0001127602-23-022036.txt : 20230804
0001127602-23-022036.hdr.sgml : 20230804
20230804174113
ACCESSION NUMBER: 0001127602-23-022036
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230803
FILED AS OF DATE: 20230804
DATE AS OF CHANGE: 20230804
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clark James David
CENTRAL INDEX KEY: 0001757584
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 231145128
MAIL ADDRESS:
STREET 1: ONE CVS DRIVE
CITY: WOONSOCKET
STATE: RI
ZIP: 02760
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
X0508
4
2023-08-03
0000064803
CVS HEALTH Corp
CVS
0001757584
Clark James David
ONE CVS DRIVE
WOONSOCKET
RI
02895
1
SVP, Cont & Chief Acct Officer
0
Common Stock
2023-08-03
4
S
0
2631.255
74.79
D
27826
D
Common Stock
2023-08-03
2023-08-03
4
S
0
23128
74.94
D
4698
D
Common Stock (Restricted)
8882
D
Stock Option
78.05
2018-04-03
2024-04-03
Common Stock
9050
9050
D
Stock Option
62.21
2019-04-01
2025-04-01
Common Stock
7513
7513
D
Stock Option
54.19
2020-04-01
2029-04-01
Common Stock
24240
24240
D
Stock Option
58.34
2021-04-01
2030-04-01
Common Stock
17157
17157
D
Stock Option
74.30
2022-04-01
2031-04-01
Common Stock
12094
12094
D
Stock Option
101.09
2023-04-01
2032-04-01
Common Stock
6756
6756
D
Stock Option
74.31
2024-04-01
2033-04-01
Common Stock
9649
9649
D
Weighted average sales price; shares sold at a range of 74.79 to 74.80 per share.
Weighted average sales price; shares sold at a range of 74.90 to 75.02 per share.
Options became exercisable in four equal annual installments beginning on 4/3/2018.
Options became exercisable in four equal annual installments, commencing 4/1/2019.
Options 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.
Options became exercisable in four equal annual installments, commencing 4/1/2021.
Option became exercisable in four equal annual 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/ James D. Clark
2023-08-04