CVS HEALTH CHARITY CLASSIC INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CVS HEALTH CHARITY CLASSIC INC (EIN 05-0508742)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-14
- IRS object ID
- 201623199349311147
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-14T17:22:38-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SEAPORT BLVD | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050508742 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CVS HEALTH CHARITY CLASSIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JEFFREY E CLARK | InCareOfNm |
| Business Name Control | CVSH | BusinessNameControlTxt |
| Phone | 4017651500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE CVS DRIVE | AddressLine1Txt |
| City | WOONSOCKET | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 028956146 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY E CLARK | PersonNm |
| Person Title | ASSISTANT SECRETARY | PersonTitleTxt |
| Phone | 4017651500 | PhoneNum |
| Signature | 2016-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL J TANIS | PreparerPersonNm |
| PTIN | P01441612 | PTIN |
| Phone | 6175305000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | EILEEN H BOONE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE CVS DRIVE | AddressLine1Txt |
| City | WOONSOCKET | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02895 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,979,870 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.cvshealthcharityclassic.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 770 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,419,220 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,212,533 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $228 | PYInvestmentIncomeAmt |
| CY Investment Income | $191 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$355,854 | PYOtherRevenueAmt |
| CY Other Revenue | -$2,993,236 | CYOtherRevenueAmt |
| PY Total Revenue | $2,063,594 | PYTotalRevenueAmt |
| CY Total Revenue | $1,219,488 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,238,955 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,329,972 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $674,796 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $288,000 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $288,000 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $0 | PYOtherExpensesAmt |
| CY Other Expenses | $0 | CYOtherExpensesAmt |
| PY Total Expenses | $1,913,751 | PYTotalExpensesAmt |
| CY Total Expenses | $1,617,972 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $149,843 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$398,484 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,640,884 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,624,915 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $245,237 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $516,400 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,395,647 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,108,515 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,329,972 | ExpenseAmt |
| Grant | $1,329,972 | GrantAmt |
| Desc | The CVS Health Charity Classic, Inc. was established to raise money via a world class golf venue for the support of other non-profit agencies throughout New England. Since 1999, the CVS Health Charity Classic, Inc. has allocated over $20.84 million in charitable donations to hundreds of organizations. | Desc |
| Total Program Service Expenses | $1,329,972 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (true) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | Yes (true) | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 18 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY E CLARK | PersonNm |
| Phone | 4017701500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE CVS DRIVE | AddressLine1Txt |
| City | WOONSOCKET | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 028956146 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| Eileen H Boone | |||||||
| President/Director | 0.5 | 40.5 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| WAYNE CHARNESS | |||||||
| DIRECTOR | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| MARK G KOLLIGIAN | |||||||
| DIRECTOR | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| CAROL A DENALE | |||||||
| VICE PRESIDENT/TREASURER | 0.5 | 40.5 | Yes (X) | $0 | $0 | $0 | |
| THOMAS S MOFFATT | |||||||
| SECRETARY | 0.5 | 40.5 | Yes (X) | $0 | $0 | $0 | |
| MELANIE K LUKER | |||||||
| ASSISTANT SECRETARY | 0.5 | 40.5 | Yes (X) | $0 | $0 | $0 | |
| JEFFREY E CLARK | |||||||
| ASSISTANT SECRETARY | 0.5 | 40.5 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PETER JACOBSEN SPORTS LLC | |||||
