0001127602-23-012242.txt : 20230404
0001127602-23-012242.hdr.sgml : 20230404
20230404163253
ACCESSION NUMBER: 0001127602-23-012242
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230401
FILED AS OF DATE: 20230404
DATE AS OF CHANGE: 20230404
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lynch Karen S
CENTRAL INDEX KEY: 0001333760
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 23798319
MAIL ADDRESS:
STREET 1: 151 FARMINGTON AVENUE
STREET 2: RW61
CITY: HARTFORD
STATE: CT
ZIP: 06156
FORMER NAME:
FORMER CONFORMED NAME: Rohan Karen
DATE OF NAME CHANGE: 20050721
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
X0407
4
2023-04-01
0000064803
CVS HEALTH Corp
CVS
0001333760
Lynch Karen S
ONE CVS DRIVE
WOONSOCKET
RI
02895
1
1
President and CEO
0
Common Stock
2023-04-01
4
F
0
93677
74.31
D
112933
D
Common Stock (By Trust)
304459
D
Common Stock (Restricted)
0
D
Stock Appreciation Rights
45.91
2019-02-17
2027-02-16
Common Stock
192741
192741
D
Stock Appreciation Rights
37.91
2019-02-19
2026-02-18
Common Stock
93989
93989
D
Stock Option
54.19
2020-04-01
2029-04-01
Common Stock
242408
242408
D
Stock Option
58.34
2021-04-01
2030-04-01
Common Stock
211196
211196
D
Stock Option
74.30
2022-04-01
2031-04-01
Common Stock
224604
224604
D
Stock Option
101.09
2023-04-01
2032-04-01
Common Stock
171517
171517
D
Stock Option
74.31
2023-04-01
4
A
0
244952
74.31
A
2024-04-01
2033-04-01
Common Stock
244952
244952
D
Surrender of shares in payment of withholding taxes due upon the vesting and settlement of a performance stock unit award.
Represents unvested Aetna Inc. Stock Appreciation Rights ("SARs") granted under the Aetna Plan on February 17, 2017 that were converted into CVS Health SARs pursuant to the terms of the CVS/Aetna Merger Agreement. These SARs vest in two substantially equal annual installments beginning on February 17, 2019.
Represents unvested SARs granted under the Aetna Plan on February 19, 2016 that were converted into CVS Health SARs pursuant to the terms of the CVS/Aetna Merger Agreement. These SARs vested on February 19, 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 installments, commencing 4/1/2021.
Option became exercisable in four equal installments, commencing 4/1/2022.
Option became exercisable in four equal installments, commencing 4/1/2023.
Option becomes exercisable in four equal annual installments, commencing 4/1/2024.
/s/ Karen S. Lynch
2023-04-04