401k Plan data: REVCO D.S., INC. RETIREMENT INCOME PLAN plan

REVCO D.S., INC. RETIREMENT INCOME PLAN 401k Plan overview

Plan Name	REVCO D.S., INC. RETIREMENT INCOME PLAN
Plan identification number	020

REVCO D.S., INC. RETIREMENT INCOME PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).

401k Sponsoring company profile

CVS HEALTH CORP has sponsored the creation of one or more 401k plans.

Company Name: CVS HEALTH CORP

Employer identification number (EIN): 050494040

NAIC Classification: 446110
NAIC Description: Pharmacies and Drug Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan REVCO D.S., INC. RETIREMENT INCOME PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
020 2015-01-01 CANDACE JODICE
020 2014-01-01 NANCY G. GERSENY
020 2013-01-01 NANCY G. GERSENY
020 2012-01-01 NANCY G. GERSENY
020 2011-01-01 NANCY G. GERSENY
020 2009-01-01 NANCY G. GERSENY TERENCE CORRIGAN 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
020	2015-01-01	CANDACE JODICE
020	2014-01-01	NANCY G. GERSENY
020	2013-01-01	NANCY G. GERSENY
020	2012-01-01	NANCY G. GERSENY
020	2011-01-01	NANCY G. GERSENY
020	2009-01-01	NANCY G. GERSENY	TERENCE CORRIGAN	2010-10-14

Plan Statistics for REVCO D.S., INC. RETIREMENT INCOME PLAN

401k plan membership statisitcs for REVCO D.S., INC. RETIREMENT INCOME PLAN

Measure Date Value
2015: REVCO D.S., INC. RETIREMENT INCOME PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3,757
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: REVCO D.S., INC. RETIREMENT INCOME PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3,832
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,930
Number of retired or separated participants receiving benefits 2014-01-01 504
Number of other retired or separated participants entitled to future benefits 2014-01-01 308
Total of all active and inactive participants 2014-01-01 3,742
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 15
Total participants 2014-01-01 3,757
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: REVCO D.S., INC. RETIREMENT INCOME PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 13,397
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3,192
Number of retired or separated participants receiving benefits 2013-01-01 387
Number of other retired or separated participants entitled to future benefits 2013-01-01 247
Total of all active and inactive participants 2013-01-01 3,826
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 6
Total participants 2013-01-01 3,832
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: REVCO D.S., INC. RETIREMENT INCOME PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 13,595
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3,386
Number of retired or separated participants receiving benefits 2012-01-01 4,654
Number of other retired or separated participants entitled to future benefits 2012-01-01 4,806
Total of all active and inactive participants 2012-01-01 12,846
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 551
Total participants 2012-01-01 13,397
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: REVCO D.S., INC. RETIREMENT INCOME PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 13,830
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3,651
Number of retired or separated participants receiving benefits 2011-01-01 4,454
Number of other retired or separated participants entitled to future benefits 2011-01-01 4,983
Total of all active and inactive participants 2011-01-01 13,088
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 507
Total participants 2011-01-01 13,595
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: REVCO D.S., INC. RETIREMENT INCOME PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 14,243
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 4,153
Number of retired or separated participants receiving benefits 2009-01-01 4,192
Number of other retired or separated participants entitled to future benefits 2009-01-01 5,305
Total of all active and inactive participants 2009-01-01 13,650
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 405
Total participants 2009-01-01 14,055
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2015: REVCO D.S., INC. RETIREMENT INCOME PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3,757
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: REVCO D.S., INC. RETIREMENT INCOME PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3,832
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,930
Number of retired or separated participants receiving benefits	2014-01-01	504
Number of other retired or separated participants entitled to future benefits	2014-01-01	308
Total of all active and inactive participants	2014-01-01	3,742
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	15
Total participants	2014-01-01	3,757
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: REVCO D.S., INC. RETIREMENT INCOME PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	13,397
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3,192
Number of retired or separated participants receiving benefits	2013-01-01	387
Number of other retired or separated participants entitled to future benefits	2013-01-01	247
Total of all active and inactive participants	2013-01-01	3,826
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	6
Total participants	2013-01-01	3,832
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: REVCO D.S., INC. RETIREMENT INCOME PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	13,595
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3,386
Number of retired or separated participants receiving benefits	2012-01-01	4,654
Number of other retired or separated participants entitled to future benefits	2012-01-01	4,806
Total of all active and inactive participants	2012-01-01	12,846
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	551
Total participants	2012-01-01	13,397
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: REVCO D.S., INC. RETIREMENT INCOME PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	13,830
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3,651
Number of retired or separated participants receiving benefits	2011-01-01	4,454
Number of other retired or separated participants entitled to future benefits	2011-01-01	4,983
Total of all active and inactive participants	2011-01-01	13,088
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	507
Total participants	2011-01-01	13,595
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: REVCO D.S., INC. RETIREMENT INCOME PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	14,243
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	4,153
Number of retired or separated participants receiving benefits	2009-01-01	4,192
Number of other retired or separated participants entitled to future benefits	2009-01-01	5,305
Total of all active and inactive participants	2009-01-01	13,650
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	405
Total participants	2009-01-01	14,055
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on REVCO D.S., INC. RETIREMENT INCOME PLAN