| 9400 SW Barnes Road Suite 550 | PORTLAND | OR | 97225 | Management | $1,142,930 |
| RHODE ISLAND COUNTRY CLUB | |||||
| 150 NAYATT ROAD PO BOX 74 | BARRINGTON | RI | 02806 | Rental services | $403,215 |
| CAA SPORTS LLC | |||||
| 2000 AVENUE OF THE STARS | LOS ANGELES | CA | 90067 | CONSULTING SERVICES | $416,254 |
| SPECTRUM | |||||
| PO BOX 7130 | WOODLANDS | TX | 77007 | CATERING SERVICES | $298,208 |
| ENTERTAINMENT SERVICES | |||||
| 101 CIRCUIT DRIVE | NORTH KINGSTON | RI | 02852 | ENTERTAINMENT | $205,864 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $3,591,479 | FundraisingAmt |
| Related Organizations | $621,054 | RelatedOrganizationsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $24,108 | NoncashContributionsAmt |
| Total Contributions | $4,212,533 | TotalContributionsAmt |
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $191 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $191 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $4,767,146 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $3,591,479 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $7,760,382 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,993,236 | TotalRevenueColumnAmt |
| Exclusion | -$2,993,236 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,219,488 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$2,993,045 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,329,972 | TotalAmt |
| Program Services | $1,329,972 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,000 | TotalAmt |
| Fundraising | $288,000 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,617,972 | TotalAmt |
| Program Services | $1,329,972 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $288,000 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,227,452 | BOYAmt |
| EOY | $1,251,932 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,988 | BOYAmt |
| EOY | $307,152 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,086 | BOYAmt |
| EOY | $65,531 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,358 | BOYAmt |
| EOY | $300 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,640,884 | BOYAmt |
| EOY | $1,624,915 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,237 | BOYAmt |
| EOY | $516,400 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,237 | BOYAmt |
| EOY | $516,400 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,374,487 | BOYAmt |
| EOY | $1,084,731 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,160 | BOYAmt |
| EOY | $23,784 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,395,647 | BOYAmt |
| EOY | $1,108,515 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,640,884 | BOYAmt |
| EOY | $1,624,915 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$398,484 | ReconcilationRevenueExpnssAmt |
| Donated Services And Use Fclts | $87,568 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | $23,784 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,913,764 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,529,711 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,685,179 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,419,220 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,212,533 | CurrentTaxYearAmt |
| Total | $14,760,407 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,913,764 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,529,711 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,685,179 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,419,220 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,212,533 | CurrentTaxYearAmt |
| Total | $14,760,407 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $3,726,552 | SubstantialContributorsTotAmt |
| Public Support Total170 | $11,033,855 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $721 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $512 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $438 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $228 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $191 | CurrentTaxYearAmt |
| Total | $2,090 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $14,762,497 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $19,532,179 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.74743 | PublicSupportCY170Pct |
| Public Support PY170 | 0.78893 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Rev Etc Audited Fincl Stmt | $9,091,222 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $87,568 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $7,760,382 | OtherRevenueAmt |
