SEC Form 4 · accession 0001127602-15-013946
CVS HEALTH Corp · CVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lisa Bisaccia
Officer — EVP, Chief HR Officer
Period of report
Apr 1, 2015
Accepted (ET)
Apr 3, 2015 · 4:28 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 | 4,889 | $102.26 | A | 27,011 | D | |
| Common StockF2 | Apr 2, 2015 | F | 1,862 | $102.71 | D | 28,929 | D | |
| ESOP Common Stock | holding | — | — | — | 558 | I | Direct | |
| Stock Unit | holding | — | — | — | 29,545 | 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 | $102.26 | Apr 1, 2015 | A | 34,241 | A | Apr 1, 2016 | Apr 1, 2022 | Common Stock | 34,241 | 34,241 | D |
| Phantom Stock CreditsF4 | $1.00 | holding | — | — | — | — | — | Common Stock | 467 | 467 | D |
| Stock OptionF5 | $34.96 | holding | — | — | — | Apr 1, 2012 | Apr 1, 2018 | Common Stock | 12,058 | 12,058 | D |
| Stock OptionF6 | $45.07 | holding | — | — | — | Apr 2, 2013 | Apr 2, 2019 | Common Stock | 15,528 | 15,528 | D |
| Stock OptionF7 | $54.53 | holding | — | — | — | Apr 1, 2014 | Apr 1, 2020 | Common Stock | 27,538 | 27,538 | D |
| Stock OptionF8 | $74.29 | holding | — | — | — | Apr 1, 2015 | Apr 1, 2021 | Common Stock | 33,569 | 33,569 | 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.
- F2Surrender of shares in payment of withholding taxes due upon the vesting of a restricted stock award.
- F3Option becomes exercisable in four equal annual installments, commencing 4/1/2016.
- F4Reflects year-end company-match share credits under a non-qualified deferred compensation plan; share credits are payable in cash only, as such time as has been elected by the reporting person.
- F5Option became exercisable in four equal annual installments, commencing 4/1/2012.
- F6Option became exercisable in four equal annual installments, commencing 4/2/2013.
- F7Option became exercisable in four equal annual installments, commencing 4/1/2014.
- F8Option became exercisable in four equal annual installments, commencing 4/1/2015.