SEC Form 4 · accession 0001127602-18-007534
CVS HEALTH Corp · CVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David M Denton
Officer — EVP and CFO
Period of report
Feb 20, 2018
Accepted (ET)
Feb 21, 2018 · 4:12 pm EST
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 (restricted)F1 | Feb 20, 2018 | J | 38,836 | $0.00 | D | 114,041 | D | |
| Common StockF2 | Feb 20, 2018 | J | 18,057 | $0.00 | D | 18,401 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionF3,F4 | $74.29 | Feb 20, 2018 | J | 30,325 | D | Apr 1, 2015 | Apr 1, 2021 | Common Stock | 30,325 | 32,618 | D |
| Stock OptionF3,F5 | $102.26 | Feb 20, 2018 | J | 25,540 | D | Apr 1, 2016 | Apr 1, 2022 | Common Stock | 25,540 | 34,382 | D |
| Stock OptionF3,F6 | $104.82 | Feb 20, 2018 | J | 22,716 | D | Apr 1, 2017 | Apr 1, 2023 | Common Stock | 22,716 | 48,980 | D |
| Stock OptionF3,F7 | $78.05 | Feb 20, 2018 | J | 10,869 | D | Apr 3, 2018 | Apr 3, 2024 | Common Stock | 10,869 | 89,310 | D |
Explanation of responses
- F1Represents restricted stock units (RSUs) that are being held in constructive trust for the sole benefit of the reporting person's ex-spouse, effective as of the end of the 90-day waiting period under a divorce decree, which waiting period ended on or about February 20, 2018. The RSUs held in trust for the ex-spouse are no longer beneficially owned by the reporting person.
- F2Represents shares that have been transferred to the reporting person's ex-spouse pursuant to a divorce decree on various dates during the 90-day waiting period under the decree that ended on or about February 20, 2018. The shares now owned by the ex-spouse are no longer beneficially owned by the reporting person.
- F3Represents stock options that are being held in constructive trust for the sole benefit of the reporting person's ex-spouse, effective as of the end of the 90-day waiting period under a divorce decree, which waiting period ended on or about February 20, 2018. The stock options held in trust for the ex-spouse are no longer beneficially owned by the reporting person.
- 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 became exercisable in four equal annual installments, commencing 4/1/2017.
- F7Option becomes exercisable in four equal annual installments, commencing 4/3/2018.