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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 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 2270 (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 at End of Issuer's Fiscal Year (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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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Phantom Stock | $ 0 | (4) | (4) | Common Stock | 4,729.91 (2) (3) | |||||||||
Director Stock Unit Plan | $ 0 | (6) | (6) | Common Stock | 22,178.87 (2) (5) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
RYAN THOMAS M CVS CORPORATION ONE CVS DRIVE WOONSOCKET, RI 02895 |
X |
Thomas M. Ryan/Roger C. McClary POA | 02/09/2005 | |
**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) | 124 shares were not included in the reporting person's Form 3 filed on April 1, 2004 reporting his initial holdings. |
(2) | The securities included in this report and future reports reflect the Company's 2 for 1 stock split on August 27, 2004. |
(3) | Includes 92.50 phantom stock units acquired in 2004 with reinvested dividend equivalents under the Bank of America Directors' Sto ck Plan. |
(4) | Phantom stock units may be settled in cash upon death or termination of service as a director. |
(5) | Includes 432.91 units acquired in 2004 with reinvested dividend equivalents under the Fleet Directors Deferred Compensation and S tock Unit Plan, which may be settled in stock upon death or termination of service as a director. |
(6) | Director deferral plan units may be settled in stock upon death or termination of service as a director. |