SEC Form 4 · accession 0001127602-15-013940
CVS HEALTH Corp · CVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stephen J Gold
Officer — EVP & CIO
Period of report
Apr 1, 2015
Accepted (ET)
Apr 3, 2015 · 4:22 pm EDT
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 (restricted)F1 | Apr 1, 2015 | A | 5,867 | $102.26 | A | 37,403 | D | |
| Common Stock | holding | — | — | — | 11,905 | D | ||
| Common Stock (pep) | holding | — | — | — | 9,912 | D | ||
| Stock Unit | holding | — | — | — | 6,991 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF2 | $102.26 | Apr 1, 2015 | A | 41,089 | A | Apr 1, 2016 | Apr 1, 2022 | Common Stock | 41,089 | 41,089 | D |
| Stock OptionF3 | $54.53 | holding | — | — | — | Apr 1, 2014 | Apr 1, 2020 | Common Stock | 25,571 | 25,571 | D |
| Stock OptionF4 | $74.29 | holding | — | — | — | Apr 1, 2015 | Apr 1, 2021 | Common Stock | 33,569 | 33,569 | D |
| Stock OptionF5 | $47.29 | holding | — | — | — | Jul 9, 2015 | Jul 9, 2022 | Common Stock | 95,160 | 95,160 | D |
Explanation of responses
- F1Consists of Restricted Stock Units awarded pursuant to Issuer's 2010 Incentive Compensation Plan. Restrictions lapse 50% on 4/1/2018 and 50% 4/1/2020.
- F2Option becomes exercisable in four equal annual installments, commencing 4/1/2016.
- F3Option became exercisable in four equal annual installments, commencing 4/1/2014.
- F4Option became exercisable in four equal annual installments, commencing 4/1/2015.
- F5Option becomes exercisable in three equal annual installments, commencing 07/09/2015.