Filing Details

Accession Number:
0001127602-21-028481
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-11-05 16:35:05
Reporting Period:
2021-11-03
Accepted Time:
2021-11-05 16:35:05
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
64803 Cvs Health Corp CVS Retail-Drug Stores And Proprietary Stores (5912) 050494040
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1410515 C Jonathan Roberts One Cvs Drive
Woonsocket RI 02895-
Evp & Chief Operating Officer No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2021-11-03 108,870 $45.93 215,985 No 4 M Direct
Common Stock Disposition 2021-11-03 108,870 $95.00 107,115 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Option Disposition 2021-11-03 108,870 $0.00 108,870 $45.93
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2015-09-04 2022-09-04 No 4 M Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 34,707 Indirect By GRAT
Common Stock (Restricted) 12,812 Direct
Esop Common Stock 6,045 Indirect By ESOP
Stock Unit 337,833 Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Phantom Stock Credits $1.00 1,423 1,423 Direct
Common Stock Stock Option $102.26 2016-04-01 2022-04-01 68,482 68,482 Direct
Common Stock Stock Option $104.82 2017-04-01 2023-04-01 161,318 161,318 Direct
Common Stock Stock Option $78.05 2018-04-03 2024-04-03 200,358 200,358 Direct
Common Stock Stock Option $62.21 2019-04-01 2025-04-01 248,131 248,131 Direct
Common Stock Stock Option $54.19 2020-04-01 2029-04-01 303,010 303,010 Direct
Common Stock Stock Option $58.34 2021-04-01 2030-04-01 239,355 239,355 Direct
Common Stock Stock Option $74.30 2022-04-01 2031-04-01 172,772 172,772 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
1,423 1,423 Direct
2022-04-01 68,482 68,482 Direct
2023-04-01 161,318 161,318 Direct
2024-04-03 200,358 200,358 Direct
2025-04-01 248,131 248,131 Direct
2029-04-01 303,010 303,010 Direct
2030-04-01 239,355 239,355 Direct
2031-04-01 172,772 172,772 Direct
Footnotes
  1. All sales were effected pursuant to a Rule 10b5-1 plan.
  2. Option became exercisable in three equal annual installments, commencing 9/4/2015.
  3. Reflects year-end company-match share credits under a non-qualified deferred compensation plan; share credits are payable in cash only, at such time as has been elected by the reporting person.
  4. Option became exercisable in four equal annual installments, commencing 4/1/2016.
  5. Option became exercisable in four equal annual installments, commencing 4/1/2017.
  6. Option became exercisable in four equal annual installments, commencing 4/3/2018.
  7. Option became exercisable in four equal annual installments, commencing 4/1/2019.
  8. Option became exercisable in four equal annual installments, commencing 4/1/2020.
  9. The number of shares subject to the option were calculated using a 30-day average price.
  10. Options became exercisable in four equal installments, commencing 4/1/2021.
  11. Option becomes exercisable in four equal installments, commencing 4/1/2022.