| Revenue Not Reported | $7,847,950 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,243,272 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$23,784 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$23,784 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,219,488 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,378,354 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $7,760,382 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $7,760,382 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,617,972 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,617,972 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART XI, LINE 2D | $7,760,382 RECLASSIFY FUNDRAISING EXPENSES. |
| SCHEDULE D, PART XI, LINE 4B | $(23,784) SPONSORSHIPS |
| SCHEDULE D, PART XII, LINE 2D | $7,760,382 RECLASSIFY FUNDRAISING EXPENSES. |
| SCHEDULE D, PART X, LINE 2 | FIN 48 FOOTNOTE The Organization recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized upon settlement. Changes in recognition in measurement are reflected in the period in which the change in judgment occurs. The organization has not recognized any liability for unrecognized tax benefits. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (true) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Peter Jacobson SportsLLC | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9400 SW Barnes Rd 550 | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97225 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | Marketing | ActivityTxt |
| Fundraiser Control Of Funds | false | FundraiserControlOfFundsInd |
| Gross Receipts | $8,358,625 | GrossReceiptsAmt |
| Retained By Contractor | $288,000 | RetainedByContractorAmt |
| Net To Organization | $8,070,625 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $8,358,625 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $288,000 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $8,070,625 | TotalNetToOrganizationAmt |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF/AUCTION | Event1Nm |
| Gross Receipts Event1 | $8,358,625 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $3,591,479 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $4,767,146 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $1,747,000 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $1,519,083 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $658,220 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $588,882 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $3,247,197 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $8,358,625 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $3,591,479 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $4,767,146 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $1,747,000 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $1,519,083 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $658,220 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $588,882 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,247,197 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $7,760,382 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$2,993,236 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (38 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| American Heart Association | ||||||||
| One State Street Suite 200 | Providence | RI | 02908 | 135613797 | 501(C)(3) | $25,000 | FMV | Health & Human Services |
| American Red Cross | ||||||||
| 105 Gano St | Providence | RI | 02906 | 050196605 | 501(C)(3) | $25,000 | FMV | Disaster Relief |
| Arthritis Foundation New England Region | ||||||||
| 2348 Post Rd Suite 104 | Warwick | RI | 02886 | 042113261 | 501(C)(3) | $30,000 | FMV | Health Care |
| Autism Project | ||||||||
| 1516 Atwood Ave | Johnston | RI | 02919 | 050512037 | 501(C)(3) | $25,000 | FMV | Health and Advocacy |
| Barrington Education Foundation | ||||||||
| 283 County Rd | Barrington | RI | 02806 | 050474061 | 501(C)(3) | $10,000 | FMV | Education |
| Bayside YMCA | ||||||||
| 70 West St | Barrington | RI | 02806 | 050258878 | 501(C)(3) | $7,500 | FMV | Recreation & Education |
| Boston Red Fox Foundation | ||||||||
| 4 Yawkey Street | Boston | MA | 02215 | 331007984 | 501(C)(3) | $25,000 | FMV | Youth Development |
| Boys & Girls Clubs of Providence | ||||||||
| 550 Wickenden St | Provodence | RI | 02903 | 050258929 | 501(C)(3) | $25,000 | FMV | Youth Development |
| Brain Injury Association of Rhode Island | ||||||||
| 935 Park Ave Ste 8 | Cranston | RI | 02910 | 222528586 | 501(C)(3) | $50,000 | FMV | Health & Human Services |
| Children's Wish Group of RI Inc | ||||||||
| 2346 Post Rd Suite 102 | Warwick | RI | 02886 | 264662878 | 501(C)(3) | $30,000 | FMV | Youth Development |
| Crossroads Rhode Island | ||||||||
