form 990-pf i return of private foundation...
TRANSCRIPT
Form 990-PF I Return of Private Foundationor Section 4947(a)(1) Trust Treated as Private Foundation
Department of the Treasury I 10- Do not enter Social Security numbers on this form as it may be made public.Internal Revenue Service ► Information about Form 990-PF and its separate instructions is at www.irs.govlfom
For calendar year 2013 or tax
DUANE READE CHARITABLE FOUNDATION
and
OMB No 1545-0052
00013
20Employer identification number
20-8607795Number and street (or P 0 box number if mail is not delivered to street address) Room/suite B Telephone number (see instructions)
FOUNDATION SOURCE 501 SILVERSIDE RD 123 (800) 839-1754City or town, state or province, country, and ZIP or foreign postal code C If exemption application is pending, check here' q
WILMINGTON, DE 19809-1377
G Check all that apply: q Initial return q Initial return of a former public charity D 1. Foreign organizations, check here ► q
q Final return q Amended return
q Address change q Name change2. Foreign organizations meeting the 85% test,
check here and attach computation ► q
H Check type of organization: [a Section 501 (c)(3) exempt private foundation E If private foundation status was terminated under
qcheck here ►section 507(b)(1)(A)El Section 4947(a)(1) nonexempt charitable trust E] Other taxable private foundation
,
Fair market value of all assets at J Accounting method: q3 Cash q Accrual F If the foundation is in a 60-month terminationend of year (from Part 11, col. (c), q Other (specify) under section 507(b)(1)(B), check here ► q
line 16) ► $ 884,802 (Part 1, column (d) must be on cash basis)
JEN Analysis of Revenue and Expenses (The total of (a) Revenue and (d) Disbursements
amounts in columns (b), (c), and (co may not necessanly equal expenses per (b) Net investmentincome
(c) Adjusted netincome
for charitablepurposes
the amounts in column (a) (see instructions)) books(cash basis only)
1 Contributions, gifts, grants, etc., received (attach schedule) 655,808
2 Check ► q if the foundation is not required to attach Sch. B
3 Interest on savings and temporary cash investments 523 523
4 Dividends and interest from securities . .
5a Gross rents . . . . . . . . . . . .
b Net rental income or (loss)
4) 6a Net gain or (loss) from sale of assets not on line 10
C b Gross sales price for all assets on line 6a
> 7 Capital gain net income (from Part IV, line 2) K
CC 8 Net short-term capital gain . . . .
9 Income modifications . . . . .
10a Gross sales less returns and allowances
b Less: Cost of goods sold . . .
c Gross profit or (loss) (attach schedule)
11 Other income (attach schedule) ATCH . 140,785
12 Total. Add lines 1 throug h 11 697,116 523
13 Compensation of officers, directors, trustees, etc.
14 Other employee salaries and wages
y 15 Pension plans, employee benefitspXa
ATCH 2Legal fees (attach schedule) . . 396 396
b Accounting fees (attach schedule) ATCH .3 12,930 12,930
>r c Other professional fees (attach schedule) . . .
2- 17 Interest . . . . . . . . . . .
y 18 Taxes (attach schedule) (see instructions) . . . .
19 Depreciation (attach schedule) and depletion .
- 20 Occupancy . . . . . . . . . . . . .21 Travel, conferences, and meetings . . . . . 2,000 2,000
22 Printing and publications23 Other expenses (attach schedule) ATCH, 4. , 66,460 4,923 61,537
• 24 Total operating and administrative expenses.Ma
Add lines 13 through 23 . . . . . . . . . 81,786 4,923 76,863)Q. 25 Contributions, gifts, grants paid . . . . . . 615,455 615,455
26 Total expenses and disbursements . Add lines 24 and 25 697,241 4,923 692,318
27 Subtract line 26 from line 12-
a Excess of revenue over expenses and disbursements -125
b Net investment income (if negative, enter -0-)
c Adjusted net income (if neg ative, enter -0 -)
For Paperwork Reduction Act Notice, see instructions. Cat No 11289X Form 990-PF (2013)
Form 990 - PF (2013 ) DUANE READE CHARITABLE FOUNDATION 20-8607795 Page 2Attached schedules and amounts in the Beginning of year End of year
Balance Sheets description column should be for end-of-yearamounts only (See instructions) (a) Book Value (b) Book Value (c) Fair Market Value
i Cash - non-interest-bearing . .. . . . . . . . . .. . .. .
2 Savings and temporary cash investments . .. . .. . .. .. 684, 927. 684, 802. 684, 802.
3 Accounts receivable ►
Less allowance for doubtful accounts ►
4 Pledges receivable ►------------------------Less allowance for doubtful accounts ► _____________
5 Grants receivable . . . . . . . . . . . . . . . . . . . . .
6 Receivables due from officers, directors, trustees , and other
disqualified persons ( attach schedule) ( see instructions) • •
7 Other notes and loans receivable (attach schedule) ► _ _ _ _
Less allowance for doubtful accounts ► ------------8 Inventories for sale or use ..................
9 Prepaid expenses and deferred charges .
10 a Investments - U S and state government obligations ( attach schedule),
b Investments - corporate stock (attach schedule) • • . . . . . .
c Investments - corporate bonds (attach schedule ) ., . . . . . .11 Investments - land, buildings, ►
and equipment basis __________________Less accumulated depreciation ►
h d ltt h e) -------------------e u(a ac sc
12 Investments - mortgage loans . . . . . . . . . . . . . . . .
. . . . . .13 Investments - other ( attach schedule) . . . . . . .
14 Land , buildings, and ►equipment basis ______ ____________Less accumulated depreciation ►attach schedule) -------------------(
15 Other assets (describe ► )____________________
16 Total assets ( to be completed by all filers - see the
instructions Also, see page 1, item 1) • • 684, 927. 684,802. 684,802.
17 Accounts payable and accrued expenses , , , , , , • • • , •
18 Grants payable
W
, , , , , , • , • • , , , • , , • , , • , . .
19 Deferred revenue . . . . . . . . . . . . . . . . . . . . . .
20 Loans from officers , directors , trustees, and other disqualified persons
21 Mortgages and other notes payable ( attach schedule) . . . . .
22 Other liabilities (describe ► ___________________
23 Total liabilities ( add lines 17 through 22) . 0
mr
Foundations that follow SFAS 117 , check here. ►and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted . . . . . . . . . . . . . . . . . . . . . . . . .
m 25 Temporarily restricted00
, , , • . . . . .
26 Permanently restricted . . . . . . . . . . . . . . . . .
y
Foundations that do not follow SFAS 117 , . . . ►check here and complete lines 27 through 31.
27 Capital stock, trust principal , or current funds , •
N
• , , , , • ,
28 Paid - in or capital surplus, or land, bldg . and equipment fund • • • •
Q 29 Retained earnings, accumulated income , endowment , or other funds 684 ,927. 684,802.
30 Total net assets or fund balances (see instructions). .. . 684, 927. 684,802.
Z 31 Total liabilities and net assets/fund balances (see
................. ......instructions ) . 684, 927. 684, 802.
C-PUM Anal sis of Changes in Net Assets or Fund Balances1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30 ( must agree with
.... . . . . . . . . . . .. •end-of-year figure reported on prior year's return ) 1 684, 927. ... . . ...
2 Enter amount from Part I , line 27a 2 -125
3 Other increases not included in line 2 ( itemize ) ► 3
4 Add lines 1 , 2, and 3 4 684,802
5 Decreases not included in line 2 ( 5___________
6 Total net assets or fund balances at end of ear line 4 minus line 5 Part II column b , line 30 . . 6 684, 802
Form 990-PF (2013)
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DUANE READE CHARITABLE FOUNDATION 20-8607795
Form 990-PF(2013) Page 3
• Capital Gains and Losses for Tax on Investment Income(a) List and describe the kind(s) of property sold (e g real estate,
2-story brick warehouse, or common stock, 200 shs MLC Co)
(b) How
P- PurchaseD - Donation
(c) Date
(modarterY Y )
(d) Date sold(mo , day, yr )
1a
b
c
d
e
(e) Gross sales price (f) Depreciation allowed(or allowable)
(g) Cost or other basis
plus expense of sale(h) Gain or (loss)
(e) plus (f) minus (g)
ab
c
d
e
Com plete onl y for assets showing gain in column ( h ) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus
(i) F M V as of 12/31/69 0) Adjusted basisas of 12/31/69
(k) Excess of col (I)over col p), if any
col (k), but not less than -0-) orLosses (from col (h))
ab
cd
e
2 Capital gain net income or (net capital loss)I
If gain, also enter in Part I, line 7
If (loss), enter -0- inPart
I, line 7 } 2
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6)
lIf gain, also enter in Part I, line 8, column (c) (see instructions) If (loss), enter -0- in
Part I, line 8 .......................................... J 3
Qualification Under Section 4940 (e ) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income )
If section 4940(d)(2) applies, leave this part blank
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? q Yes Q No
If "Yes," the foundation does not qualify under section 4940 (e) Do not complete this pa rt
1 Inter the appropriate amount in eacn column Tor eacn year see the instructions Derore maKln any entries
Base period years
Calendar year (or tax year beginning in)Adjusted qualifying distributions Net value of nonchantable-use assets
Dlstrlbutlon ratio
(col (b) divided by col (c))
2012 756,701. 626,152. 1.208494
2011 350,600. 429,392. 0.816503
2010 433,543. 370,313. 1.170747
2009 459,689. 326,509. 1.407891
2008 374,460. 289,910. 1.291642
2 Total of line 1 , column (d) 2 5.895277
3 Average distribution ratio for the 5 -year base period - divide the total on line 2 by 5 , or by the
number of years the foundation has been in existence if less than 5 years . , . , ..... 3 1 . 179055
4 Enter the net value of noncharltable-use assets for 2013 from Part X, line 5 4 624,401.
5 Multiply line 4 by line 3 . ... .... ....... . . . ... . .. . .. . . 5 736,203.
6
. ..... .. .
