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CVS HEALTH Corp Director's Dealing 2017

Apr 4, 2017

29875_dirs_2017-04-04_9925d2a9-2ef5-4e3f-906b-d96b63d9bd16.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: CVS HEALTH Corp (CVS)
CIK: 0000064803
Period of Report: 2017-04-02

Reporting Person: Roberts Jonathan C (EVP & Chief Operating Officer)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2017-04-02 Common Stock F 4655 $78.50 Disposed 33812.1293 Direct
2017-04-03 Common Stock (restricted) A 25624 $78.05 Acquired 70780 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2017-04-03 Stock Option $78.05 A 200358 Acquired 2024-04-03 Common Stock (200358) Direct

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock (pep) 11702.5082 Direct
ESOP Common Stock 5319.994 Indirect
Stock Unit 141331.4939 Direct

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Phantom Stock Credits $1.00 Common Stock (1418.9113) 1418.9113 Direct
Stock Option $34.96 2018-04-01 Common Stock (85743) 85743 Direct
Stock Option $45.07 2019-04-02 Common Stock (77639) 77639 Direct
Stock Option $54.53 2020-04-01 Common Stock (68844) 68844 Direct
Stock Option $74.29 2021-04-01 Common Stock (73433) 73433 Direct
Stock Option $45.93 2022-09-04 Common Stock (108870) 108870 Direct
Stock Option $102.26 2022-04-01 Common Stock (68482) 68482 Direct
Stock Option $104.82 2023-04-01 Common Stock (161318) 161318 Direct

Footnotes

F1: Surrender of shares in payment of withholding taxes due upon the vesting of a restricted stock unit award.

F2: Consists of restricted stock units awarded pursuant to Issuer's 2010 Incentive Compensation Plan. Restrictions lapse 50% on 4/3/2020 and 50% on 4/3/2022.

F3: Option becomes exercisable in four equal annual installments, commencing 4/3/2018.

F4: 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.

F5: Option became exercisable in four equal annual installments, commencing 4/1/2012.

F6: Option became exercisable in four equal annual installments, commencing 4/2/2013.

F7: Option became exercisable in four equal annual installments, commencing 4/1/2014.

F8: Option became exercisable in four equal annual installments, commencing 4/1/2015.

F9: Option became exercisable in three equal annual installments, commencing 9/4/2015.

F10: Option became exercisable in four equal annual installments, commencing 4/1/2016.

F11: Option became exercisable in four equal annual installments, commencing 4/1/2017.