SEC Form 4 · accession 0001127602-15-016841
CVS HEALTH Corp · CVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nancy Ann Deparle
Director
Period of report
May 7, 2015
Accepted (ET)
May 11, 2015 · 4:12 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 StockF1 | May 7, 2015 | A | 845 | $99.36 | A | 3,462 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Share CreditsF2,F3 | $0.00 | May 7, 2015 | A | 211 | A | — | — | Common Stock | 211 | 2,993 | D |
Explanation of responses
- F1Consists of common stock issued in payment of a semi-annual retainer.
- F2Consists of share credits issued for deferral of a semi-annual retainer, at the market price, pursuant to the 2010 Incentive Compensation Plan.
- F3Consists of deferred stock compensation payable pursuant to Reporting Person's election.