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CVS HEALTH Corp Director's Dealing 2021

Dec 28, 2021

29875_dirs_2021-12-28_6cec1c98-a8dc-420d-a978-fd70344cf145.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: 2021-12-27

Reporting Person: Lotvin Alan (EVP&President-PharmacyServices)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2021-12-27 Common Stock (restricted) F 200 $88.78 Disposed 5827 Direct

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 61341.3689 Direct
Common Stock 492 Indirect
Stock Unit 29851.1611 Direct

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Phantom Stock Credits $1.00 Common Stock (556.7643) 556.7643 Direct
Stock Option $102.26 2022-04-01 Common Stock (21386) 21386 Direct
Stock Option $104.82 2023-04-01 Common Stock (27395) 27395 Direct
Stock Option $78.05 2024-04-03 Common Stock (32911) 32911 Direct
Stock Option $62.21 2025-04-01 Common Stock (22541) 22541 Direct
Stock Option $54.19 2029-04-01 Common Stock (70702) 70702 Direct
Stock Option $58.34 2030-04-01 Common Stock (140797) 140797 Direct
Stock Option $74.30 2031-04-01 Common Stock (120940) 120940 Direct

Footnotes

F1: Transaction represents the withholding of shares by the Issuer to satisfy FICA taxes arising from the reporting person being retirement eligible.

F2: 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.

F3: 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.

F4: Option became exercisable in four equal annual installments, commencing 4/1/2016.

F5: Option became exercisable in four equal annual installments, commencing 4/1/2017.

F6: Option became exercisable in four equal annual installments, commencing 4/3/2018.

F7: Option became exercisable in four equal annual installments, commencing 4/1/2019.

F8: Option became exercisable in four equal annual installments, commencing 4/1/2020.

F9: The number of shares subject to the option were calculated using a 30-day average price.

F10: Option became exercisable in four equal annual installments, commencing 4/1/2021.

F11: Option becomes exercisable in four equal annual installments, commencing 4/1/2022.