUs on 08/31/2023.
Consists of RSUs awarded pursuant to Issuer's Performance-Based Restricted Stock Plan under its 2017 Incentive Compensation Plan. Restrictions on the 2018 grant lapse in three equal installments commencing on 02/26/2022; restrictions on the 2020 grant lapse in two equal installments commencing on 2/28/22.
Consists of Stock Units awarded pursuant to Issuer's 2010 & 2017 Incentive Compensation Plans, the receipt of which the reporting person has elected to defer.
Option became exercisable in four equal installments commencing 04/01/2017.
Option became exercisable in four equal installments commencing 04/01/2019. Additional options from this award have been exercised.
Option becomes exercisable in four equal installments commencing 04/01/2020. Additional options from this award have been exercised.
Option becomes exercisable in four equal installments commencing 04/01/2021. Additional options from this award have been exercised.
Option became exercisable in three equal installments commencing 04/01/2022.
Option becomes exercisable in four equal installments, commencing 4/1/2023.
Option vests in three equal installments, on 8/31/2021, 8/31/2022 and 8/31/2023.
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.
/s/ Prem S. Shah
2022-09-02