0001127602-23-012248.txt : 20230404
0001127602-23-012248.hdr.sgml : 20230404
20230404163411
ACCESSION NUMBER: 0001127602-23-012248
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: Mandadi Tilak
CENTRAL INDEX KEY: 0001872827
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 23798363
MAIL ADDRESS:
STREET 1: 3600 LAS VEGAS BLVD. SOUTH
CITY: LAS VEGAS
STATE: NV
ZIP: 89109
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
0001872827
Mandadi Tilak
ONE CVS DRIVE
WOONSOCKET
RI
02895
1
EVP, Chief Technology Officer
0
Common Stock (RSU)
99847
D
Stock Option
74.31
2023-04-01
4
A
0
96496
74.31
A
2024-04-01
2033-04-01
Common Stock
96496
96496
D
Consists of RSUs awarded pursuant to the Issuer's 2017 Stock Incentive Plan. Restrictions lapse in three equal installments beginning 8/31/2023.
Option becomes exercisable in four equal annual installments, commencing 4/1/2024.
/s/ Tilak Mandadi
2023-04-03