SEC Form 4 · accession 0001127602-15-000743
CVS HEALTH Corp · CVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Per GH Lofberg
Officer — EVP
Period of report
Jan 2, 2015
Accepted (ET)
Jan 5, 2015 · 4:52 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000064803
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jan 2, 2015 | M | 347,343 | $45.07 | A | 370,762 | D | |
| Common StockF2 | Jan 2, 2015 | S | 347,343 | $95.2846 | D | 23,419 | D | |
| Common Stock | holding | — | — | — | 162,000 | I | By Lofberg Family Partnership, L.P. | |
| Common Stock | holding | — | — | — | 14,400 | I | By Trusts | |
| Stock Unit | holding | — | — | — | 223,119 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF3 | $45.07 | Jan 2, 2015 | M | 347,343 | D | Dec 31, 2013 | Apr 2, 2019 | Common Stock | 347,343 | 0 | D |
| Stock OptionF4 | $70.40 | holding | — | — | — | Dec 31, 2014 | Jan 2, 2021 | Common Stock | 112,181 | 112,181 | D |
| Stock OptionF5 | $91.36 | holding | — | — | — | Dec 31, 2015 | Nov 28, 2021 | Common Stock | 138,477 | 138,477 | D |
Explanation of responses
- F1All sales were effected pursuant to a Rule 10b5-1 plan.
- F2Represents weighted average sale price for this trading day. Multiple sales were executed, with sales prices ranging between $94.40 and $96.86 per share.
- F3Option became exercisable on December 31, 2013.
- F4Option became exercisable on December 31, 2014.
- F5Option becomes exercisable on December 31, 2015.