Enter 1% of net investment income (1% of Part I , line 27b ) . . 6
7
. .. . .. . . . . ..
Add lines 5 and 6
. . ... .
7 736, 203.
8 Enter qualifying distributions from Part XII, line 4 8 692,318.
If line 8 is eaual to or areater than line 7 . check the box in Part M. line 1b . and comDlete that D art uslna a 1% tax rate See the
Part VI Instructions
SSA Form 990-PF (2013)3E14301 000
Form 990-PF (2013) DUANE READE CHARITABLE FOUNDATION 20-8607795 Page 4
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see instructions)
I a Exempt liperating foundations described in section 4940(d)(2), check here ► and enter "N/A" on line 1 , , ,
' Date of ruling or determination letter --------------- (attach copy of letter If necessary -see Instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 0
here ► q and enter 1 % of Part I, line 27b
c All other domestic foundations enter 2% of line 27b Exempt foreign organizations enter 4% of
Part I, line 12, col (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) . 2
3 Add lines 1 and 2 3 0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) , , , 4 0
5 Tax based on investment income. Subtract line 4 from line 3 If zero or less, enter -0 . . . . . . . . . . . . . 5 0
6 Credits/Payments
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 95 .
b Exempt foreign organizations - tax withheld at source . . 6b, , , . . . . . . .
c Tax paid with application for extension of time to file (Form 8868) 6c. . . , . , ,
d Backup withholding erroneously withheld 6d. . . . . . . . . . . . . . . . .
7 Total credits and payments Add lines 6a through 6d . . . . . . . . . . . . . . . . . . . . . . . . . 7 95 .
8 Enter any penalty for underpayment of estimated tax Check here q if Form 2220 is attached . . . . . . . 8
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed ► 9
10 Overpayment If line 7 is more than the total of lines 5 and 8, enter the amount overpaid ► 10 9S., , , ,
1 1 Enter the amount of line 10 to be Credited to 2014 estimated tax ► 95 . Refunded ► 11
Statements Regarding Activities
1a During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate Yes No
. . . . . . . . . . . . . . . . . . . . . . . . . .or intervene in any political campaign'? 1a X. . . . . . . . . . . . . . . . .
b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions for the
definition)'? . . . . . . . . . . . . . . . . . . . . . . . . . . 1b X. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If the answer is 'Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials published or
distributed by the foundation in connection with the activities
c Did the foundation file Form 1120-POL for this year? 1 c X, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,
d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year
(1) On the foundation ► $ (2) On foundation managers ► $
e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on
foundation managers ► $
2 Has the foundation engaged in any activities that have not previously been reported to the IRS9 2 X, , , , , , , , , , , , , , ,
If "Yes, " attach a detailed description of the activities
3 Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation,
or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes . . . . . . . . . . . . . . . . . . . 3 X
4 a Did the foundation have unrelated business gross income of $1,000 or more during the year? . . . . . . . . . . . . . . . . . 4a X
" has it filed a tax return on Form 990-T for this year?b If "Yes 4b, , , , , , , , , , , , , , , , . . . . . . . . . . .,ATCH 5or substantial contraction during the year?termination dissolution5 Was there a liquidation 5 X., ,,
If 'Yes, "attach the statement required by General Instruction T
6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either
• By language in the governing instrument, or
• By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict
. . . . . . . . . . . . . . . . . . . .with the state law remain in the governing instrument? 6 X. . . . . . . . . . . . . . .
000 in assets at any time during the year? If 'Yes, " complete Part 11, col (c), and Part XV7 Did the foundation have at least $5 7 X,
8a Enter the states to which the foundation reports or with which it is registered (see instructions) ►CT, DE, NJ,
-----------------------------------------------------------------------------b If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney General (or designate)
"attach explanation . . . . . . . . . . . . . . . . . . . . . . . . .of each state as required by General Instruction G? If "No ab X,
9 Is the foundation claiming status as a private operating foundation within the meaning of section 49420)(3) or
49420)(5) for calendar year 2013 or the taxable year beginning in 2013 (see instructions for Part XIV)? If 'Yes,' complete
PartXIV .......................................... 9 X............ ...
10 Did any persons become substantial contributors during the tax year? If "Yes" attach a schedule listing their names and
addresses . .. . .. . ATCH. 6 . . . . . . . . .. . . . . . .. . . . . . .. . . .. . . . ... . . .. . .. . . 10 X
Form 990-PF (2013)
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Form 990-PF (2013 ) DUANE READE CHARITABLE FOUNDATION 20-8607795 Page5
CREW- Statements Regarding Activities (continued)
11 At an1g time during the year, did the foundation, directly or indirectly , own a controlled entity within the
meaning of section 512 (b)(13)7 If "Yes," attach schedule (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . 11 X
12 Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified
person had advisory privileges? If "Yes," attach statement (see instructions ) . . . . . . . . . . . . . . . . . . . . . . . . 12 X
13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? . . . . 13 X
Website address ► N/A---------------------------------------------------------------------- -------
14 The books are in care of SOURCE -------------- ---- Telephoneno
ZIP+4 119809- 1 377Locatedat 123WILMINGTON , DE
15
______
Section 4947( a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here . . . . . .
_
. .
_
.
and enter the amount of tax-exempt interest received or accrued during the year . . . . . . . . . . . . . . . . . . ► 15
16 At any time during calendar year 2013, did the foundation have an interest in or a signature or other authority Yes No
over a bank , securities, or other financial account in a foreign country . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 X
See the instructions for exceptions and filing requirements for Form TD F 90-22 1 If "Yes," enter the name of
the foreign count Jo.
