SEC Form 4 · accession 0001127602-16-051404
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
May 5, 2016
Accepted (ET)
May 6, 2016 · 4:29 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 | May 5, 2016 | M | 9,798 | $47.29 | A | 31,358 | D | |
| Common Stock | May 5, 2016 | S | 9,798 | $105.00 | D | 21,560 | D | |
| Common Stock (pep) | holding | — | — | — | 10,057 | D | ||
| Common Stock (restricted) | holding | — | — | — | 40,862 | 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 OptionF2 | $47.29 | May 5, 2016 | M | 9,798 | D | Jul 9, 2015 | Jul 9, 2022 | Common Stock | 9,798 | 63,440 | 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 | $102.26 | holding | — | — | — | Apr 1, 2016 | Apr 1, 2022 | Common Stock | 41,089 | 41,089 | D |
| Stock OptionF6 | $104.82 | holding | — | — | — | Apr 1, 2017 | Apr 1, 2023 | Common Stock | 48,395 | 48,395 | D |
Explanation of responses
- F1All sales were effected pursuant to a Rule 10b5-1 plan.
- F2Option became exercisable in three equal annual installments, commencing 07/09/2015.
- 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 became exercisable in four equal annual installments, commencing 4/1/2016.
- F6Option becomes exercisable in four equal annual installments, commencing 4/1/2017.