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CVS CVS Health Corporation

55.96
0.81 (1.47%)
04 May 2024 - Closed
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
  0.81 1.47% 55.96 56.43 54.96 55.22 23,942,832 01:00:00

Statement of Changes in Beneficial Ownership (4)

03/04/2020 10:38pm

Edgar (US Regulatory)


FORM 4 [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
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 *

Clark James David
2. Issuer Name and Ticker or Trading Symbol

CVS HEALTH Corp [ CVS ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                    _____ 10% Owner
__X__ Officer (give title below)    _____ Other (specify below)
SVP, Cont & Chief Acct Officer
(Last)          (First)          (Middle)

ONE CVS DRIVE
3. Date of Earliest Transaction (MM/DD/YYYY)

4/1/2020
(Street)

WOONSOCKET, RI 02895
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
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 Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 4/1/2020  F  681 (1)D$58.34 11321.2554 D  
Common Stock (restricted) 4/1/2020  A  7713 (2)A$58.34 20204 D  

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security3. Trans. Date3A. Deemed Execution Date, if any4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Stock Option $58.34 4/1/2020  A   17157    4/1/2021 (3)4/1/2030 Common Stock 17157 $58.34 17157 D  
Stock Option $74.29           4/1/2015 (4)4/1/2021 Common Stock 5350  5350 D  
Stock Option $102.26           4/1/2016 (5)4/1/2022 Common Stock 6059  6059 D  
Stock Option $104.82           4/1/2017 (6)4/1/2023 Common Stock 7044  7044 D  
Stock Option $78.05           4/3/2018 (7)4/3/2024 Common Stock 9050  9050 D  
Stock Option $62.21           4/1/2019 (8)4/1/2025 Common Stock 7513  7513 D  
Stock Option $54.19           4/1/2020 (9)4/1/2029 Common Stock 24240  24240 D  

Explanation of Responses:
(1) Surrrender of shares in payment of withholding taxes due upon the vesting of restricted stock awards.
(2) Consists of restricted stock units awarded pursuant to Issuer's 2017 Incentive Compensation Plan. Restrictions lapse in four equal installments, commencing 4/1/2021.
(3) Option becomes exercisable in four equal annual installments, commencing 4/1/2021.
(4) Remaining options became exercisable in four equal annual installments beginning on 4/1/2015.
(5) Options became exercisable in four equal annual installments beginning on 4/1/2016.
(6) Options became exercisable in four equal annual installments beginning on 4/1/2017.
(7) Options became exercisable in four equal annual installments beginning on 4/3/2018.
(8) Options became exercisable in four equal annual installments, commencing 4/1/2019.
(9) Options became exercisable in four equal annual installments, commencing 4/1/2020.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director10% OwnerOfficerOther
Clark James David
ONE CVS DRIVE
WOONSOCKET, RI 02895


SVP, Cont & Chief Acct Officer

Signatures
/s/ James D. Clark4/3/2020
**Signature of Reporting PersonDate

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