SEC Form 4 · accession 0001127602-18-029362
CVS HEALTH Corp · CVS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Eva C Boratto
Officer — EVP, Cont & Chief Acct Officer
Period of report
Oct 1, 2018
Accepted (ET)
Oct 3, 2018 · 4:09 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 Stock | Oct 1, 2018 | M | 4,426 | $54.53 | A | 46,277 | D | |
| Common Stock | Oct 1, 2018 | S | 4,426 | $80.00 | D | 41,851 | D | |
| Common Stock (restricted) | holding | — | — | — | 12,212 | 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 | $54.53 | Oct 1, 2018 | M | 4,426 | D | Apr 1, 2014 | Apr 1, 2020 | Common Stock | 4,426 | 8,852 | D |
| Stock OptionF3 | $74.29 | holding | — | — | — | Apr 1, 2015 | Apr 1, 2021 | Common Stock | 18,882 | 18,882 | D |
| Stock OptionF4 | $102.26 | holding | — | — | — | Apr 1, 2016 | Apr 1, 2022 | Common Stock | 27,392 | 27,392 | D |
| Stock OptionF5 | $104.82 | holding | — | — | — | Apr 1, 2017 | Apr 1, 2023 | Common Stock | 21,509 | 21,509 | D |
| Stock OptionF6 | $78.05 | holding | — | — | — | Apr 3, 2018 | Apr 3, 2024 | Common Stock | 35,062 | 35,062 | D |
| Stock OptionF7 | $62.21 | holding | — | — | — | Apr 1, 2019 | Apr 1, 2025 | Common Stock | 35,030 | 35,030 | D |
Explanation of responses
- F1All sales were effected pursuant to a Rule 10b5-1 plan.
- F2Option became exercisable in four equal annual installments, commencing 4/1/2014.
- 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 becomes exercisable in four equal annual installments, commencing 4/1/2017.
- F6Option became exercisable in four equal annual installments, commencing 4/3/2018.
- F7Option becomes exercisable in four equal annual installments, commencing 4/1/2019.