4//SEC Filing
Lynch Karen S 4
Accession 0001127602-21-029913
CIK 0000064803other
Filed
Nov 30, 7:00 PM ET
Accepted
Dec 1, 4:28 PM ET
Size
12.7 KB
Accession
0001127602-21-029913
Insider Transaction Report
Form 4
Rohan Karen
EVP & Pres, Aetna Bus Unit
Transactions
- Tax Payment
Common Stock
2021-11-28$91.52/sh−14,121$1,292,354→ 69,114 total
Holdings
- 93,989
Stock Appreciation Rights
Exercise: $37.91From: 2019-02-19Exp: 2026-02-18→ Common Stock (93,989 underlying) - 211,196
Stock Option
Exercise: $58.34From: 2021-04-01Exp: 2030-04-01→ Common Stock (211,196 underlying) - 94,369
Common Stock (By Trust)
- 242,408
Stock Option
Exercise: $54.19From: 2020-04-01Exp: 2029-04-01→ Common Stock (242,408 underlying) - 192,741
Stock Appreciation Rights
Exercise: $45.91From: 2019-02-17Exp: 2027-02-16→ Common Stock (192,741 underlying) - 224,604
Stock Option
Exercise: $74.30From: 2022-04-01Exp: 2031-04-01→ Common Stock (224,604 underlying)
Footnotes (7)
- [F1]Surrender of shares in payment of withholding taxes due upon the vesting of a restricted stock unit award.
- [F2]Represents unvested Aetna Inc. Stock Appreciation Rights ("SARs") granted under the Aetna Inc. 2010 Stock Incentive Plan (the "Aetna Plan") on February 17, 2017 that were converted into CVS Health SARs pursuant to the terms of the CVS/Aetna Merger Agreement. These SARs vested in two substantially equal annual installments beginning on February 17, 2019.
- [F3]Represents unvested SARs granted under the Aetna Plan on February 19, 2016 that were converted into CVS Health SARs pursuant to the terms of the CVS/Aetna Merger Agreement. These SARs vested on February 19, 2019.
- [F4]Option became exercisable in four equal annual installments, commencing 4/1/2020.
- [F5]The number of shares subject to the option were calculated using a 30-day average price.
- [F6]Options became exercisable in four equal installments, commencing 4/1/2021.
- [F7]Option becomes exercisable in four equal installments, commencing 4/1/2022.
Documents
Issuer
CVS HEALTH Corp
CIK 0000064803
Entity typeother
Related Parties
1- filerCIK 0001333760
Filing Metadata
- Form type
- 4
- Filed
- Nov 30, 7:00 PM ET
- Accepted
- Dec 1, 4:28 PM ET
- Size
- 12.7 KB