Statements Regardin g Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column , unless an exception applies. Yes No
la During the year did the foundation (either directly or indirectly)
(1) Engage in the sale or exchange, or leasing of property with a disqualified person') . . . . . . . . . q Yes q No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a
disqualified person? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes X No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?. . . . . . . . . Yes X No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? . . . . . . . . Yes X No
(5) Transfer any income or assets to a disqualified person (or make any of either available for
the benefit or use of a disqualified person)' . . . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes No
(6) Agree to pay money or property to a government official? (Exception . Check "No" if the
foundation agreed to make a grant to or to employ the official for a period after
termination of government service, if terminating within 90 days) . . . . . . . . . . . . . . . . . q Yes q No
b If any answer is "Yes" to la(1)-(6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53 4941 (d)-3 or in a current notice regarding disaster assistance (see instructions)' . . . . . . . . . . . 1 b
Organizations relying on a current notice regarding disaster assistance check here . . . . . . . . . . . . . . . ► q
c Did the foundation engage in a prior year in any of the acts described in la, other than excepted acts, that
were not corrected before the first day of the tax year beginning in 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . 1 c X
2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(1)(3) or 4942(1)(5))
a At the end of tax year 2013, did the foundation have any undistributed income (lines 6d and
6e, Part XIII) for tax year(s) beginning before 2013? . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes q No
If"Yes,"list the years _________ ________ ____ ___
b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2) to
all years listed, answer "No" and attach statement - see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b
c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here
3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise
at any time during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes q No
b If "Yes," did it have excess business holdings in 2013 as a result of (1) any purchase by the foundation or
disqualified persons after May 26, 1969, (2) the lapse of the 5-year period (or longer period approved by the
Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest, or (3) the lapse of
the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine if the
foundation had excess business holdings in 2013) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b
4a Did the foundation invest during the year any amount in a manner that would jeopardize its chantable purposes' . . . . . , . 4a X
b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
1 4b l I XForm 990-PF(2013)
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Form 990 - PF (2013 ) DUANE READE CHARITABLE FOUNDATION 20-8607795 Page6
Statements Regarding Activities for Which Form 4720 May Be Required (continued)
5a During the year did the foundation pay or incur any amount to
(1) Carry on propaganda , or otherwise attempt to influence legislation ( section 4945(e))' . . . . . . q Yes No
(2) Influence the outcome of any specific public election (see section 4955 ), or to carry on,
directly or indirectly , any voter registration drive? . . . . . . . . . . . . . . . . . . . . . . . q Yes X No
(3) Provide a grant to an individual for travel , study , or other similar purposes? . . . . . . . . . . . Yes NoX1
(4) Provide a grant to an organization other than a charitable , etc, organization described in
section 509 ( a)(1), (2), or ( 3), or section 4940(d)(2)? (see instructions ) . . . . . . . . . . . . . . q Yes q No
(5) Provide for any purpose other than religious , charitable, scientific, literary , or educational
purposes , or for the prevention of cruelty to children or animals? . . . . . . . . . . . . . . . . . q Yes No
b If any answer is "Yes" to 5a(1 )-( 5), did any of the transactions fail to qualify under the exceptions described in
Regulations section 53 4945 or in a current notice regarding disaster assistance (see instructions)' . . . . . . . . . . 5b X
Organizations relying on a current notice regarding disaster assistance check here . . . . . . . . . . . . . . . . . . . ► q
c If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax
because it maintained expenditure responsibility for the grant? ATCH 7 . . . . , . . . . . . . Yes q No
If "Yes, " attach the statement required by Regulations section 53 4945-5(d)
6a Did the foundation , during the year, receive any funds , directly or indirectly , to pay premiums
on a personal benefit contract, . , q Yes No
b Did the foundation , during the year, pay premiums , directly or indirectly , on a personal benefit contract? , , , , , , , , , , 6b X
If "Yes" to 6b , file Form 8870
7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? , q Yes No
b If "Yes ," did the foundation receive an y proceeds or have any net income attributable to the transactions 7b
Information About Officers , Directors , Trustees , Foundation Managers , Highly Paid Employees,and Contractors
1 List all officers . directors . trustees . foundation manaaers and their compensation ( see instructions).
(a) Name and address(b) Title, and average
hours per weekdevoted to position
(c) Compensation( If not paid,enter -0-
(d) Contr i butions toemployee benefit plans
and deferred compensation
(e) Expense account,other allowances
-------------------------------------ATCH 8 0
-------------------------------------
-------------------------------------
-------------------------------------
2 Compensation of five hiahest - paid emolovees (other than those included on line I - see instructions). If none. enter"NONE"
(a) Name and address of each employee paid more than $ 50,000(b) Title, and average
hours perweekdevoted to position
(c) Compensation
(d) Contributions toemployee benerdplans and deferredcompensation
(e) Expense account,other allowances
-------------------------------------NONE
-------------------------------------
-------------------------------------
-------------------------------------
-------------------------------------
Total number of other em p loyees paid over $50 , 000 .. ►Form 990-PF (2013)
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DUANE READE CHARITABLE FOUNDATION 20-8607795
Form 990- PF (2013) Page 7
Information About Officers, Directors, Trustees , Foundation Managers , Highly Paid Employees,and Contractors (continued)
3 Five highest-paid inde pendent contractors for p rofessional services (see instructions . If none , enter "NONE."
(a) Name and address of each person paid more than $50 ,000 (b) Type of service (c) Compensation
-----------------------------------------------NONE
---------------------------------------------------------
--- -- --- -------------------------------------------------Total number of others receiving over $50,000 for professional services .. . ►
Summary of Direct Charitable Activities
List the foundation ' s four largest direct charitable activities during the tax year Include relevant statistical information such as the number of
organizations and other beneficiaries served , conferences convened, research papers produced, etcmenses
1 N/A---------------------------------------------------------------------------
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2---------------------------------------------------------------------------
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3---------------------------------------------------------------------------
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4
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Summary of Program -Related Investments (see instrurtionsl
Describe the two largest program - related investments made by the foundation during the tax year on lines 1 and 2 Amount
1 NONE---------------------------------------------------------------------------
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2---------------------------------------------------------------------------
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All other program-related investments See instructions
3 NONE---------------------------------------------------------------------------
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Total . Add lines 1 through 3 . . ►Form 990-PF(2013)
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DUANE READE CHARITABLE FOUNDATION 20-8607795
Form 990-PF (2013) Page 8
Minimum investment Return (All domestic foundations must complete this part Foreign foundations,see instructions.)
1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc,
purposes
a Average monthly fair market value of securities Ia
b Average of monthly cash balances . .. , , , , ..... lb 633, 910.
c Fair market value of all other assets (see instructions ) ... ........... 1c
d Total ( add lines 1a , b, and c) . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . .. 1d 633, 910.
e Reduction claimed for blockage or other factors reported on lines la and
1c (attach detailed explanation) le
.
2 Acquisition indebtedness applicable to line 1 assets .... 2
3 Subtract line 2 from line 1d
.......... ......
3 633, 910.
4 Cash deemed held for charitable activities Enter 1 1/2% of line 3 (for greater amount, see
instructions ) .. . .. 4 9,509.
5 Net value of noncharitable - use assets . Subtract line 4 from line 3 Enter here and on Part V, line 4 5 624,401.
6 Minimum investment return . Enter 5% of line 5 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 6 31,220.
Distributable Amount (see instructions) (Section 4942(1)(3) and 0)(5) private operating foundationsand certain foreign organizations check here ► D and do not complete this part )
1 Minimum investment return from Part X, line 6 . ..... ...... .. .... .......... 1 31, 220.
2a Tax on investment income for 2013 from Part VI, line 5 2a
b Income tax for 2013 (This does not include the tax from Part VI) . 2b
c Add lines 2a and 2b 2c... .. .. .. ... ..3 Distributable amount before adjustments Subtract line 2c from line 1, ,, , , , , , , , , , , , , 3 31,220.
4 Recoveries of amounts treated as qualifying distributions , , , , , , ,,, , , ,, , , , , , , , , , ,
5 Add lines 3 and 4 .. ......
_________________________
31,220..................................... ..6 Deduction from distributable amount (see instructions ),
.
7 Distributable amount as adjusted Subtract line 6 from line 5 Enter here and on Part XIII,
line 1. 31,220.
Qualifying Distributions (see instructions)
1 Amounts paid (including administrative expenses) to accomplish charitable, etc, purposes
a Expenses, contributions, gifts, etc - total from Part I, column (d), line 26, , , , , , , , , , , , , , 1 692, 318.
b Program-related investments - total from Part IX-B . . lb.. ... .. .. .2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc ,
purposes . . . .. .. . . . . . . . ............... ...... 2.... . . ... . . . .3 Amounts set aside for specific charitable projects that satisfy the
a Suitability test (prior IRS approval required) . .. . . .. . . .. . . . .. . . . . . ... .. 3a
b Cash distribution test (attach the required schedule ) . . . . . . . . . . . . . . . .. . . . . . . .. 3b
4 Qualifying distributions Add lines la through 3b Enter here and on PartV, line 8, and Part XIII, line 4. . . 4 692,318.
5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income
Enter 1% of Part I, line 27b (see instructions), ,, , , , , ,, , , , , , , , , , , , , , , , , , , , , , 5 0
6 Adjusted qualifying distributions . Subtract line 5 from line 4 . . . . . . . . . . . . . . .. ... . .. 6 692,318.
Note . The amount on line 6 will be used in Part V, column (b), in subsequent years when cqualifies for the section 4940(e) reduction of tax in those years
alcula ting whether the foundation
Form 990-PF (2013)
JSA
3E 1470 1 000
DUANE READE CHARITABLE FOUNDATION 20-8607795
Form 990 - PF (2013) Page 9
Undistributed Income (see instructions)
(a) (b) (c) (d)
1 Distributable amount for 2013 from Part XI , Corpus Years prior to 2012 2012 2013
line 7 . . .............. 31, 220.... . .
2 Undistributed income , if any, as of the end of 2013
a Enter amount for 2012 only . . . . . . . .
b Total for prior years 20 11 ,20 10 20 09
3 Excess distributions carryover , if any , to 2013
a From 2008 359, 976.
b From 2009 443, 366.
c From 2010 414,013.
d From 2011 329,134.
e From 2012 725, 393.
f Total of lines 3a through e , , , , . . . . . . 2, 271 , 882
4 Qualifying distributions for 2013 from Part XII,
line 4 ► $ 692,318.
a Applied to 2012, but not more than line 2a , , ,
b Applied to undistributed income of prior years
(Election required - see instructions ) . . . . . ,
c Treated as distributions out of corpus ( Election
required - see instructions) . . . . . . . . . ,
d Applied to 2013 distributable amount , , , , , 31,220.
e Remaining amount distributed out of corpus . . 661,098.