Measure	Date	Value
2015 : REVCO D.S., INC. RETIREMENT INCOME PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-09-30	$0
Total transfer of assets from this plan	2015-09-30	$107,105,113
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-09-30	$86,102
Total income from all sources (including contributions)	2015-09-30	$-5,331,875
Total loss/gain on sale of assets	2015-09-30	$0
Total of all expenses incurred	2015-09-30	$3,517,969
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-09-30	$2,787,240
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-09-30	$0
Value of total assets at end of year	2015-09-30	$0
Value of total assets at beginning of year	2015-09-30	$116,041,059
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-09-30	$730,729
Total interest from all sources	2015-09-30	$41
Total dividends received (eg from common stock, registered investment company shares)	2015-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-09-30	No
Administrative expenses professional fees incurred	2015-09-30	$146,094
Was this plan covered by a fidelity bond	2015-09-30	Yes
Value of fidelity bond cover	2015-09-30	$25,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-09-30	$0
Were there any nonexempt tranactions with any party-in-interest	2015-09-30	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-09-30	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-09-30	$86,102
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Value of net income/loss	2015-09-30	$-8,849,844
Value of net assets at end of year (total assets less liabilities)	2015-09-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-09-30	$115,954,957
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-09-30	No
Were any leases to which the plan was party in default or uncollectible	2015-09-30	No
Investment advisory and management fees	2015-09-30	$584,635
Value of interest in master investment trust accounts at end of year	2015-09-30	$0
Value of interest in master investment trust accounts at beginning of year	2015-09-30	$113,047,909
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-09-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-09-30	$1,493,150
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-09-30	$1,493,150
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-09-30	$41
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-09-30	No
Was there a failure to transmit to the plan any participant contributions	2015-09-30	No
Has the plan failed to provide any benefit when due under the plan	2015-09-30	No
Employer contributions (assets) at end of year	2015-09-30	$0
Employer contributions (assets) at beginning of year	2015-09-30	$1,500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-09-30	$2,787,240
Did the plan have assets held for investment	2015-09-30	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-09-30	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-09-30	Yes
Opinion of an independent qualified public accountant for this plan	2015-09-30	Disclaimer
Accountancy firm name	2015-09-30	MOSS ADAMS LLP
Accountancy firm EIN	2015-09-30	910189318
2014 : REVCO D.S., INC. RETIREMENT INCOME PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$86,102
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$57,863
Total income from all sources (including contributions)	2014-12-31	$17,379,322
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$3,975,810
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$3,278,079
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,500,000
Value of total assets at end of year	2014-12-31	$116,041,059
Value of total assets at beginning of year	2014-12-31	$102,609,308
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$697,731
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$336,468
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$25,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$86,102
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$57,863
Administrative expenses (other) incurred	2014-12-31	$215,907
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$13,403,512
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$115,954,957
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$102,551,445
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$145,356
Value of interest in master investment trust accounts at end of year	2014-12-31	$113,047,909
Value of interest in master investment trust accounts at beginning of year	2014-12-31	$100,168,723
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$1,493,150
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$2,440,585
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$2,440,585
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,500,000
Employer contributions (assets) at end of year	2014-12-31	$1,500,000
Employer contributions (assets) at beginning of year	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$3,278,079
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MOSS ADAMS LLP
Accountancy firm EIN	2014-12-31	910189318
2013 : REVCO D.S., INC. RETIREMENT INCOME PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets from this plan	2013-12-31	$324,715,007
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$57,863
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$215,404
Total income from all sources (including contributions)	2013-12-31	$11,217,983
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$2,876,725
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,406,988
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$0
Value of total assets at end of year	2013-12-31	$102,609,308
Value of total assets at beginning of year	2013-12-31	$419,140,598
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$469,737
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$119,458
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$42
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$57,863
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$215,404
Administrative expenses (other) incurred	2013-12-31	$242,652
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$8,341,258
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$102,551,445
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$418,925,194
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$107,627
Value of interest in master investment trust accounts at end of year	2013-12-31	$100,168,723
Value of interest in master investment trust accounts at beginning of year	2013-12-31	$390,139,409
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$2,440,585
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$6,750,214
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$6,750,214
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$750,933
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$21,500,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$2,406,988
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MOSS ADAMS LLP
Accountancy firm EIN	2013-12-31	910189318
2012 : REVCO D.S., INC. RETIREMENT INCOME PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$215,404
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$153,334
Total income from all sources (including contributions)	2012-12-31	$84,559,024
Total loss/gain on sale of assets	2012-12-31	$38,210
Total of all expenses incurred	2012-12-31	$23,167,461
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$21,504,943
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$33,744,964
Value of total assets at end of year	2012-12-31	$419,140,598
Value of total assets at beginning of year	2012-12-31	$357,686,965
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$1,662,518
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$426,622
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$42
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$85
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$215,404
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$153,334
Administrative expenses (other) incurred	2012-12-31	$124,813
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$61,391,563
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$418,925,194
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$357,533,631
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$1,111,083
Value of interest in master investment trust accounts at end of year	2012-12-31	$390,139,409
Value of interest in master investment trust accounts at beginning of year	2012-12-31	$341,878,160
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$6,750,214
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$5,907,660
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$5,907,660
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$750,933
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$646,024
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$33,744,964
Employer contributions (assets) at end of year	2012-12-31	$21,500,000
Employer contributions (assets) at beginning of year	2012-12-31	$9,255,036
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$21,504,943
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$38,210
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MOSS ADAMS LLP
Accountancy firm EIN	2012-12-31	910189318
2011 : REVCO D.S., INC. RETIREMENT INCOME PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$153,334
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$146,822
Total income from all sources (including contributions)	2011-12-31	$46,730,022
Total loss/gain on sale of assets	2011-12-31	$9,192
Total of all expenses incurred	2011-12-31	$21,872,784
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$20,480,642
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$19,141,687
Value of total assets at end of year	2011-12-31	$357,686,965
Value of total assets at beginning of year	2011-12-31	$332,823,215
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$1,392,142
Total interest from all sources	2011-12-31	$389
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$348,769
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$85
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$41,600
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$153,334
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$146,822
Administrative expenses (other) incurred	2011-12-31	$887,116
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$24,857,238
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$357,533,631
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$332,676,393
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$156,257
Value of interest in master investment trust accounts at end of year	2011-12-31	$341,878,160
Value of interest in master investment trust accounts at beginning of year	2011-12-31	$320,539,104
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$5,907,660
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$2,300,419
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$2,300,419
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$389
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$646,024
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$572,211
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$19,141,687
Employer contributions (assets) at end of year	2011-12-31	$9,255,036
Employer contributions (assets) at beginning of year	2011-12-31	$9,369,881
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$20,480,642
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$9,192
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2011-12-31	346565596
2010 : REVCO D.S., INC. RETIREMENT INCOME PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$5,852,985
Total unrealized appreciation/depreciation of assets	2010-12-31	$5,852,985
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$146,822
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$113,597
Total income from all sources (including contributions)	2010-12-31	$54,453,779
Total loss/gain on sale of assets	2010-12-31	$1,341,696
Total of all expenses incurred	2010-12-31	$21,088,865
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$19,421,698
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$18,343,769
Value of total assets at end of year	2010-12-31	$332,823,215
Value of total assets at beginning of year	2010-12-31	$299,425,076
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,667,167
Total interest from all sources	2010-12-31	$42,310
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$13,568,471
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$12,649,934
Administrative expenses professional fees incurred	2010-12-31	$502,497
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$41,600
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$57,630
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$146,822
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$113,597
Other income not declared elsewhere	2010-12-31	$1,922
Administrative expenses (other) incurred	2010-12-31	$881,398
Total non interest bearing cash at beginning of year	2010-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$33,364,914
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$332,676,393
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$299,311,479
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$283,272
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$204,240,809
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$161,486,466
Interest earned on other investments	2010-12-31	$42,190
Value of interest in common/collective trusts at end of year	2010-12-31	$69,651,306
Value of interest in common/collective trusts at beginning of year	2010-12-31	$78,548,275
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$2,300,419
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,693,788
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,693,788
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$120
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$572,211
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$669,698
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$3,005,936
Net investment gain or loss from common/collective trusts	2010-12-31	$12,296,690
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$18,343,769
Employer contributions (assets) at end of year	2010-12-31	$9,369,881
Employer contributions (assets) at beginning of year	2010-12-31	$14,769,584
Income. Dividends from common stock	2010-12-31	$918,537
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$19,421,698
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$46,646,989
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$42,199,635
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate proceeds on sale of assets	2010-12-31	$4,201,849
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$2,860,153
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2010-12-31	346565596