| 160 Broad Street | Providence | RI | 02903 | 050259094 | 501(C)(3) | $35,000 | FMV | Health & Human Services |
| Economic Progress Institute | ||||||||
| 600 Mount Pleasant Ave Bldg 9 | Providence | RI | 02908 | 320295517 | 501(C)(3) | $10,000 | FMV | Health & Social Services |
| Emma Pendleton Bradley Hospital | ||||||||
| 1011 Veterans Memorial Parkway | East Providence | RI | 02915 | 050258806 | 501(C)(3) | $20,000 | FMV | Health and Youth Education |
| Gloria Gemma Breast Cancer Resource Foundation | ||||||||
| 249 Roosevelt Avenue Suite 201 | Pawtucket | RI | 02860 | 134283582 | 501(C)(3) | $10,000 | FMV | Health Care |
| Golf Foundation of RI (Button Hole) | ||||||||
| 1 ButtonHole Drive Suite One | Providence | RI | 02909 | 050497481 | 501(C)(3) | $20,000 | FMV | Education |
| Highlander Charter School | ||||||||
| 42 Lexington Ave | Providence | RI | 02907 | 050517389 | 501(C)(3) | $15,000 | FMV | Education |
| JDRF | ||||||||
| 2350 Post Road Ste 201 | Warwick | RI | 02886 | 121907729 | 501(C)(3) | $10,000 | FMV | Health & Human Services |
| Learning Center for Deaf Inc | ||||||||
| 848 Central ST | Framingham | MA | 01701 | 237064431 | 501(C)(3) | $25,000 | FMV | Education |
| March of Dimes | ||||||||
| 260 West Exchange Suite 004 | Providence | RI | 02903 | 131846366 | 501(C)(3) | $25,000 | FMV | Health & Human Services |
| Meeting Street | ||||||||
| 1000 Eddy street | Providence | RI | 02905 | 050269232 | 501(C)(3) | $50,000 | FMV | Education |
| Our Sister's School | ||||||||
| 145 Brownell Ave | New Bedford | MA | 02740 | 260367118 | 501(C)(3) | $20,000 | FMV | Education |
| PeaceLove Foundation | ||||||||
| 171 Main Street | Pawtucket | RI | 02860 | 272224246 | 501(C)(3) | $40,000 | FMV | Arts & Culture |
| San Miguel Education Center | ||||||||
| 525 Branch Avenue | Providence | RI | 02904 | 223232973 | 501(C)(3) | $20,000 | FMV | Education |
| Save The Bay | ||||||||
| 100 Save The Bay Drive | Providence | RI | 02905 | 050343046 | 501(C)(3) | $27,500 | FMV | Education |
| Serve Rhode Island | ||||||||
| 655 Broad St Po Box 72822 | Providence | RI | 02907 | 050479705 | 501(C)(3) | $10,000 | FMV | Health and Human Services |
| Sojourner House | ||||||||
| 386 Smith Street | Providence | RI | 02907 | 050370419 | 501(C)(3) | $25,000 | FMV | Community Services |
| Special Olympics Rhode Island | ||||||||
| 370 George Washington Hwy | Smithfield | RI | 02917 | 050377867 | 501(C)(3) | $25,000 | FMV | Youth Development |
| Spurwink RI | ||||||||
| One Spurwink Place | Cranston | RI | 02910 | 010370716 | 501(C)(3) | $20,000 | FMV | Health & Human services |
| Tap In | ||||||||
| PO Box 252 | Barrington | RI | 02806 | 222481382 | 501(C)(3) | $8,750 | FMV | Community Services |
| Tides Family Services | ||||||||
| 215 Washington Street | West Warwick | RI | 02893 | 222478229 | 501(C)(3) | $20,000 | FMV | Health & Human Services |
| Youth Pride Inc | ||||||||
| 743 Westminster Street | Providence | RI | 02903 | 050478645 | 501(C)(3) | $20,000 | FMV | Health & Human Services |
| Community Scholarship Fund of Barrington | ||||||||
| PO Box 300 | Barrington | RI | 02806 | 300798085 | 501(C)(3) | $10,000 | FMV | Education |
| Stadium Theatre Foundation | ||||||||
| 28 Monument Square | Woonsocket | RI | 02895 | 050486986 | 501(C)(3) | $10,000 | FMV | Arts & Culture |
| American Lung Association of the Northeast | ||||||||
| 260 West Exchange Street Suite 102 | Providence | RI | 02903 | 060646594 | 501(C)(3) | $10,000 | FMV | HEALTH AND HUMAN SERVICES |
| Donate Life America | ||||||||
| 701 East Byrd St 16th Fl | Richmond | VA | 23219 | 541626038 | 501(C)(3) | $10,000 | FMV | Healthcare |
| The Station Fire Memorial Foundation | ||||||||
| 78 Wilbur Avenue | Cranston | RI | 02920 | 562382562 | 501(C)(3) | $10,000 | FMV | Community Services |
| Waterfire Providence | ||||||||
| 101 Regent Avenue | Providence | RI | 02908 | 222951612 | 501(C)(3) | $10,000 | FMV | Arts & Culture |
| Woonsocket Little League | ||||||||
| 777 Providence Street | Woonsocket | RI | 02895 | 521234693 | 501(C)(3) | $10,000 | FMV | Youth Development |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 38 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DESCRIPTION OF ORGANIZATIONAL PROCEDURES | FormAndLineReferenceDesc |