5 Excess distributions carryover applied to 2013(If an amount appears in column (d), the sameamount must be shown in column (a) )
6 Enter the net total of each column asindicated below:
a Corpus Add lines 3f, 4c, and 4e Subtract line 5 2,932,980.
b Prior years' undistributed income Subtractline 4b from line 2b
c Enter the amount of prior years' undistributedincome for which a notice of deficiency hasbeen issued , or on which the section 4942(a)tax has been previously assessed . . . . . . .
of Subtract line 6c from line 6b Taxableamount - see instructions
e Undistributed income for 2012 Subtract line4a from line 2a Taxable amount - seeinstructions . . . . . . . . . . . . . . . . .
f Undistributed income for 2013 Subtract lines
4d and 5 from line 1 This amount must bedistributed in 2014 . . . . . . . . . . . . . .
7 Amounts treated as distributions out of corpus
to satisfy requirements imposed by section
170(b)( 1)(F) or 4942 ( g)(3) (see instructions)
8 Euess distributions carryover from 2008 not
applied on line 5 or line 7 (see instructions ) 359,976.
9 Excess distributions carryover to 2014.
Subtract lines 7 and 8 from line 6a 2,573,004.
10 Analysis of line 9
a Excess from 2009 . 443,366.
.
b Excess from 2010 . . . 414,013.
c Excess from 2011 . . . 329,134.
d Excess from 2012 . . . 725, 393.
e Excess from 2013 . 661,098.
Form 990-PF(2013)
JSA
3E 1480 1 000
Form 990-PF (2013 ) DUANE READE CHARITABLE FOUNDATION 20-8607795 Page 10
Private Operating Foundations ( see instructions and Part VII-A, q uestion 9 ) NOT APPLICABLE
1 a If the *foundation has received a ruling or determination letter that it is a private operating
' foundation , and the ruling is effective for 2013, enter the date of the ruling ►b Check box to indicate whether the foundation is a private operating foundation described in section 49420 )( 3) or 49420)(5)
2 a Enter the lesser of the ad-Tax year Prior 3 years
( e) Totaljusted net income from Part ( a) 2013 (b) 2012 (c) 2011 (d) 2010
or the minimum investmentreturn from Part X for eachyear listed . . . . . . .
b 85% of line 2a . . . . .
C Qualifying distributions from Part
XII, line 4 for each year listed ,
d Amounts included in line 2c not
used directly for active conduct
of exempt activities . . . . .
e Qualifying distributions made
directly for active conduct of
exempt activities Subtract line
2d from line 2c
3 Complete 3a, b, or c for the
alternative test relied upon
a 'Assets' alternative test - enter
(1) Value of all assets , , ,
(2) Value of assets qualifying
under section
49420)(3)(8)(i) . . . . .
b "Endowment' alternative test-
enter 2/3 of minimum invest-
ment return shown in Part X
line 6 for each year listed , ,
C 'Support` alternative test - enter
(1) Total support other than
gross investment income
(interest, dividends, rents,
payments on securities
loans (section 512(a)(5)),
or royalties), , . , , ,
(2) Support from general
public and 5 or more
exempt organizations as
provided in section 4942
t)(3)(6)(w) . . . . . .
(3) Largest amount of sup-
port from an exempt
organization, , , , ,
4 Gross investment income
ORM. Supplementary Information (Complete this part only if the foundation had $5,000 or more in assetsat any time during the year - see instructions.)
1 Information Regarding Foundation Managers:
a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundationbefore the close of any tax year (but only if they have contributed more than $5,000) (See section 507(d)(2) )
NONE
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of theownership of a partnership or other entity) of which the foundation has a 10% or greater interest
NONE
2 Information Regarding Contribution , Grant , Gift, Loan, Scholarship , etc., Programs:
Check here- q if the foundation only makes contributions to preselected charitable organizations and does not acceptunsolicited requests for funds If the foundation makes gifts, grants, etc (see instructions) to individuals or organizations underother conditions, complete items 2a, b, c, and d
a The name , address , and telephone number or e-mail address of the person to whom applications should be addressed
ATCH 9
b The form in which applications should be submitted and information and materials they should include
LETTER OR EMAIL TO [email protected]
c Any submission deadlines
ATCH 10
d Any restrictions or limitations on awards, such as by geographical areas , charitable fields , kinds of institutions , or otherfactors
THE FOUNDATION DOES NOT MAKE GRANTS TO INDIVIDUALS.
JSA3E1490 1 000
Form 990-PF (2013)
DUANE READE CHARITABLE FOUNDATION 20-8607795
Form 990-PF (2013 ) Page 11
Supplementary information (continued)
3• Grants and Contributions Paid During the Year or Approved for Future PaymentRecip ient It recipient is an individual,
show any relationship toFoundation
t t fPurpose of grant or Amount
Name and address (home or business orany
substantstanhat
tion managercontributor
s a us o
recipientcontribution
a Paid during the year
ATCH 11
.................................................Total lo. 3a 615, 455.
b Approved for future payment
Total 3b
Form 990-PF (2013)JSA3E1491 1 000
DUANE READE CHARITABLE FOUNDATION 20-8607795
Form 990 - PF (2013) Page 12
MEW Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated Unrelated business income Excluded by section 512 , 513, or 514 (e)
(a) (b) (c) (d)Related or exemptfunction income
1 Program service revenue Business code Amount Exduson code Amount ( See instructions
a
b
c
d
e
If
g Fees and contracts from government agencies
2 Membership dues and assessments , , , , ,
3 Interest on savings and temporary cash investments 14 523.
4 Dividends and interest from securities
5 Net rental income or ( loss) from real estate
a Debt-financed property , , , , , , , , ,
b Not debt-financed property , , , , , , ,
6 Net rental income or (loss ) from personal property
7 Other investment income
8 Gain or ( loss) from sales of assets other than inventory
9 Net income or (loss ) from special events , ,
10 Gross profit or (loss ) from sales of inventory .
11 Other revenue a
b ATCH 12 40,785.
c
d
e
12 Subtotal Add columns ( b), (d), and (e) . 41,308. 1
13 Total . Add line 12, columns ( b), (d), and (e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 41,308.
(See worksheet in line 13 instructions to verify calculations )
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No. Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the
V accomplishment of the foundation ' s exempt purposes ( other than by providing funds for such purposes ) (See Instructions )
Form 990 -PF (2013)JSA
3E 1492 1 000
Form 990 -PF (2013 ) DUANE READE CHARITABLE FOUNDATION 20-8607795 Page 13
Information Regarding Transfers To and Transactions and Relationships With NoncharitableExempt Organizations
1 Did the, organization directly or indirectly engage in any of the following with any other organization described Yes Noin section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to politicalorganizations?
a Transfers from the reporting foundation to a noncharitable exempt organization of
(1) Cash ......................................................... 1a1 X(2) Other assets . . . . ... . .. . . . .... .. . .. . . . .. .. . .. .. . . . ... . . . . . .. . .. ... la ( 2 ) X
b Other transactions
(1) Sales of assets to a nonchantable exempt organization . . .. ... .. .. . .. ... . . . . . . . . . . ... 1b ( l ) X(2) Purchases of assets from a noncharitable exempt organization .. . .. .. . . . ... . . . . . . . .. . . .. 1b 2 X(3) Rental of facilities, equipment, or other assets . . .. . . . . . ... .. .. . .. ... . . . .. . . .. . . .. 1b 3 X(4) Reimbursement arrangements . . . ... . .. . .. . . . . . ... .. .. . .. ... . . . .. . . .. . . .. 1 b 4 X(5) Loans or loan guarantees . .. . . . ... . . . . .. . . . . . ... .. .. . .. ... . . . . . . . .. . . .. 1b 5 X(6) Performance of services or membership or fundraising solicitations .. .. . .. .. . . . . . . .. .. . .. . 1b 6 X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees . . .. .. . . . .. . .. .. . .. 1c Xd If the answer to any of the above is "Yes," complete the following schedule Column (b) should always show the fair market
value of the goods, other assets, or services given by the reporting foundation If the foundation received less than fair marketvalue in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received
(a) Line no (b) Amount Invdved (c) Name of noncharltable exempt organization (d) Description of transfers, transactions, and sharing arrangements
N/A N/A
2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizationsdescribed in section 501(c) of the Code ( other than section 501(c)(3)) or in section 527 .. q Yes q No
h If "Yes " cmmirtlete the fnllnwinn schPrhile
(a) Name of organization ( b) Type of organization (c) Description of relationship
Sign
Here
Paid
Under pen es of p u , I d are that I ave a this return , including accompanying schedules and statements, and to the best of my knowledge and belief , it is true,correct , complete do f p epare (other an t ayer ) is based on all information of which preparer has any knowledge
14-7-
Sig re of officer or trustee Date
Pnnt/Type preparer's name Preparer's signature
JEFFREY D HASKELL JEFFREY D
I I UPON Wit
Use Only
JSA
3E1493 1 000
Schedule B(Form 990,990-EZ,or 990-PF)Department of the TreasuryInternal Revenue Service
Name of the organizatior
Schedule of Contributors
► Attach to Form 990, Form 990-EZ, or Form 990-PF.► Information about Schedule B (Form 990, 990-EZ, or 990-PF) and Its Instructions Is at www irs gov/form990.
