0001127602-24-012256.txt : 20240403 0001127602-24-012256.hdr.sgml : 20240403 20240403164756 ACCESSION NUMBER: 0001127602-24-012256 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240401 FILED AS OF DATE: 20240403 DATE AS OF CHANGE: 20240403 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lynch Karen S CENTRAL INDEX KEY: 0001333760 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 24819667 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] 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 2024-04-01 0000064803 CVS HEALTH Corp CVS 0001333760 Lynch Karen S ONE CVS DRIVE WOONSOCKET RI 02895 1 1 President and CEO 0 Common Stock (Restricted) 2024-04-01 4 A 0 45248 79.56 A 45248 D Common Stock 2024-04-01 4 F 0 61953 79.56 D 74687 D Stock Option 79.56 2024-04-01 4 A 0 188087 79.56 A 2025-04-01 2034-04-01 Common Stock 188087 188087 D Consists of restricted stock units awarded pursuant to Issuer's 2017 Incentive Compensation Plan. Restrictions lapse in four equal annual installments, commencing 4/1/2025. Surrender of shares in payment of withholding taxes due upon the vesting and settlement of performance stock units. Option becomes exercisable in four equal annual installments, commencing 4/1/2025. /s/ Karen S. Lynch 2024-04-03