Form 5500 Responses for REVCO D.S., INC. RETIREMENT INCOME PLAN

2015: REVCO D.S., INC. RETIREMENT INCOME PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	Yes
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: REVCO D.S., INC. RETIREMENT INCOME PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: REVCO D.S., INC. RETIREMENT INCOME PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: REVCO D.S., INC. RETIREMENT INCOME PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: REVCO D.S., INC. RETIREMENT INCOME PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: REVCO D.S., INC. RETIREMENT INCOME PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

GAC 386 ASSN 0

Policy instance

Insurance contract or identification number	GAC 386 ASSN 0
Number of Individuals Covered	0
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	Yes
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65099 )

Policy contract number

GAC 386 ASSN 0

Policy instance

Insurance contract or identification number	GAC 386 ASSN 0
Number of Individuals Covered	140
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	Yes
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65099 )

Policy contract number

GAC 386 ASSN 0

Policy instance

Insurance contract or identification number	GAC 386 ASSN 0
Number of Individuals Covered	13595
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	Yes
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65099 )

Policy contract number

GAC 386 ASSN 0

Policy instance

Insurance contract or identification number	GAC 386 ASSN 0
Number of Individuals Covered	269
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	Yes
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	CVS HEALTH CORP
Employer identification number (EIN):	050494040
NAIC Classification:	446110
NAIC Description:	Pharmacies and Drug Stores