OMB No 1545-0047
2013Employer identification number
DUANE READE CHARITABLE FOUNDATION
20-8607795
Organization type (check one)
Filers of:
Form 990 or 990-EZ
Form 990-PF
Section:
q 501(c)( ) (enter number) organization
q 4947( a)(1) nonexempt charitable trust not treated as a private foundation
q 527 political organization
q 501(c )( 3) exempt private foundation
q 4947( a)(1) nonexempt charitable trust treated as a private foundation
q 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.
Note . Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule See
Instructions
General Rule
q For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor Complete Parts I and II
Special Rules
q For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33 1/3 % support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of
the greater of (1) $5,000 or (2) 2% of the amount on (I) Form 990, Part VIII, line 1h, or (II) Form 990-EZ, line 1
Complete Parts I and II
q For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary,
or educational purposes, or the prevention of cruelty to children or animals Complete Parts I, II, and III
q For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc , purposes, but these contributions did
not total to more than $1,000 If this box is checked, enter here the total contributions that were received during the
year for an exclusively religious, charitable, etc , purpose Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc , contributions of $5,000 or
more during the year , . . . . . . . . . . . . . . . . . . . . . . . . . . , , , , , , , , , 110. $---------------
Caution . An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer "No" on Part IV, line 2, of its Form 990, or check the box on line H of Its Form 990-EZ or on its
Form 990-PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF)
For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
JSA
3E1251 1 000
Schedule B (Form 990, 990-EZ. or990-PF) (2013) Page 2
Name of organization DUANE READE CHARITABLE FOUNDATION
1
Employer identification number
20-8607795
-Person
Noncash
Contributors (see instructions) Use duplicate copies of Part I if additional space is needed
(a) (b) (c) (d)No. Name , address , and ZIP + 4 Total contributions Type of contribution
1-3M---------------------------------------- Person X
Payroll3M- CENTER- BUILDING -0216-02-N-07 $ ----------7,800_ Noncash
(Complete Part II forST.-PAUL,-MN--55144-1000 ___-----------------------------------
noncash contributions )
(a) (b) (c) (d)No. Name , address , and ZIP + 4 Total contributions Type of contribution
- - 2- ANHEUSER-BUSCH,-INC.
-----------------------------------------XPerson
Pay rollONE BUSCH PLACE, 202-7 -------------------- $ ----------7,800_ Noncash
(Complete Part II forST.-LOUIS,-MO--631186__------------____-------- noncash contributions )
(a) (b) (c) (d)No. Name , address , and ZIP + 4 Total contributions Type of contribution
- - 3- BAYER HEALTHCARE------------------------------------------
X
Payroll
Complete Part II foroncash contributions )
(a) (b) (d)No. Name, address , and ZIP + 4 Type of contribution
- - 4 BOEHRINGERINGELHEIMUSACORPORATION XPerson
Payroll10 DOWNTOWN COURT
Complete Part II forWARREN, NJ 07059 contributions )
(a) (b) (d)No. Name , address , and ZIP + 4 Type of contribution
- - 5- CHURCH-AND
-DWIGHT
---------------------------------------- Person
Payroll469 NORTH HARRISON STREET Noncash
(Complete Part 11 forPRINCETON,-NJ--08543------------------------------------- noncash contributions )
(a) (b) (c) (d)No. Name , address , and ZIP + 4 Total contributions Type of contribution
6- COCA-COLA-BOTTLING-COMPANY -------------- Person X
PayrollPayroll3- SKYLINE- DRIVE --------------------------- $ ---------15,600_ Noncash
(Complete Part II forHAWTHORNE, NY 10532---------------------------------------- noncash contributions )
SSA Schedule B (Form 990 , 990-EZ, or 990 -PF) (2013)
3E 1253 1 000
Schedule B (Form 990 , 990-EZ , or 990- PF) (2013) Page 2
Name of organization DUANE READE CHARITABLE FOUNDATION
1
Employer identification number
20-8607795
Contributors (see instructions) Use duplicate copies of Part I if additional space is needed.
(a) (b) (c) (d)
No. Name, address , and ZIP + 4 Total contributions Type of contribution
7----
COLLATE PALMOLIVE COMPANY------------------------------------------
XPerson
PayrollC/O 042607, 1410 S CLARK BLVD-------------------------------------- ----------7,800_ Noncash
(Complete Part II for--------------JEFFERSONVILLE,
-IN
--47130
--noncash contributions )
(a) (b) (c) (d)
No. Name, address , and ZIP + 4 Total contributions Type of contribution
- - 8- COLLECTIVE-BIAS
----------------------------------------- Person
PayrollC/0- TAX- DEPARTMENT, -201 -S.- MAIN STREET $---------15,600_ Noncash
(Complete Part II forBENTONVILLE, AR 72712 ---------------------------------------- noncashcontributions )
(a) (b) (c) (d)
No. Name , address , and ZIP + 4 Total contributions Type of contribution
9- CONAGRA FOODS ENTERPRISE SERVICES, INC.-------------------------------------- Person X
Payroll5645 N. 90TH STREET MS 90-1005645 ------------------------------------
15,600.$---------------- Noncash
(Complete Part II forOMAHA, NE 68102 --- contributions )noncash
(a) (b) (d)
No. Name , address , and ZIP + 4 Type of contribution
10--
CONAIR CORPORATION AND SUBSIDIARIES
-
XPerson
Payroll150 MILFORD ROAD Noncash
(Complete Part II forEAST WINDSOR, NJ 08520 ----------------------------------------
noncash contributions)
(a) (b) (c) (d)
No. Name , address , and ZIP + 4 Total contributions Type of contribution
- 11 CROSSMARK Person
Payroll5100 LEGACY DRIVE
-
Noncash
Complete Part II forO, 704 -------------------------- oncash contributions )
(a) (b) (c) (d)
No. Name , address , and ZIP + 4 Total contributions Type of contribution
12 DORA'S-NATURAL----------------------------------------- Person X
PayrollC/0- TAX- DEPARTMENT, -21 -EMPIRE BLVD 15,600. Noncash
(Complete Part II forHACKENSACK, NJ07601 --------------------
-noncash contributions)
JSASchedule B (Form 990 , 990-EZ, or 990-PF) (2013)
3E 1253 1 000
Schedule B (Form 990, 990-EZ, or 990-PF) (2013) Page 2
Name of organisation DUANE READE CHARITABLE FOUNDATION Employer identifi cation number1 1 20-8607795
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed
(a) (b) (c) (d)No. Name , address , and ZIP + 4 Total contributions Type of contribution
- 13 - DORIS INTERNATIONAL------------------------------------------
XPerson
PayrollC/0- TREASURY - DEPARTMENT, -P.O.- BOX 516 $ ----------7,800 . Noncash
(Complete Part II forCHAMPLAIN, NY 12919_________________________ noncash contributions)
(a) (b) (c) (d)No. Name , address , and ZIP + 4 Total contributions Type of contribution
- 14- DR.-PEPPER/SEVENUP,
-INC
----------------------------------------XPerson
PayrollC/0- CHARITY - CLASSIC, -5301 -LEGACY DRIVE 15,600. Noncash
(Complete Part II forPLANO, TX 75024_____________________________ noncash contributions )
(a) (b) (c) (d)No. Name , address , and ZIP + 4 Total contributions Type of contribution
_ 15 FGX INTERNATIONAL------------------------------------------
XP
Payroll500- GEORGE- WASHINGTON -HIGHWAY $ ----------7,800. Noncash
(Complete Part II forSMITHFIELD, RI 02917___--------------------- noncashcontributions )
(a) (b) (c) (d)No. Name , address , and ZIP + 4 Total contributions Type of contribution
--16- GRAPHICS-ATLANTA
-II
-INC.
