2014-11-13T14:44:35-06:00 2013-12-31 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2013-01-01 050508742 CVS CAREMARK CHARITY CLASSIC INC % CVS CAREMARK CHARITY CLASSIC CVSC 4017651500 ONE CVS DRIVE Suite WOONSOCKET RI 028956146 JEFFREY E CLARK ASSISTANT TREASURER 4017651500 2014-11-13 true PRICEWATERHOUSECOOPERS LLP P01441612 4017651500 2013 2015-11-30 17:44:51Z EILEEN H BOONE ONE CVS DRIVE WOONSOCKET RI 02895 9081570 false X www.cvscaremarkcharityclassic.com X 1999 RI SEE SCHEDULE O 3 2 0 600 0 0 2529711 2685179 0 0 512 438 -470570 -663893 2059653 2021724 1185000 1270000 0 0 0 0 698542 653035 653035 375000 0 2258542 1923035 -198889 98689 1233613 1501337 114818 276693 1118795 1224644 SEE SCHEDULE O false false 1270000 1270000 The CVS Caremark 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 Caremark Charity Classic, Inc has allocated over $18.27 million in charitable donations to hundreds of organizations. 1270000 true true false false false false false false false false false false false false true false true false false false false false false true true false false true false false false false false false false false false false false false false false false true true false false false true 9 0 true 0 false false false false false true true true 5 false false false X 3 2 true false false false false false false true false false false true true true true true true false false false X CVS CAREMARK CHARITY CLASSIC 4017651500 ONE CVS DRIVE WOONSOCKET RI 028956146 X Eileen H Boone President/Director 0.5 41.5 X X 0 0 0 Wayne Charness Director 0.5 0.0 X 0 Bari A Harlam Director 0.5 0.0 X 0 Carole DeNale Vice President/Treasurer 0.5 40.5 X 0 Thomas S Moffatt Secretary 0.5 40.5 X 0 Jeffrey E Clark Assistant Treasurer 0.5 41.5 X Melanie K Luker Assistant Secretary 0.5 40.5 X 0 0 0 0 0 0 false false false PETER JACOBSEN SPORTS LLC 9400 SW Barnes Road Suite 550 PORTLAND OR 97225 Management 1304580 RHODE ISLAND COUNTRY CLUB 150 NAYATT ROAD PO BOX 74 BARRINGTON RI 02806 Rental services 427608 HORNE TIPPS TROPHY SUITES 8198 WOODLAND CENTER BOULEVARD TAMPA FL 33614 Trophy suite rentals 529692 SHAFFER SPORTS EVENTS 601 W 6TH STREET HOUSTON TX 77007 Rental Services 311066 SPECTRUM PO BOX 7130 THE WOODLANDS TX 77387 Catering Services 332125 10 2112644 572535 9489 2685179 0 438 438 0 0 0 0 0 0 6395953 2112644 7059846 -663893 -663893 0 0 0 2021724 -663455 1270000 1270000 0 0 0 0 0 0 0 0 0 0 0 0 0 653035 653035 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1923035 1270000 0 653035 950059 1234638 0 0 0 0 273574 257375 0 0 0 0 0 0 9980 9324 0 0 0 0 0 0 0 0 0 0 0 0 0 1233613 1501337 89758 276616 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25060 77 114818 276693 X 1085219 1217483 33576 7161 0 0 1118795 1224644 1233613 1501337 X 98689 7160 X false true X true false X 2363670 2830679 2913764 2529711 3257714 13895538 0 0 2363670 2830679 2913764 2529711 3257714 13895538 2229699 11665839 2590 1423 721 512 438 5684 0 0 13901222 34010550 0.83920 0.84890 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO CVS HEALTH CORPORATION 77 77 X 9088731 7059847 7059847 2028884 -7160 -7160 2021724 8982882 7059847 7059847 1923035 1923035 SCHEDULE D, PART XI, LINE 2D $7,059,847 RECLASSIFY FUNDRAISING EXPENSES. SCHEDULE D, PART XI, LINE 4B $(7,160) CHANGE IN TEMPORARILY RESTRICTED NET