SEC Form 4 · accession 0001127602-18-013834
CVS HEALTH Corp · CVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Troyen A Brennan
Officer — EVP and Chief Medical Officer
Period of report
Apr 1, 2018
Accepted (ET)
Apr 3, 2018 · 5:38 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 | 4,047 | $62.21 | D | 84,723 | D | |
| Common Stock (restricted) | holding | — | — | — | 24,562 | 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 | 87,575 | A | Apr 1, 2019 | Apr 1, 2025 | Common Stock | 87,575 | 87,575 | D |
| Stock OptionF3 | $54.53 | holding | — | — | — | Apr 1, 2014 | Apr 1, 2020 | Common Stock | 23,604 | 23,604 | D |
| Stock OptionF4 | $74.29 | holding | — | — | — | Apr 1, 2015 | Apr 1, 2021 | Common Stock | 54,550 | 54,550 | D |
| Stock OptionF5 | $102.26 | holding | — | — | — | Apr 1, 2016 | Apr 1, 2022 | Common Stock | 47,937 | 47,937 | D |
| Stock OptionF6 | $104.82 | holding | — | — | — | Apr 1, 2017 | Apr 1, 2023 | Common Stock | 53,772 | 53,772 | D |
| Stock OptionF7 | $78.05 | holding | — | — | — | Apr 3, 2018 | Apr 3, 2024 | Common Stock | 75,134 | 75,134 | 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 4/1/2014.
- 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 became exercisable in four equal annual installments, commencing 4/1/2017.
- F7Option became exercisable in four equal annual installments, commencing 4/3/2018.