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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 | $ 16.1811 | 05/18/2004 | M | 123,230 | 04/11/1996 | 04/11/2005 | Common Stock | 123,230 | $ 0 | 0 | D | ||||
Stock Option | $ 16.7223 | 05/18/2004 | M | 2,900 | 05/14/1997 | 04/14/2006 | Common Stock | 2,900 | $ 0 | 390,020 | D | ||||
Stock Option | $ 16.7223 | 05/19/2004 | M | 197,100 | 05/14/1997 | 04/14/2006 | Common Stock | 197,100 | $ 0 | 192,920 | D | ||||
Stock Option | $ 23 | 02/17/1998 | 02/17/2007 | Common Stock | 391,320 | 391,320 | D | ||||||||
Stock Option | $ 25.125 | 01/09/2005 | 01/09/2013 | Common Stock | 450,000 | 450,000 | D | ||||||||
Stock Option | $ 29.925 | 01/02/2003 | 01/02/2012 | Common Stock | 506,062 | 506,062 | D | ||||||||
Stock Option | $ 35.335 | 01/08/2005 | 01/08/2011 | Common Stock | 200,000 | 200,000 | D | ||||||||
Stock Option | $ 36.6953 | 02/27/2001 | 02/27/2008 | Common Stock | 195,660 | 195,660 | D | ||||||||
Stock Option | $ 37.3125 | 03/12/2001 | 03/12/2008 | Common Stock | 600,000 | 600,000 | D | ||||||||
Stock Option | $ 38.5625 | 01/03/2002 | 01/03/2010 | Common Stock | 200,000 | 200,000 | D | ||||||||
Stock Option | $ 50 | 03/10/2001 | 03/10/2009 | Common Stock | 150,000 | 150,000 | D | ||||||||
Stock Option | $ 60.525 | 03/07/2003 | 03/07/2011 | Common Stock | 250,000 | 250,000 | D | ||||||||
Phantom Stock Credits | $ 1 | (4) | (4) | Common Stock | 614 | 614 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
RYAN THOMAS M ONE CVS DRIVE WOONSOCKET, RI 02895- |
X | Chairman & CEO |
Thomas M Ryan | 05/19/2004 | |
**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) | Includes shares acquired pursuant to issuer's Employee Stock Purchase Plan. |
(2) | Includes dividend reinvestment shares acquired during the course of the year. |
(3) | Reflects stock beneficially owned pursuant to issuer's ESOP Plan. |
(4) | Reflects 2002 and 2003 year end company match share credits of 33 and 581, respectively, 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. |