ASSETS. SCHEDULE D, PART XII, LINE 2D $7,059,847 RECLASSIFY FUNDRAISING EXPENSES. SCHEDULE D, PART X, LINE 2 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 fifty percent 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 did not recognize the effect of any income tax positions in either 2013 or 2012. X true Peter Jacobson Sports LLC 9400 SW Barnes Rd Portland OR 97225 Marketing false 8508597 653035 7855562 8508597 653035 7855562 GOLF / AUCTION 8508597 2112644 6395953 1784627 1378165 482268 366538 3048248 0 8508597 2112644 6395953 1784627 1378165 482268 366538 3048248 7059846 -663893 true American Heart Association One State Street Suite 200 Providence RI 02908 135613797 501(C)(3) 50000 FMV Health & Human Services American Red Cross 105 Gano St Providence RI 02906 050196605 501(C)(3) 25000 FMV Disaster Relief Amos House 413 Friendship St Providence RI 02907 050387218 501(C)(3) 10000 FMV Health and Social Services Arthritis Foundation New England Region 2348 Post Rd Suite 104 Warwick RI 02886 042113261 501(C)(3) 16500 FMV Health Care Autism Project 1516 Atwood Ave Johnston RI 02919 042113261 501(C)(3) 20000 FMV Health and Advocacy Barrington Education Foundation 283 County Rd Barrington RI 02806 050474061 501(C)(3) 10000 FMV Education Bayside YMCA 70 West St Barrington RI 02806 050258878 501(C)(3) 10000 FMV Recreation & Education Best Buddies Rhode Island 25 Esten Avenue Pawtucket RI 02860 521614576 501(C)(3) 20000 FMV Youth Development Boston Red Fox Foundation 4 Yawkey Street Boston MA 02215 331007984 501(C)(3) 25000 FMV Youth Development Boys & Girls Clubs of Providence 550 Wickenden St Provodence RI 02903 050258929 501(C)(3) 60000 FMV Youth Development Boys & Girls Clubs of Woonsocket 72 Kendrick Avenue Woonsocket RI 02895 061663293 501(C)(3) 10000 FMV Youth Development Boys and Girls Clubs of Boston Inc 50 Congress Street Suite 730 BOSTON MA 02109 042103922 501(C)(3) 35000 FMV Youth Development Brain Injury Association of Rhode Island 935 Park Ave Ste 8 Cranston RI 02910 222528586 501(C)(3) 25000 FMV Health & Human Services Children's Wish Group of RI Inc 2346 Post Rd Suite 102 Warwick RI 02886 264662878 501(C)(3) 16500 FMV Youth Development City Year Rhode Island 77 Eddy St 2nd Floor Providence RI 02903 222882549 501(C)(3) 50000 FMV Youth Development Community Prep 126 Somerset St Providence RI 02907 222485332 501(C)(3) 25000 FMV Education Connecting for Children and Families 46 HOPE STREET WOONSOCKET RI 02895 050475365 501(C)(3) 10000 FMV Community Services Crossroads Rhode Island 160 Broad Street Providence RI 02903 050259094 501(C)(3) 25000 FMV Adult Service Program Economic Progress Institute 600 Mount Pleasant Ave Bldg 9 Providence RI 02908 320295517 501(C)(3) 15000 FMV Health & Social Services Emma Pendleton Bradley Hospital 1011 Veterans Memorial Parkway East Providence RI 02915 050258806 501(C)(3) 25000 FMV Health and Youth Education Gloria Gemma Breast Cancer Resource Foundation 249 Roosevelt Avenue Suite 201 Pawtucket RI 02860 134283582 501(C)(3) 60000 FMV Health Care Golf for All PO Box 81246 Wellesley Hills MA 02481 274514262 501(C)(3) 50000 FMV Youth Development Golf Foundation of RI (Button Hole) 1 ButtonHole Drive Suite One Providence RI 02909 050497481 501(C)(3) 50000 FMV Youth Development Hasbro Children's Hospital 593 Eddy Street PO Box H Providence