Attach to Form 990 or Form 990-EZ.
See separate instructions.| (i) Name of supported organization |
(ii) EIN |
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) |
(iv) Is the organization in col. (i) listed in your governing document? |
(v) Did you notify the organization in col. (i) of your support? |
(vi) Is the organization in col. (i) organized in the U.S.? |
(vii) Amount of support? |
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|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 300,000 | 300,000 | ||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3.. | 300,000 | 300,000 | ||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 294,000 | |||||
| 6 | Public Support. Subtract line 5 from line 4. | 6,000 | |||||
| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 300,000 | 300,000 | ||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets.. | ||||||
| 11 | Total support (Add lines 7 through 10). | 300,000 | |||||






| Calendar year(or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public Support (Subtract line 7c from line 6.) | ||||||
| Calendar year (or fiscal year beginning in) | (a) 2006 | (b) 2007 | (c) 2008 | (d) 2009 | (e) 2010 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | ||||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | ||||||




| Facts And Circumstances Test |
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| Explanation |
|---|
| CVS Caremark Corporation ("CVS") established the CVS Caremark Employee Relief Fund ("ERF") to initiate a "relief" program for employees in need. Fundraising for the ERF will come from CVS employees making voluntary monthly donations. Additionally, CVS made an initial contribution of $300,000. It is anticipated that all of the contributions will count as valid public support, with the exception of 98% of the $300,000 contribution from CVS in 2010. Despite that amount, ERF will still meet the Public Support Test over a five-year period, according to its fundraising projections. CVS Caremark Employee Relief Fund has been granted a definitive ruling that it is not a private foundation because it is an organization described in Internal Revenue Code Sections 509(a)(1) and 170(b)(1)(A)(vi). |
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Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| EXPLANATION FOR AUDITED FINANCIAL STATEMENTS | FORM 990, PART IV, LINE 12 & PART XII, LINE 2B | AUDITED FINANCIAL STATEMENTS WERE NOT ISSUED FOR 2010 SINCE CVS CAREMARK EMPLOYEE RELIEF FUND HAD NOT YET BEEN IN EXISTENCE FOR A FULL YEAR. |
| DESCRIPTION OF RELATIONSHIPS | FORM 990, PART VI, LINE 2 | CVS CAREMARK EMPLOYEE RELIEF FUND ("ERF") IS ORGANIZED TO PROVIDE SHORT-TERM, IMMEDIATE FINANCIAL RELIEF TO EMPLOYEES OF CVS CAREMARK CORPORATION ("CVS"). EILEEN HOWARD (DUNN) BOONE AND ZENON LANKOWSKY, BOTH OF WHOM ARE DIRECTORS ON ERF'S BOARD, ARE ALSO OFFICERS OF CVS. ALL DIRECTORS ARE EMPLOYEES OF CVS OR ITS AFFILIATED ENTITIES. |
| DESCRIPTION OF PRACTICES RE: DOCUMENTATION OF MEETINGS & ACTIONS | FORM 990, PART VI, LINES 8A & 8B | THERE WERE NO MEETINGS HELD BY THE GOVERNING BODY OR COMMITTEES IN 2010. MINUTES WILL BE TAKEN AT ALL FUTURE BOARD MEETINGS AND SELECTION COMMITTEE MEETINGS. |
| DESCRIBE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 | FORM 990, PART VI, LINE 11 | CVS CAREMARK EMPLOYEES PROVIDE DATA FOR THE RETURN TO ERNST & YOUNG. ERNST & YOUNG PREPARES A DRAFT FOR REVIEW BY MANAGEMENT. A COPY IS THEN PROVIDED TO THE BOARD BEFORE FILING WITH THE IRS. |
| DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST | FORM 990, PART VI, LINE 12C | EACH DIRECTOR, OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS IS AN INTERESTED PERSON AND MUST ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON HAS AN ONGOING DUTING 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 DISCUSSION 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, 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. |
| EXPLANATION FOR WRITTEN DOC RETENTION/DESTR POLICY & WHISTLEBLOWER POLICY | FORM 990, PART VI, LINES 13 & 14 | CVS CAREMARK EMPLOYEE RELIEF FUND (ERF) DOES NOT HAVE ITS OWN WRITTEN DOCUMENTATION RETENTION AND DESTRUCTION POLICY AND WRITTEN WHISTLEBLOWER POLICY, BUT THEY FOLLOW THEIR AFFILIATE CVS CAREMARK CORPORATION'S POLICY ON THOSE ISSUES. ERF HAS ITS OWN POLICIES IN DRAFT AND EXPECTS TO ADOPT THEM SHORTLY. |
| AVAIL OF GOV DOCS, COI POLICY, & FINANCIAL STMTS TO GENERAL PUBLIC | FORM 990, PART VI, LINE 19 | THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE UPON REQUEST. |
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