SEC Form 4/A · accession 0001127602-16-053784
CVS HEALTH Corp · CVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Helena Foulkes
Officer — EVP, President-CVS Pharmacy
Period of report
Apr 1, 2016
Accepted (ET)
May 27, 2016 · 4:27 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,F2 | Apr 1, 2016 | F | 2,199 | $104.82 | D | 43,496 | D | |
| Common Stock (pep)F3 | holding | — | — | — | 0 | D | ||
| Common Stock (restricted)F4 | holding | — | — | — | 41,172 | D | ||
| Stock UnitF5 | holding | — | — | — | 35,293 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The purpose of this Amended Form 4/A is to correct the number of surrender of shares in payment of withholding taxes due upon the vesting of restricted stock awards, one of which was deferred, and to correct the resulting share balances in the reporting person's accounts.
- F2Corrects the share balance of Common Stock.
- F3Corrects the share balance of Common Stock (pep).
- F4Corrects the share balance of Common Stock (restricted).
- F5Corrects the share balance of Stock Units (deferred).