RI 02903 050258954 501(C)(3) 53000 FMV Health Care Highlander Charter School 42 Lexington Ave Providence RI 02907 050517389 501(C)(3) 25000 FMV Education JDRF 2350 Post Road Ste 201 Warwick RI 02886 121907729 501(C)(3) 10000 FMV Health & Human Services Joe Andruzzi Foundation Inc 130 Brown Ave Mansfield MA 02048 262017043 501(C)(3) 15000 FMV Health & Human Services Learning Center for Deaf Children 848 Central Ave Framingham MA 01701 237064431 501(C)(3) 25000 FMV Education March of Dimes 260 West Exchange Suite 004 Providence RI 02903 131846366 501(C)(3) 25000 FMV Health & Human Services Meeting Street 1000 Eddy street Providence RI 02905 050269232 501(C)(3) 25000 FMV Education Our Sister's School 145 Brownell Ave New Bedford MA 02740 260367118 501(C)(3) 25000 FMV Education PeaceLove Foundation 171 Main Street Pawtucket RI 02860 272224246 501(C)(3) 27000 FMV Arts & Culture Providence Children's Museum 100 South Street Providence RI 02903 050370944 501(C)(3) 10000 FMV Arts & Culture Providence Preservation Society 21 Meeting Street Providence RI 02903 050283958 501(C)(3) 10000 FMV Arts & Culture Rhode Island Community Food Bank 200 Niantic Avenue Providence RI 02907 050395601 501(C)(3) 25000 FMV Community Services Rhode Island Family Shelter 165 Beach Ave Warwick RI 02889 223035888 501(C)(3) 25000 FMV Health & Social Services Salvation Army RI State Office 386 Broad Street Providence RI 02907 135562351 501(C)(3) 10000 FMV Health & Human Services San Miguel School 525 Branch Avenue Providence RI 02904 223232973 501(C)(3) 27500 FMV Education Save The Bay 100 Save The Bay Drive Providence RI 02905 050343046 501(C)(3) 25000 FMV Education Serve Rhode Island 655 Broad St Po Box 72822 Providence RI 02907 050479705 501(C)(3) 25000 FMV Health and Human Services Sojourner House 386 Smith Street Providence RI 02907 050370419 501(C)(3) 15000 FMV Community Services Sophia Academy 979 Branch Ave Providence RI 02904 311736069 501(C)(3) 10000 FMV Education Special Olympics Rhode Island 370 George Washington Hwy Smithfield RI 02917 050377867 501(C)(3) 27500 FMV Youth Development Spurwink RI One Spurwink Place Cranston RI 02910 010370716 501(C)(3) 20000 FMV Health & Human services Tap In PO Box 252 Barrington RI 02806 222481382 501(C)(3) 10000 FMV Community Services Thundermist Health Center 450 Clinton Street Woonsocket RI 02895 050355097 501(C)(3) 15000 FMV Health & Human Services Tides Family Services 215 Washington Street West Warwick RI 02893 222478229 501(C)(3) 16000 FMV Health & Human Services Youth Pride Inc 743 Westminster Street Providence RI 02903 050478645 501(C)(3) 15000 FMV Youth Development Citizens Scholarship Foundation of Barrington PO BOX 300 Barrington RI 02806 056020323 501(C)(3) 10000 FMV Youth Development 49 DESCRIPTION OF ORGANIZATIONAL PROCEDURES 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. 