| Explanation | FORM 990, SCHEDULE I DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS PARTICIPATING ORGANIZATIONS ARE ASKED TO COMPLETE A GRANT APPLICANT QUESTIONNAIRE IN WHICH THEY ARE REQUIRED TO PROVIDE INFORMATION REGARDING PROGRAMS, FINANCES, TAX STATUS INFORMATION & COPIES OF TAX RETURNS. THE CVS CLASSIC REVIEWS ALL DOCUMENTS SUBMITTED BY GRANT APPLICANTS AND INDEPENDENTLY VERIFIES TAX - EXEMPT STATUS. IN ADDITION, THE CLASSIC REVIEWS THE IMPACT OF THE PROPOSED GRANT ON THE RESIDENTS OF RHODE ISLAND. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ORGANIZATION'S MISSION STATEMENT | FORM 990, PART I, LINE 1 AND PART III, LINE 1 The purpose of the organization is to organize and conduct fundraising events in order to raise money to make charitable contributions to organizations that are exempt from tax under SECTION 501(c)(3) of the internal revenue code and whose tax exempt purposes relates directly or indirectly to the health, education and/or general welfare of the general public. Independent Voting Members Form 990, Part I, Line 3 Eileen Howard Boone, the president and director of CVS Health Charity Classic, is also an officer of CVS Pharmacy, Inc. |
| Description of Relationships | Form 990, Part VI, SECTION A, Line 2 Eileen Howard Boone, a director on the CVS Health Charity Classic's Board, is also an officer of CVS Pharmacy, Inc. Jeffrey E. Clark and Melanie K. Luker are employees of CVS Pharmacy, Inc. Carol A. Denale and Thomas S. Moffatt are officers of CVS HEALTH Corporation. |
| Committee Authority | Form 990, Part VI, Section A, Line 8 There are no committees with authority to act on behalf of the governing body. |
| Process for review of Form 990 | Form 990, Part VI, Section B, Line 11B CVS HEALTH employees gather all data for the return and provide the information to an outside accounting firm for preparation. The return is reviewed by CVS Health management and the outside Accounting Firm that signs as preparer. The management of Charity Classic reviews the return and makes any adjustments deemed necessary to file a complete and accurate return. Before filing with the IRS, the complete Form 990 and supporting schedules are reviewed by the Board of Directors. |
| Description of Process to monitor transactions for conflict of interest | Form 990, Part VI, Section B, Line 12C Each director, officer, and member of a committee with board-delegated powers is an interested person and must annually affirm that they have received a copy of the conflict of interest policy of CVS Health Corporation, and have agreed to comply with the policy. In connection with any actual or possible conflict of interest, an interested person has an ongoing duty to disclose the existence of the financial interest and shall be given the opportunity to disclose all material facts to the directors and members of committees with board-delegated powers concerning the proposed transaction or arrangement. After disclosure of the financial interest and all material facts, and after any discussions with the interested person, he or she shall leave the board or committee meeting during the discussion of the potential conflict of interest and the vote on whether a conflict of interest exists. The remaining board or committee members shall decide if a conflict of interest exists. If a conflict of interest is found to exist, the chairman of the board or the committee shall, if appropriate, will appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the board or committee shall determine whether the corporation can obtain with reasonable efforts a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. |
| Public Access to Organization's Documents | Form 990, Part VI, Section C, Line 19 Governing documents, financial statements, and the organization's conflict of interest policy are available to the public upon request. |
| Compensation of Officers | Form 990, Part VI, Section B, Line 15 All persons serving as officers and directors of the organization are employed by CVS HEALTH Corporation and are compensated by CVS HEALTH Corporation for their services to CVS HEALTH Corporation. They serve voluntarily as officers and directors of the organization on an uncompensated basis. RECONCILIATION OF NET ASSETS Form 990, Part XI, Line 9 $23,784 SPONSORSHIPS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CVS FOUNDATION | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 223206973 | Grant Making | RI | 501(c)(3) | PF | CVS PHARMACY | Yes (true) |
| CVS HEALTH EMPLOYEE RELIEF FUND | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 274380115 | Grant Making | RI | 501(C)(3) | 7 | CVS PHARMACY | Yes (true) |
| OMNICARE FOUNDATION | ||||||||||
| ONE CVS DRIVE | WOONSOCKET | RI | 02895 | 311389112 | GRANT MAKING | OH | 501(c)(3) | PF | OMNICARE INC | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (35 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| Accendo Insurance Company | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 061566092 | Insurance | UT | N/A | C Corp | Yes (true) | |
| Alabama CVS Pharmacy LLC | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 203648395 | Retail | AL | N/A | C Corp | Yes (true) | |