---------------------------------------XPerson
Payroll2196 WEST PARK COURT $ ---------25,600_ Noncash
Part II for(CompleteSTONE MOUNTAIN, GA 30087____----------------- noncash contributions)
(a) (b) (c) (d)No. Name , address, and ZIP + 4 Total contributions Type of contribution
--17- GRAPHIC-COMMUNICATIONS
-----------------------------------------XPerson
PayrollC/0- GRAPHIC - COMMUNICATIONS,--16B JOURNEY $ - 15,600. Noncash
(Complete Part II forALISO VIEJO CA 32656-__--_%_______________________ noncash contributions)
(a) (b) (c) (d)No. Name , address, and ZIP + 4 Total contributions Type of contribution
--18- HALLMARK GLOBAL SERVICES, INC.-------------- Person
Pay rollPO BOX 418307 - $ ---------- 5,900L Noncash
(Complete Part II forKANSAS- CITY ,-MT --64108 _-_ noncash contributions )
SSA Schedule B (Form 990, 990-EZ, or 990 -PF) (2013)
3E 1253 1 000
Schedule B (Form 990 , 990-EZ, or 990-PF) (2013) Page 2
Name of organization DUANE READE CHARITABLE FOUNDATION
1
Employer identification number
20-8607795
Contributors (see instructions) Use duplicate copies of Part I if additional space is needed
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total contributions Type of contribution
19- - --
INTERACTIVE COMMUNICATIONS INTL INC------------------------------------------
XPerson
Payroll250 WILLIAMS STREET, SUITE M-100 $ - 15,600. Noncash
(Complete Part II forATLANTA, GA 30303---------------------------------------
noncash contributions )
(a) (b) (c) (d)
No. Name , address, and ZIP + 4 Total contributions Type of contribution
20 JAMIESON-LABORATORIES
-----------------------------------------XPerson
Pay roll2 ST. CLAIR AVENUE WEST, 16TH FLOOR-----------------------------------------
$ 15,600.------------- Noncash
(Complete Part II forTORONTO, ON---------------------------------------
noncash contributions )
CANADA
(a) (b) (c) (d)
No. Name , address , and ZIP + 4 Total contributions Type of contribution
- 21 KEHE-DISTRIBUTORS,
-LLC
---------------------------------------- Person
Pay rollC/O TAX DEPARTMENT, 900 N. SCHMIDT ROAD------------------------------------------
15,600.---------------- Noncash
(Complete Part II forROMEOVILLE, IL 60446 ---------------------------------------
noncash contributions)
(a) (b) (c) (d)
No. Name , address , and ZIP + 4 Total contributions Type of contribution
- 22 KIMBERLY-CLARK
-----------------------------------------XPerson
Payroll401 NORTH LAKE STREET
-
Noncash
Complete Part II forNEENAH, WI 54956NEENA ------------------------------
oncashcontributions)
(a) (b) (c) (d)
No. Name , address, and ZIP + 4 Total contributions Type of contribution
- 23 KISS PRODUCTS ---------------------------- Person
Payroll3187 BENNINGTON DRIVE 15,600. Noncash
(Complete Part II forWIXOM,-MI--48393
------------------ noncashcontributions )
(a) (b) (c) (d)
No. Name , address, and ZIP + 4 Total contributions Type of contribution
- 24 M-FRIED-STORE-FIXTURES ------------------------------------- -- Person X
Pay roll176 FLUSHING AVENUE------------------------------------------
15,600. Noncash
(Complete Part II forBROOKLYN, NY 11205 --- noncash contributions )
JSA Schedule B (Form 990 , 990-EZ , or 990 -PF)(2013)
3E1253 1000
Schedule B ( Form 990. 990-EZ, or 990- PF) (2013) Page 2
Name of organization DUANE READE CHARITABLE FOUNDATION
1
Employer identification number
20-8607795
Contributors (see instructions) Use duplicate copies of Part I if additional space is needed
(a) (b) (c) (d)No. Name , address , and ZIP + 4 Total contributions Type of contribution
_ 25M&M-MARS---------------------------------- Person
Payroll610 PATTERSON AVENUE------------------------------------------
15,600.$ --------- ------- Noncash
Part II for(CompleteFRANKLIN SQUARE, NY 10010____---------------- noncashcontributions )
(a) (b) (c) (d)No. Name , address , and ZIP + 4 Total contributions Type of contribution
- 26_ FRITO- LAY -------------------------------- Person
Payroll1867- FLUSHING -AVENUE $ --------- 15,600* Noncash
(Complete Part II forRIDGEWOOD, NY 11385_________________________ noncashcontributions )
(a) (b) (c) (d)No. Name, address , and ZIP + 4 Total contributions Type of contribution
- 27 PEPSI-COLA ___ Person
Pay roll
HNoncash
Complete Part II for
-
oncash contributions)
(a) (b) (d)No. Name , address , and ZIP + 4 Type of contribution
28----
PHARMAVITELLC- ---------------------------- sonPerson
Pay rollC/O PHARMAVITE LLC, PO BOX 9606 Noncash
(Complete Part 11 forMISSION HILL, CA 91346 oncasoncash contribbudtioons )
(a) (b) (d)
No. Name , address, and ZIP + 4
-
Type of contribution
29 PROCTOR AND GAMBLE Person
Pay roll100 ESSEX AVENUE EAST Noncash
Complete Part II forAVENEL, NJ 07001 oncash contributions)
(a) (b) (c) (d)No. Name , address , and ZIP + 4 Total contributions Type of contribution
_ 30 RECKETT-BENCKISER
----------------------------------------- Person
PayrollC/0- TAX- DEPARTMENT, -P.O. -BOX 225 15,600. Noncash
(Complete Part II forPARSIPPANY, NJ 07054___--------------------- noncash contributions)
JSASchedule B (Form 990, 990-EZ, or 990-PF) (2013)
3E1253 1 000
Schedule B (Form 990 , 990-EZ , or 990-PF) (2013) Page 2
Name of organization DUANE READE CHARITABLE FOUNDATION
1
Employer identification number
20-8607795
Contributors (see instructions). Use duplicate copies of Part I If additional space is needed
(a) (b) (c) (d)No. Name , address, and ZIP + 4 Total contributions Type of contribution
31 SIGN-GROUP-------------------------------- Person
Payroll5215 NEW UTRECHT AVENUE $ ------ Noncash
(Complete Part II forBROOKLYN,-NY--10001 --------------------------------------- noncash contributions )
(a) (b) (c) (d)No. Name, address , and ZIP + 4 Total contributions Type of contribution
32 SNAPPLE-DISTRIBUTORS,
-INC
----------------------------------------XPerson
PayrollACCOUNTING OFFICE, 300 MICHAEL DRIVE------------------------------------------
$ - 15,600. Noncash
(Complete Part II forSYOSSET, NY 117 91___________________________ noncash contributions)
(a) (b) (c) (d)No. Name, address, and ZIP + 4 Total contributions Type of contribution
- 33 STOREBOARD-MEDIA
-LLC
---------------------------------------- Person
Payroll441 LEXINGTON AVE. $ ---------- 6,400_ Noncash
(Complete Part II forNEW- YORK ,- NY--10017 ___
--------------------noncash contributions)
(a) (b) (c) (d)No. Name , address, and ZIP + 4 Total contributions Type of contribution
- 34 SUN-PRODUCTS------------------------------ Person X
PayrollC/O TAX DEPARTMENT, 60 DANBURY ROAD------------------------------------------
$ - 15,600.-------- ------- Noncash
(Complete Part II forWILTON, CT 06897____________________________ noncash contributions )
(a) (b) (c) (d)No. Name , address , and ZIP + 4 Total contributions Type of contribution
- 35 THE-HERSHEY
-COMPANY
----------------------------------------XPerson
Payroll14 EAST CHOCOLATE AVENUE $ _______ ____ Noncash
( Complete Part II forHERSHEY, - PA-- 17033------------------------------------- noncash contributions )
(a) (b) (c) (d)No. Name , address , and ZIP + 4 Total contributions Type of contribution
_ 36 THE-MICHAEL
-ALAN
-GROUP
--------------------------------------- Person
Payroll35- WEST- 35TH - STREET, -SUITE -1001 18,100. Noncash
( Complete Part II forNEW- YORK, - NY-- 10001------------------------------------ noncash contributions )
JSq Schedule B (Form 990 , 990-EZ, or 990 -13F) (2013)
3E1253 1 000
Schedule B (Form 990, 990-EZ, or 990-PF) (2013) Page 2
Name of organization DUANE READE CHARITABLE FOUNDATION Employer identification number
20-86077951 1
Contributors (see instructions) Use duplicate copies of Part I if additional space is needed
(a) (b) (c) (d)
No. Name , address , and ZIP + 4 Total contributions Type of contribution
- 37- TIME-WARNER
-INC.
