SEC Form 4 · accession 0001127602-17-031743
CVS HEALTH Corp · CVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mary L Schapiro
Director
Period of report
Nov 8, 2017
Accepted (ET)
Nov 9, 2017 · 4:26 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000064803
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Share CreditsF1,F2 | $0.00 | Nov 8, 2017 | A | 2,029 | A | — | — | Common Stock | 2,029 | 3,783 | D |
Explanation of responses
- F1Consists of share credits issued for deferral of a semi-annual retainer, at the market price, pursuant to the 2017 Incentive Compensation Plan. The share credits are scheduled to be settled in common stock in 2022.
- F2Consists of deferred stock compensation payable pursuant to Reporting Person's election.