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 Caremark Charity Classic, is also an officer of CVS HEALTH Corporation. Description of Relationships Form 990, Part VI, Line 2 Eileen Howard Boone, a director on the CVS Caremark Charity Classic's Board, is also an officer of CVS HEALTH Corporation. Carole Denale, Thomas S. Moffatt, Jeffrey E. Clark and Melanie K. Luker are employees 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 prepare a draft for review by management. The return is reviewed by an 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. Form 990, Part XI, Section B, Line 9 $(7,160) CHANGE IN TEMPORARILY RESTRICTED NET ASSETS. CVS FOUNDATION One CVS Drive Woonsocket RI 02895 223206973 Grant Making RI 501(c)(3) PF CVS PHARMACY true CVS HEALTH EMPLOYEE RELIEF FUND One CVS Drive Woonsocket RI 02895 274380115 Grant Making RI 501(C)(3) 7 CVS PHARMACY true Accendo Insurance Company One CVS Drive Woonsocket RI 02895 061566092 Insurance UT C Corp Alabama CVS Pharmacy LLC One CVS Drive Woonsocket RI 02895 203648395 Retail AL C Corp Caremark Ulysses Holding Corp One CVS Drive Woonsocket RI 02895 112580136 Holding Company NY C Corp Connecticut CVS Pharmacy LLC One CVS Drive Woonsocket RI 02895 203648725 Retail CT C Corp CVS Arclight Inc One CVS Drive Woonsocket RI 02895 050514363 Retail DE C Corp CVS Caremark Indemnity Ltd One CVS Drive Woonsocket RI 02895 050500188 Retail RI C Corp CVS Foreign Inc One CVS Drive Woonsocket RI 02895 050497953 Non Retail NY C Corp CVS International LLC One CVS Drive Woonsocket RI 02895 455509568 Holding Company DE C Corp CVS Pharmacy Inc One CVS Drive Woonsocket RI 02895 050340626 Pharmacy Services RI C Corp CVS Rx Services Inc One CVS Drive Woonsocket RI 02895 050501917 Pharmacy Services NY C Corp CVS WWRE Inc One CVS Drive Woonsocket RI 02895 050511636 Retail NY C Corp Delaware CVS Pharmacy LLC One CVS Drive Woonsocket RI 02895 260223262 Retail DE C Corp ETB INC One CVS Drive Woonsocket RI 02895 742118879 Retail TX C Corp Eckerd Corporation of Florida Inc One CVS Drive Woonsocket RI 02895 593102662 Non Retail FL C Corp Iowa CVS Pharmacy LLC One CVS Drive Woonsocket RI 02895 204281257 Retail IA C Corp JEC Funding Inc One CVS Drive Woonsocket RI 02895 133388181 Non Retail DE C Corp Kentucky CVS Pharmacy LLC One CVS Drive Woonsocket RI 02895 204452072 Retail KY C Corp Maryland CVS Pharmacy LLC One CVS Drive Woonsocket RI 02895 651262539 Retail MD C Corp Massachusetts CVS Pharmacy Inc One CVS Drive Woonsocket RI 02895 300790391 Retail MA C Corp Melville Realty Company Inc One CVS Drive Woonsocket RI 02895 046050302 Lease Guarantee NY C Corp New Jersey CVS Pharmacy LLC One CVS Drive Woonsocket RI 02895 203618568 Retail NJ C Corp North Carolina CVS Pharmacy LLC One CVS Drive Woonsocket RI 02895 203649570 Retail NC C Corp Oklahoma CVS Pharmacy LLC One CVS Drive Woonsocket RI 02895 204837341 Retail OK C Corp Pennsylvania Life Insurance Company One CVS Drive Woonsocket RI 02895 231305366 Insurance PA C Corp PharmaCare Captive RE Ltd One CVS Drive Woonsocket RI 02895 202840526 Insurance AZ C Corp Retrac Inc One CVS Drive Woonsocket RI 02895 310963857 Retail OH C Corp Rhode Island CVS Pharmacy LLC One CVS Drive Woonsocket RI 02895 204451847 Retail RI C Corp Richmond Heights Acquisition Corp One CVS Drive Woonsocket RI 02895 611428940 Retail OH C Corp SilverScript Insurance Company One CVS Drive Woonsocket RI 02895 202833904 Insurance TN C Corp Tennessee CVS Pharmacy LLC One CVS Drive Woonsocket RI 02895 203738440 Retail TN C Corp UAC Holding Inc One CVS Drive Woonsocket RI 02895 271298765 Retail DE C Corp Virginia CVS Pharmacy LLC One CVS Drive Woonsocket RI 02895 203649917 Retail VA C Corp false false true false true false false false false false false false true false false false false false false