---------------------------------------- Person
PayrollTAX DEPARTMENT, ONE TIME WARNER CTR. $----------5, 900_ Noncash
(Complete Part II forNEW YORK, NY 10019 ---------------------------------------
noncash contributions )
(a) (b) (c) (d)
No. Name, address , and ZIP + 4 Total contributions Type of contribution
38 TROPICAL-FOODS
----------------------------------------- Person
Pay roll3150 URBANCREST INDUSTRIAL DRIVE------------------------------------------
15,600.$ --------- ------- Noncash
(Complete Part II forURBANCREST, OH--43123 -------------------- noncash contributions )
(a) (b) (c) (d)
No. Name , address, and ZIP + 4 Total contributions Type of contribution
39 TROPICANA------------------------------------------ Person
PayrollC/0 TAX DEPARTMENT, P.O. BOX 049003 Noncash
Complete Part II forCHICAGO, IL 606049003
-
oncashcontributions)
(a) (b) (d)
No. Name, address, and ZIP + 4 Type of contribution
- 40 UNILEVER------------------------------------------
1771Person X
Pay rollC/O UNILEVER, 11 EDGEWATER AVENUE Noncash
Complete Part II for
-
oncashcontributions)
(a) (b) (d)
No. Name , address , and ZIP + 4 Type of contribution
- 41- US-NUTRITION
-----------------------------------------XPerson
Pay rollC/0 RUTH C. RACHELLE, 134 WARREN AVE.
-
Noncash
Complete Part II forBRIDGEWATER, NJ 08807 ---------------------------------------
noncashcontributions )
(a) (b) (c) (d)
No. Name , address , and ZIP + 4 Total contributions Type of contribution
42---
UTZ QUALITY FOODS INC------------------------------------------
XPerson
Pay rollC/0 UTZ QUALITY FOODS, INC., 900 HIGH ST $ --------- 15, 600. Noncash
(Complete Part II forHANOVER, -PA--17331------------------------ noncash contributions)
JSASchedule B (Form 990 , 990-EZ , or 990 -PF) (2013)
3E1253 1 000
Schedule B ( Form 990, 990-EZ, or 990-PF ) (2013) Page 2
Name of organization DUANE READE CHARITABLE FOUNDATION
1
Employer identification number
20-8607795
Contributors (see instructions) Use duplicate copies of Part I if additional space is needed.
(a) (b) (c) (d)
No. Name , address , and ZIP + 4 Total contributions Type of contribution
- 43 WALKING-MAN----------------------------------------- Person
PayrollC/0 DENNIS REILLY, 1370 BROADWAY 25,600. Noncash
(Complete Part II forNEW YORK, NY 10018 ---------------------------------------- noncash contributions )
(a) (b) (c) (d)
No. Name, address , and ZIP + 4 Total contributions Type of contribution
44----
WINICK REALTY GROUP, LLC------------------------------------------
XPerson
Pay rol l655 THIRD AVENUE, 8TH FLOOR- --------------- $ - -------- 15,600.
------ Noncash
(Complete Part II forNEW YORK, NY 10017 ------------------------------------------
noncash contributions )
(a) (b) (c) (d)
No. Name, address , and ZIP + 4 Total contributions Type of contribution
45 WM WRIGLEY JR COMPANY --- Person
Payroll410- NORTH-MICHIGAN -AVENUE 7,800. Noncash
(Complete Part II forCHICAGO, IL 60611 ------ contributions)noncash
(a) (b)
-
(d)
No. Name , address , and ZIP + 4 Type of contribution
---- ------------------------------------------ Person
Payroll
----------------------------------------- $ ---------------- Noncash
(Complete Part II for------------------------------------------ noncash contributions )
(a) (b) (c) (d)
No. Name , address , and ZIP + 4 Total contributions Type of contribution
---- ------------------------------------------ Person
Payroll
----------------------------------------- $ ---------------- Noncash
(Complete Part II for------------------------------------------ noncash contributions )
(a) (b) (c) (d)
No. Name , address , and ZIP + 4 Total contributions Type of contribution
- --- ------------------------------------------ Person
Payroll
----------------------------------------- $ ---------------- Noncash
(Complete Part II for------------------------------------------ noncash contributions )
JSA Schedule B(Form 990, 990-EZ, or 990-PF) (2013)
3E 1253 1 000
Schedule B ( Form 990 . 990-EZ. or 990-PF) (2013)
Name of organization DUANE READE CHARITABLE FOUNDATION Employer
20-8607795
Noncash Property (see instructions) Use duplicate copies of Part II if additional space is needed.
(a) No. (c)
from ( b) FMV (or estimate) (d)Part I Description of noncash property given
(see instructions)Date received
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------- ------------
(a) No. (c)
from (b) FMV (or estimate) (d)Part I
Description of noncash property given( see instructions)
Date received
----
---------------------------------------------
---------------------------------------------
---------------------------------------------
--------------------------------------------- ---------------- ------------
( a) No. (c)
from (b) FMV (or estimate) (d)Part I
Description of noncash property given(see instructions )
Date received
----
---------------------------------------------
---------------------------------------------
---------------------------------------------
--------------------------------------------- ----------------- ------------
(a) No. (c)
from ( b) FMV (or estimate) (d)Part I Description of noncash property given
(see instructions)Date received
- - - -
---------------------------------------------
---------------------------------------------
---------------------------------------------
--------------------------------------------- ----------------- ------------
( a) No. (c)
from (b) FMV (or estimate) (d)Part I Description of noncash property given
(see instructions)Date received
- - -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------- ------------
( a) No. (c)
from ( b) FMV (or estimate) (d)Part I
Description of noncash property given(see instructions)
Date received
- ---
---------------------------------------------
---------------------------------------------
---------------------------------------------
--------------------------------------------- ----------------- ------------
JSASchedule B (Fom1 990, 990-EZ, or 990-PF) (2013)
3E1254 1 000
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Name of organization DUANE READE CHARITABLE FOUNDATION Employer identification number
20-8607795
4
Exdusively religious , charitable , etc., individual contributions to section 501(c )( 7), (8), or (10) organizationsthat total more than $1,000 for the year . Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,contributions of $1,000 or less for the year (Enter this information once See instructions) ► $
-------------Use duplicate copies of Part III if additional space is needed
(a) No.fromPart l
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
- - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
-------------------------
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
---------------------------
---------------------------
---------------------------
(e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
(a) No.fromPart l
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
- - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
-------------------------
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
---------------------------
---------------------------
---------------------------
(e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
(a) NofromPart I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
- - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
-------------------------
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
---------------------------
---------------------------
---------------------------
(e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
(a) NofromPart I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
- - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
-------------------------
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
---------------------------
---------------------------
---------------------------
(e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
JSASchedule B (Form 990 , 990-EZ , or 990 -PF) (2013)
3E 1255 1 000
DUANE READE CHARITABLE FOUNDATION 20-8607795
ATTACHMENT 1
FORM 990PF, PART I - OTHER INCOME
REVENUEAND
EXPENSESDESCRIPTION PER BOOKSGOLF TOURNAMENT NET INCOME 40,785.
TOTALS 40,785.
Duane Reade Charitable Foundation
Part I. Line 11 (990-PF ) - Other Income
20-8607795
Gross Receipts Contributions Gross Revenue Expenses Net Income
Golf Tournament 865,935 655,750 210,185 169,400 40,785
The Foundation held a charitable golf tournament in order to raise funds Expenses to the extent of the non-deductible portion of funds
received have been netted against the related income on Part I, Line 11 The remaining expenses have been reported on Part I, Line 23
Attachment to Part 1, Line 11
DUANE READE CHARITABLE FOUNDATION
FORM 990PF, PART I - LEGAL FEES
20-8607795
ATTACHMENT 2
REVENUEAND NET ADJUSTED
EXPENSES INVESTMENT NET CHARITABLE
DESCRIPTION PER BOOKS INCOME INCOME PURPOSES
GENERAL GOVERNANCE/COUNSELING 396. 396.
TOTALS 396. 396.
ATTACHMENT 2
DUANE READE CHARITABLE FOUNDATION 20-8607795
ATTACHMENT 3
FORM 990PF , PART I - ACCOUNTING FEES
DESCRIPTION
AUDIT SUPPORT
REVENUEAND NET ADJUSTED
EXPENSES INVESTMENT NET CHARITABLEPER BOOKS INCOME INCOME PURPOSES
12,930. 12,930.
TOTALS 12,930. 12, 930.
ATTACHMENT 3
DUANE READE CHARITABLE FOUNDATION 20-8607795
ATTACHMENT 4
FORM 990PF, PART I - OTHER EXPENSES
DESCRIPTIONADMINISTRATIVEBANK CHARGES
GOLF TOURNAMENTSTATE OR LOCAL
FEES
REVENUEAND
EXPENSESPER BOOKS
45, 000.4,923.16,212.
325.
NETINVESTMENT
INCOME
4,923.EXPENSESFILING FEES
TOTALS 66,460. 4,923.
