SEC Form 4 · accession 0001127602-18-013814
CVS HEALTH Corp · CVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas M Moriarty
Officer — EVP & General Counsel
Period of report
Apr 1, 2018
Accepted (ET)
Apr 3, 2018 · 5:23 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 | Apr 1, 2018 | F | 4,629 | $62.21 | D | 27,409 | D | |
| Common Stock (restricted) | holding | — | — | — | 34,270 | D | ||
| Stock Unit | holding | — | — | — | 41,371 | 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 | $62.21 | Apr 1, 2018 | A | 145,959 | A | Apr 1, 2019 | Apr 1, 2025 | Common Stock | 145,959 | 145,959 | D |
| Stock OptionF3 | $74.29 | holding | — | — | — | Apr 1, 2015 | Apr 1, 2021 | Common Stock | 62,943 | 62,943 | D |
| Stock OptionF4 | $102.26 | holding | — | — | — | Apr 1, 2016 | Apr 1, 2022 | Common Stock | 51,361 | 51,361 | D |
| Stock OptionF5 | $104.82 | holding | — | — | — | Apr 1, 2017 | Apr 1, 2023 | Common Stock | 71,696 | 71,696 | D |
| Stock OptionF6 | $78.05 | holding | — | — | — | Apr 3, 2018 | Apr 3, 2024 | Common Stock | 125,224 | 125,224 | D |
Explanation of responses
- F1Surrender of shares in payment of withholding taxes due upon the vesting of a stock award under an incentive compensation plan.
- F2Option becomes exercisable in four equal annual installments, commencing 4/1/2019.
- F3Option became exercisable in four equal annual installments, commencing 4/1/2015.
- F4Option became exercisable in four equal annual installments, commencing 4/1/2016.
- F5Option became exercisable in four equal annual installments, commencing 4/1/2017.
- F6Option became exercisable in four equal annual installments, commencing 4/3/2018.