SEC Info - Merlo Larry J - ‘4’ for 1/15/20 re: CVS Health Corp.

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person^*

MERLO LARRY J

(Last)

(First)

(Middle)

ONE CVS DRIVE

(Street)

WOONSOCKET

02895-

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
CVS HEALTH Corp [ CVS ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
X	Officer (give title below)	Other (specify below)
President and CEO

3. Date of Earliest Transaction (Month/Day/Year)
1/15/20

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Stock	1/15/20		M		314,713	A	$54.53	703,496.9407	D
Common Stock	1/15/20		S ⁽¹⁾		266,476	D	$74.79 ⁽²⁾	437,020.9407	D
Common Stock								391,070.4564	I	By Trust As Beneficiary
Common Stock (restricted)								81,879	D
ESOP Common Stock								7,208.3869	I	By ESOP
Stock Unit								665,529.4676	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
Stock Option	$54.53	1/15/20		M			314,713	4/1/14 ⁽³⁾	4/1/20	Common Stock	314,713	$0	0	D
Phantom Stock Credits	$1 ⁽⁴⁾							⁽⁵⁾	⁽⁶⁾	Common Stock	5,158.5846		5,158.5846	D
Stock Option	$74.29							4/1/15 ⁽⁷⁾	4/1/21	Common Stock	335,697		335,697	D
Stock Option	$102.26							4/1/16 ⁽⁸⁾	4/1/22	Common Stock	273,929		273,929	D
Stock Option	$104.82							4/1/17 ⁽⁹⁾	4/1/23	Common Stock	286,787		286,787	D
Stock Option	$78.05							4/3/18 ⁽¹⁰⁾	4/3/24	Common Stock	338,105		338,105	D
Stock Option	$62.21							4/1/19 ⁽¹¹⁾	4/1/25	Common Stock	394,091		394,091	D
Stock Option	$54.19							4/1/20 ⁽¹²⁾	4/1/29	Common Stock	545,419		545,419	D

Explanation of Responses:

(1) All sales were effected pursuant to a Rule 10b5-1 plan. The transaction was a sell-to-cover exercise, with shares sold to cover the option exercise price and taxes, and the Reporting Person retaining all remaining shares.

(2) Represents weighted average sale price for this group of sales, which occurred on the same trading day. Multiple sales were executed, with sales prices ranging between $73.99 and $75.55 per share.

(3) Option became exercisable in four equal annual installments, commencing 4/1/14.

(4) Each share credit is equivalent to one share; 1-for-1 conversion.

(5) 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.

(6) 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.

(7) Option became exercisable in four equal annual installments, commencing 4/1/15.

(8) Option became exercisable in four equal annual installments, commencing 4/1/16.

(9) Option became exercisable in four equal annual installments, commencing 4/1/17.

(10) Option became exercisable in four equal annual installments, commencing 4/3/18.

(11) Option became exercisable in four equal annual installments, commencing 4/1/19.

(12) Option becomes exercisable in four equal annual installments, commencing 4/1/20.

	Larry J. Merlo	1/17/20
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

____________ Transaction Codes:
M	Exercise or conversion of derivative security exempted pursuant to Rule 16b-3.
S	Open market or private sale of non-derivative or derivative security.

Merlo Larry J – ‘4’ for 1/15/20 re: CVS Health Corp.

On: Friday, 1/17/20, at 4:31pm ET · For: 1/15/20 · Accession #: 1127602-20-1938 · File #: 1-01011

Previous ‘4’: ‘4’ on 4/3/19 for 4/1/19 · Next: ‘4’ on 3/3/20 for 2/28/20 · Latest: ‘4’ on 8/25/23 for 8/23/23

Statement of Changes in Beneficial Ownership of Securities by an Insider — Form 4 — SEA’34
Filing Table of Contents

This ‘4’ Document is an XML Data File that may be rendered in various formats:

Merlo Larry J – ‘4’ for 1/15/20 re: CVS Health Corp.

On: Friday, 1/17/20, at 4:31pm ET · For: 1/15/20 · Accession #: 1127602-20-1938 · File #: 1-01011

Previous ‘4’: ‘4’ on 4/3/19 for 4/1/19 · Next: ‘4’ on 3/3/20 for 2/28/20 · Latest: ‘4’ on 8/25/23 for 8/23/23

Statement of Changes in Beneficial Ownership of Securities by an Insider — Form 4 — SEA’34Filing Table of Contents

This ‘4’ Document is an XML Data File that may be rendered in various formats:

Statement of Changes in Beneficial Ownership of Securities by an Insider — Form 4 — SEA’34
Filing Table of Contents