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CVS CVS Health Corporation

56.91
0.60 (1.07%)
Pre Market
Last Updated: 10:52:00
Delayed by 15 minutes
Share Name Share Symbol Market Type
CVS Health Corporation NYSE:CVS NYSE Common Stock
  Price Change % Change Share Price High Price Low Price Open Price Shares Traded Last Trade
  0.60 1.07% 56.91 16,814 10:52:00

Amended Statement of Beneficial Ownership (3/a)

12/04/2019 10:07pm

Edgar (US Regulatory)


FORM 3
        
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response...
0.5
                      
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Flum Joshua Matthew

2. Date of Event Requiring Statement (MM/DD/YYYY)
11/28/2018 

3. Issuer Name and Ticker or Trading Symbol

CVS HEALTH Corp [CVS]

(Last)        (First)        (Middle)

ONE CVS DRIVE

4. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                            _____ 10% Owner
___ X ___ Officer (give title below)          _____ Other (specify below)
EVP, Ent. Strategy & Digital /

(Street)

WOONSOCKET, RI 02895       

(City)              (State)              (Zip)
5. If Amendment, Date Original Filed (MM/DD/YYYY)

11/30/2018 

6. Individual or Joint/Group Filing (Check Applicable Line)

_ X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person


Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security
(Instr. 4)
2. Amount of Securities Beneficially Owned
(Instr. 4)
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
4. Nature of Indirect Beneficial Ownership
(Instr. 5)
Common Stock   14690   D    
Common Stock (pep)   2616.0772   D    
Common Stock (restricted)   1385   D    
Common Stock (restricted)   814   D    
Common Stock (restricted)   378   D    
Common Stock (restricted)   2444   D    
Common Stock (restricted)   2146   D    
Common Stock (restricted)   6027   D    
Common Stock (restricted)   3523   D    

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 4)
2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
6. Nature of Indirect Beneficial Ownership
(Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option   4/1/2014   (1) 4/1/2020   Common Stock   17703   $54.53   D    
Stock Option   4/1/2014   (2) 4/1/2021   Common Stock   21460   $34.96   D    
Stock Option   4/1/2015   (3) 4/1/2021   Common Stock   25177   $74.29   D    
Stock Option   4/1/2016   (4) 4/1/2022   Common Stock   17822   $102.26   D    
Stock Option   4/1/2017   (5) 4/1/2023   Common Stock   17611   $104.82   D    
Stock Option   2/27/2018   (6) 2/27/2025   Common Stock   24060   $103.87   D    
Stock Option   4/3/2018   (7) 4/3/2024   Common Stock   30169   $78.05   D    
Stock Option   4/1/2019   (8) 4/1/2025   Common Stock   22541   $62.21   D    

Explanation of Responses:
(1)  Options became exercisable in four equal annual installments beginning on 4/1/2014.
(2)  Options became exercisable in three equal annual installments beginning on 4/1/2014.
(3)  Options became exercisable in four equal annual installments beginning on 4/1/2015.
(4)  Options became exercisable in four equal annual installments beginning on 4/1/2016.
(5)  Options became exercisable in four equal annual installments beginning on 4/1/2017.
(6)  Options became exercisable in three equal annual installments beginning on 2/27/2018.
(7)  Options became exercisable in four equal annual installments beginning on 4/3/2018.
(8)  Options become exercisable in four equal annual installments, commencing 4/1/2019.

Remarks:
This Form 3/A is being filed to reflect the correct address of the reporting person and to reflect the correct relationship of the reporting person to the issuer, i.e., to correct the reporting person's title. Exhibit 24 - Power of Attorney

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Flum Joshua Matthew
ONE CVS DRIVE
WOONSOCKET, RI 02895


EVP, Ent. Strategy & Digital

Signatures
/s/ Joshua M. Flum 4/12/2019
** Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

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