| Caremark Ulysses Holding Corp | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 112580136 | Holding Compa | NY | N/A | C Corp | Yes (true) | |
| Connecticut CVS Pharmacy LLC | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 203648725 | Retail | CT | N/A | C Corp | Yes (true) | |
| CVS Arclight Inc | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 050514363 | Retail | DE | N/A | C Corp | Yes (true) | |
| CVS Caremark Indemnity Ltd | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 050500188 | Retail | RI | N/A | C Corp | Yes (true) | |
| CVS Foreign Inc | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 050497953 | Non Retail | NY | N/A | C Corp | Yes (true) | |
| CVS International LLC | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 455509568 | Holding Compa | DE | N/A | C Corp | Yes (true) | |
| CVS Pharmacy Inc | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 050340626 | Pharmacy Serv | RI | N/A | C Corp | false | |
| CVS Rx Services Inc | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 050501917 | Pharmacy Serv | NY | N/A | C Corp | Yes (true) | |
| CVS WWRE Inc | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 050511636 | Retail | NY | N/A | C Corp | Yes (true) | |
| Delaware CVS Pharmacy LLC | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 260223262 | Retail | DE | N/A | C Corp | Yes (true) | |
| ETB INC | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 742118879 | Retail | TX | N/A | C Corp | Yes (true) | |
| Eckerd Corporation of Florida Inc | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 593102662 | Non Retail | FL | N/A | C Corp | Yes (true) | |
| Iowa CVS Pharmacy LLC | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 204281257 | Retail | IA | N/A | C Corp | Yes (true) | |
| JEC Funding Inc | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 133388181 | Non Retail | DE | N/A | C Corp | Yes (true) | |
| Kentucky CVS Pharmacy LLC | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 204452072 | Retail | KY | N/A | C Corp | Yes (true) | |
| Maryland CVS Pharmacy LLC | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 651262539 | Retail | MD | N/A | C Corp | Yes (true) | |
| Massachusetts CVS Pharmacy Inc | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 300790391 | Retail | MA | N/A | C Corp | Yes (true) | |
| Melville Realty Company Inc | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 046050302 | Lease Guarant | NY | N/A | C Corp | Yes (true) | |
| New Jersey CVS Pharmacy LLC | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 203618568 | Retail | NJ | N/A | C Corp | Yes (true) | |
| North Carolina CVS Pharmacy LLC | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 203649570 | Retail | NC | N/A | C Corp | Yes (true) | |
| Oklahoma CVS Pharmacy LLC | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 204837341 | Retail | OK | N/A | C Corp | Yes (true) | |
| Pennsylvania Life Insurance Company | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 231305366 | Insurance | PA | N/A | C Corp | Yes (true) | |
| PharmaCare Captive RE Ltd | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 202840526 | Insurance | AZ | N/A | C Corp | Yes (true) | |
| Retrac Inc | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 310963857 | Retail | OH | N/A | C Corp | Yes (true) | |
| Rhode Island CVS Pharmacy LLC | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 204451847 | Retail | RI | N/A | C Corp | Yes (true) | |
| Richmond Heights Acquisition Corp | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 611428940 | Retail | OH | N/A | C Corp | Yes (true) | |
| SilverScript Insurance Company | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 202833904 | Insurance | TN | N/A | C Corp | Yes (true) | |
| Tennessee CVS Pharmacy LLC | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 203738440 | Retail | TN | N/A | C Corp | Yes (true) | |
| UAC Holding Inc | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 271298765 | Retail | DE | N/A | C Corp | Yes (true) | |
| Virginia CVS Pharmacy LLC | ||||||||||
| One CVS Drive | Woonsocket | RI | 02895 | 203649917 | Retail | VA | N/A | C Corp | Yes (true) | |
| OMNICARE INC | ||||||||||
| ONE CVS Drive | WOONSOCKET | RI | 02895 | 311001351 | PHARMACY SERVICE | OH | C CORP | Yes (true) | NA | |
| CVS HEALTH CORPORATION | ||||||||||
| ONE CVS Drive | WOONSOCKET | RI | 02895 | 050494040 | HOLDING COMPANY | RI | C CORP | false | NA | |
| Coram Alternate Site Services Inc | ||||||||||
| ONE CVS DRIVE | WOONSOCKET | RI | 02895 | 760215922 | HOME INFUSION | RI | C CORP | Yes (true) | NA | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |