SEC Form 4 · accession 0001127602-15-029685
CVS HEALTH Corp · CVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Troyen A Brennan
Officer — EVP, Chief Medical Officer
Period of report
Oct 27, 2015
Accepted (ET)
Oct 28, 2015 · 4:50 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 | Oct 27, 2015 | M | 23,603 | $54.53 | A | 85,444 | D | |
| Common Stock | Oct 27, 2015 | S | 23,603 | $105.00 | D | 61,841 | D | |
| Common Stock (restricted) | holding | — | — | — | 43,858 | 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 | $54.53 | Oct 27, 2015 | M | 23,603 | D | Apr 1, 2014 | Apr 1, 2020 | Common Stock | 23,603 | 23,604 | D |
| Stock OptionF3 | $45.07 | holding | — | — | — | Apr 2, 2013 | Apr 2, 2019 | Common Stock | 16,637 | 16,637 | D |
| Stock OptionF4 | $74.29 | holding | — | — | — | Apr 1, 2015 | Apr 1, 2021 | Common Stock | 54,550 | 54,550 | D |
| Stock OptionF5 | $102.26 | holding | — | — | — | Apr 1, 2016 | Apr 1, 2022 | Common Stock | 47,937 | 47,937 | D |
Explanation of responses
- F1All sales were effected pursuant to a Rule 10b5-1 plan.
- F2Option became exercisable in four equal annual installments, commencing 4/1/2014.
- F3Option became exercisable in four equal annual installments, commencing 4/2/2013.
- F4Option became exercisable in four equal annual installments, commencing 4/1/2015.
- F5Option becomes exercisable in four equal annual installments, commencing 4/1/2016.