Sec Form 4 Filing - GOLD STEPHEN J @ CVS HEALTH Corp - 2017-04-01

Insider filing report for Changes in Beneficial Ownership
"Insiders might sell their shares for any number of reasons, but they buy them for only one: they think the price will rise"
- Peter Lynch
What is insider trading>>
FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Expires: November 30, 2011
Estimated average burden hours per response... 0.5
1. Name and Address of Reporting Person
GOLD STEPHEN J
2. Issuer Name and Ticker or Trading Symbol
CVS HEALTH Corp [ CVS]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
EVP & CIO
(Last) (First) (Middle)
ONE CVS DRIVE
3. Date of Earliest Transaction (MM/DD/YY)
04/01/2017
(Street)
WOONSOCKET, RI02895
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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)
Code V Amount (A) or (D) Price
Common Stock 04/01/2017 F 1,396 ( 1 ) D $ 78.5 29,187.6785 D
Common Stock (restricted) 04/03/2017 A 8,648 ( 2 ) A $ 78.05 46,818 D
Common Stock (pep) 10,265.9554 D
Stock Unit 7,240.8004 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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option $ 78.05 04/03/2017 A 67,621 04/03/2018( 3 ) 04/03/2024 Common Stock 67,621 $ 78.05 67,621 D
Stock Option $ 54.53 04/01/2014( 4 ) 04/01/2020 Common Stock 25,571 25,571 D
Stock Option $ 74.29 04/01/2015( 5 ) 04/01/2021 Common Stock 33,569 33,569 D
Stock Option $ 47.29 07/09/2015( 6 ) 07/09/2022 Common Stock 63,440 63,440 D
Stock Option $ 102.26 04/01/2016( 7 ) 04/01/2022 Common Stock 41,089 41,089 D
Stock Option $ 104.82 04/01/2017( 8 ) 04/01/2023 Common Stock 48,395 48,395 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
GOLD STEPHEN J
ONE CVS DRIVE
WOONSOCKET, RI02895
EVP & CIO
Signatures
/s/ Stephen J. Gold 04/04/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Surrender of shares in payment of withholding taxes due upon the vesting of a restricted stock unit award.
( 2 )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.
( 3 )Option becomes exercisable in four equal annual installments, commencing 4/3/2018.
( 4 )Option became exercisable in four equal annual installments, commencing 4/1/2014.
( 5 )Option became exercisable in four equal annual installments, commencing 4/1/2015.
( 6 )Option became exercisable in three equal annual installments, commencing 07/09/2015.
( 7 )Option became exercisable in four equal annual installments, commencing 4/1/2016.
( 8 )Option became exercisable in four equal annual installments, commencing 4/1/2017.

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.