0001127602-23-012251.txt : 20230404 0001127602-23-012251.hdr.sgml : 20230404 20230404163523 ACCESSION NUMBER: 0001127602-23-012251 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: PELUSO MICHELLE A CENTRAL INDEX KEY: 0001271739 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 23798390 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 X0407 4 2023-04-01 0000064803 CVS HEALTH Corp CVS 0001271739 PELUSO MICHELLE A 1 CVS DRIVE WOONSOCKET RI 02895 1 EVP and Co-President of Retail 0 Common Stock 2023-04-01 4 F 0 98299 74.31 D 124383 D Common Stock (Restricted) 55042 D Stock Option 74.30 2022-04-01 2031-04-01 Common Stock 86386 86386 D Stock Option 101.09 2023-04-01 2032-04-01 Common Stock 57172 57172 D Stock Option 74.31 2023-04-01 4 A 0 89073 74.31 A 2024-04-01 2033-04-01 Common Stock 89073 89073 D Surrender of shares in payment of withholding taxes due upon the vesting and settlement of a performance stock unit award. Option became exercisable in four equal annual installments, commencing 4/1/2022. Option became exercisable in four equal annual installments, commencing 4/1/2023. Option becomes exercisable in four equal annual installments, commencing 4/1/2024. /s/ Michelle A. Peluso 2023-04-04