SEC Form 4 · accession 0001127602-16-048894
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, 2016
Accepted (ET)
Apr 5, 2016 · 6:39 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 | Apr 1, 2016 | M | 21,922 | $47.29 | A | 42,048 | D | |
| Common Stock | Apr 1, 2016 | S | 21,922 | $105.00 | D | 20,126 | D | |
| Common StockF2 | Apr 1, 2016 | F | 1,546 | $104.82 | D | 21,560 | D | |
| Common Stock (restricted)F3 | Apr 1, 2016 | A | 6,439 | $104.82 | A | 40,862 | D | |
| Common Stock (pep) | holding | — | — | — | 10,057 | D | ||
| Stock Unit | holding | — | — | — | 7,093 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF4 | $47.29 | Apr 1, 2016 | M | 21,922 | D | Jul 9, 2015 | Jul 9, 2022 | Common Stock | 21,922 | 73,238 | D |
| Stock OptionF5 | $104.82 | Apr 1, 2016 | A | 48,395 | A | Apr 1, 2017 | Apr 1, 2023 | Common Stock | 48,395 | 48,395 | D |
| Stock OptionF6 | $54.53 | holding | — | — | — | Apr 1, 2014 | Apr 1, 2020 | Common Stock | 25,571 | 25,571 | D |
| Stock OptionF7 | $74.29 | holding | — | — | — | Apr 1, 2015 | Apr 1, 2021 | Common Stock | 33,569 | 33,569 | D |
| Stock OptionF8 | $102.26 | holding | — | — | — | Apr 1, 2016 | Apr 1, 2022 | Common Stock | 41,089 | 41,089 | D |
Explanation of responses
- F1Sales were effected pursuant to a Rule 10b5-1 plan.
- F2Surrender of shares in payment of withholding taxes due upon the vesting of a restricted stock unit award.
- F3Consists of restricted stock units awarded pursuant to Issuer's 2010 Incentive Compensation Plan. Restrictions lapse 50% on 4/1/2019 and 50% on 4/1/2021.
- F4Option becomes exercisable in three equal annual installments, commencing 07/09/2015.
- F5Option becomes exercisable in four equal annual installments, commencing 4/1/2017.
- F6Option became exercisable in four equal annual installments, commencing 4/1/2014.
- F7Option became exercisable in four equal annual installments, commencing 4/1/2015.
- F8Option became exercisable in four equal annual installments, commencing 4/1/2016.