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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
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 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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option | $ 41.17 | 01/05/2015 | M | 144,144 | 04/01/2009(4) | 04/01/2015 | Common Stock | 144,144 | $ 0 | 0 | D | ||||
Phantom Stock Credits | $ 1 (5) | (6) | (6) | Common Stock | 5,156.1057 | 5,156.1057 | D | ||||||||
Stock Option | $ 28.1 | 04/01/2010(7) | 04/01/2016 | Common Stock | 92,786 | 92,786 | D | ||||||||
Stock Option | $ 36.23 | 04/01/2011(8) | 04/01/2017 | Common Stock | 152,988 | 152,988 | D | ||||||||
Stock Option | $ 34.96 | 04/01/2012(9) | 04/01/2018 | Common Stock | 241,150 | 241,150 | D | ||||||||
Stock Option | $ 45.07 | 04/02/2013(10) | 04/02/2019 | Common Stock | 332,736 | 332,736 | D | ||||||||
Stock Option | $ 54.53 | 04/01/2014(11) | 04/01/2020 | Common Stock | 314,713 | 314,713 | D | ||||||||
Stock Option | $ 74.29 | 04/01/2015(12) | 04/01/2021 | Common Stock | 335,697 | 335,697 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MERLO LARRY J ONE CVS DRIVE WOONSOCKET, RI 02895- |
X | President and CEO |
Larry J. Merlo | 01/06/2015 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Gift was to an Irrevocable Life Insurance Trust ("ILIT"). The reporting person is not a trustee of the ILIT and disclaims any beneficial ownership or investment control over the ILIT. |
(2) | All sales were effected pursuant to a Rule 10b5-1 plan. |
(3) | Represents weighted average sale price for this trading day. Multiple sales were executed, with sales prices ranging between $93.88 and $94.86 per share. |
(4) | Option became exercisable in three equal annual installments, commencing 4/1/2009. |
(5) | Each share credit is equivalent to one share; 1-for-1 conversion. |
(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 three equal annual installments, commencing 4/1/2010. |
(8) | Option became exercisable in three equal annual installments, commencing 4/1/2011. |
(9) | Option became exercisable in four equal annual installments, commencing 4/1/2012. |
(10) | Option became exercisable in four equal annual installments, commencing 4/2/2013. |
(11) | Option became exercisable in four equal annual installments, commencing 4/1/2014. |
(12) | Option becomes exercisable in four equal annual installments, commencing 4/1/2015. |