0001127602-24-007927.txt : 20240301 0001127602-24-007927.hdr.sgml : 20240301 20240301171858 ACCESSION NUMBER: 0001127602-24-007927 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240228 FILED AS OF DATE: 20240301 DATE AS OF CHANGE: 20240301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Khichi Samrat S. CENTRAL INDEX KEY: 0001612227 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 24711624 MAIL ADDRESS: STREET 1: C/O CATALENT, INC. STREET 2: 14 SCHOOLHOUSE ROAD CITY: SOMERSET STATE: NJ ZIP: 08873 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CVS HEALTH Corp CENTRAL INDEX KEY: 0000064803 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912] ORGANIZATION NAME: 07 Trade & Services 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 2024-02-28 0000064803 CVS HEALTH Corp CVS 0001612227 Khichi Samrat S. ONE CVS DRIVE WOONSOCKET RI 02895 1 EVP, CPO and General Counsel 0 Common Stock 2024-02-28 4 F 0 6210 75.19 D 9750 D Common Stock (Restricted) 31921 D Stock Option 74.31 2024-04-01 2033-04-01 Common Stock 66805 66805 D Surrender of shares in payment of withholding taxes due upon the vesting of a restricted stock award. Option becomes exercisable in four equal annual installments, commencing 4/1/2024. /s/ Samrat S. Khichi 2024-03-01