CHARITABLEPURPOSES
45, 000.
16,212.325.
61,531-.-
ATTACHMENT 4
DUANE READE CHARITABLE FOUNDATION 20-8607795
ATTACHMENT 5
FORM 990PF, PART VII-A - LIQUIDATION, TERMINATION, ETC. STATEMENT
THIS STATEMENT IS SUBMITTED TO REPORT THE DISTRIBUTION OF CERTAINASSETS DURING THE ABOVE REFERENCED YEAR. THE DISTRIBUTIONS RESULTEDIN A SUBSTANTIAL CONTRACTION OF ASSETS.
THE FOLLOWING INFORMATION IS SUBMITTED IN ACCORDANCE WITH TREASURYREGULATION SECTION 1.6043-3(A)(1) AND THE FORM 990-PF INSTRUCTIONS:
DURING THE TAXABLE YEAR ENDING DECEMBER 31, 2013, THE FOUNDATION MADEDISTRIBUTIONS FROM ASSETS FROM SOURCES OTHER THAN CURRENT INCOME.COLLECTIVELY, THE DISTRIBUTIONS IN EXCESS OF CURRENT INCOME TOTALED$615,455. THIS AMOUNT REPRESENTS MORE THAN 25% OF THE FOUNDATION'SNET ASSETS OF $684,927 (AS MEASURED BY FAIR MARKET VALUE) AT THEBEGINNING OF THE FOUNDATION'S TAXABLE YEAR ENDING DECEMBER 31, 2013.ALTHOUGH THE FOUNDATION TECHNICALLY EXPERIENCED A "SUBSTANTIALCONTRACTION," IT WILL CONTINUE IN EXISTENCE AND HAS NO PLANS FORDISSOLUTION.
THE FOUNDATION MADE DISTRIBUTIONS OF CASH TO THE GRANTEES LISTED INTHE ATTACHMENT TO PART XV, LINE 3A; EACH SUCH GRANT WAS MADE SOLELYFOR THE CHARITABLE PURPOSE SPECIFIED THEREIN.
DUANE READE CHARITABLE FOUNDATION 20-8607795
FORM 990PF, PART VII-A, LINE 10 - NEW SUBSTANTIAL CONTRIBUTORS ATTACHMENT 6
NAME AND ADDRESS
GRAPHICS ATLANTA II INC.
2196 WEST PARK COURT
STONE MOUNTAIN, GA 30087
KISS PRODUCTS3187 BENNINGTON DRIVEWIXOM, MI 48393
ATTACHMENT 6
DUANE READE CHARITABLE FOUNDATION 20-8607795
ATTACHMENT 7
FORM 990PF, PART VII-B, LINE 5C-EXPENDITURE RESPONSIBILITY STATEMENT
GRANTEE'S NAME: WALGREEN BENEFIT FUNDGRANTEE'S ADDRESS: 102 WILMOT RD. MS-1410CITY, STATE & ZIP: DEERFIELD, IL 60015GRANT DATE: 11/05/2013GRANT AMOUNT: 25,000.GRANT PURPOSE: TO PROVIDE EMERGENCY ASSISTANCE FOR EMPLOYEES AFFECTED
BY SUPER-STORM SANDY.AMOUNT EXPENDED:ANY DIVERSION? NODATES OF REPORTS: REPORT EXPECTED IN 2014VERIFICATION DATE:RESULTS OF VERIFICATION:
NONE NECESSARY
DUANE READE CHARITABLE FOUNDATION
FORM 990PF , PART VIII - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES
NAME AND ADDRESS
TITLE AND AVERAGE HOURS PER
WEEK DEVOTED TO POSITION
FRAN BARUCH VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
GREGORY CALVANO VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
CHRIS DARROW * VP / DIR / SEC
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
* REMOVED IN 2013
DAN GRALTON VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
ADRIENNE JOHNSON VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
20-8607795
ATTACHMENT 8
ATTACHMENT 8
DUANE READE CHARITABLE FOUNDATION
FORM 990PF , PART VIII - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES
NAME AND ADDRESS
TITLE AND AVERAGE HOURS PER
WEEK DEVOTED TO POSITION
JEFFREY KOZIEL VP / DIR
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
JOSEPH MAGNACCA * VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
* REMOVED IN 2013
SCOTT MCCULLOCH VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
ANTHONY RISO VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
AILEEN RODRIGUEZ PRES / DIR / SEC
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
20-8607795
ATTACHMENT 8 (CONT'D)
ATTACHMENT 8
DUANE READE CHARITABLE FOUNDATION
FORM 990PF PART VIII - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES
NAME AND ADDRESS
TITLE AND AVERAGE HOURS PER
WEEK DEVOTED TO POSITION
KENNETH WISTREICH VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
DEIDRE ZACCONE VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
20-8607795
ATTACHMENT 8 (CONT'D)
ATTACHMENT 8
DUANE READE CHARITABLE FOUNDATION 20-8607795
ATTACHMENT 9
FORM 990PF, PART XV - NAME, ADDRESS AND PHONE FOR APPLICATIONS
YADIRA VELASQUEZ40 WALL STREETNEW YORK, NY 10005212-356-5241
DUANE READE CHARITABLE FOUNDATION 20-8607795
ATTACHMENT 10
990PF, PART XV - SUBMISSION DEADLINES
ORGANIZATIONS MAY SUBMIT GRANT REQUESTS THROUGHOUT THE YEAR.
GRANT REQUESTS ARE CONSIDERED AT EACH MONTHLY BOARD MEETING.
DUANE READE CHARITABLE FOUNDATION
c M - rnrlmoTRrlm Tc1M Darn nf1D T1. (: TF7C VFAR
RECIPIENT NAME AND ADDRESS
ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATI
360 LEXINGTON AVE FL 4
NEW YORK, NY 10017
AMERICAN DIABETES ASSOCIATION INC
333 7TH AVE,
NEW YORK, NY 10001
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE
DALLAS, TX 75231
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE
DALLAS, TX 75231
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE
DALLAS, TX 75231
AMERICAN RED CROSS IN GREATER NEW YORK
520 W 49TH ST
NEW YORK, NY 10019
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
FOUNDATION STATUS OF RECIPIENT
N/A
PC
N/A
PC
N/A
PC
N/A
PC
N/A
PC
N/A
PC
20-6607795
ATTAr--T 11
PURPOSE OF GRANT OR CONTRIBUTION AMOUNT
CHARITABLE EVENT 10,000
GENERAL 6 UNRESTRICTED 23,410.
GENERAL S UNRESTRICTED 1,000
CHARITABLE EVENT 15,000
CHARITABLE EVENT 10,000
GENERAL & UNRESTRICTED 7
ATTACHMENT 11
DUANE READE CHARITABLE FOUNDATION
PART EU - PRANTC ANh (VINTRTRrTTTOM PATII fu7RTED TWP 'PhD
20-8607795
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
RECIPIENT NAME AND ADDRESS FOUNDATION STATUS OF RECIPIENT PURPOSE OF GRANT OR CONTRIBUTION AMOUNT
BETH ISRAEL MEDICAL CENTER N/A GENERAL & UNRESTRICTED 10,000.
555 57TH ST PC
NEW YORK, NY 10019
BETH ISRAEL MEDICAL CENTER N/A BREAST SERVICE LUNCHEON 1,000
555 57TH ST PC
NEW YORK, NY 10019
CHURCH OF GOD OF EAST FLATBUSH N/A GENERAL & UNRESTRICTED 5,000
409-15 E 95TH ST PC
BROOKLYN , NY 11212
CITY HARVEST INC N /A 575 BOXED TURKEYS 24,299.
6 E 32ND ST FL 5 PC
NEW YORK, NY 10016
CITY HARVEST INC N /A CHARITABLE EVENT 15,000.
6 E 32ND ST FL 5 PC
NEW YORK, NY 10016
CITY HARVEST INC N /A GENERAL & UNRESTRICTED 12,902.
6 E 32ND ST FL 5 PC
NEW YORK, NY 10016
ATTACHMENT 11
DUANE READE CHARITABLE FOUNDATION
FnRM ^F PART YV rRAMTC AMf -lTR TR77TTnM PATH DrIRTMD TBP YPAR
RECIPIENT NAME AND ADDRESS
CITYMEALS-ON-WHEELS
355 LEXINGTON AVE 3RD FL
NEW YORK, NY 10017
CITYMEALS-ON-WHEELS
355 LEXINGTON AVE 3RD FL
NEW YORK, NY 10017
CITYMEALS-ON-WHEELS
355 LEXINGTON AVE 3RD FL
NEW YORK, NY 10017
CITYMEALS-ON-WHEELS
355 LEXINGTON AVE 3RD FL
NEW YORK, NY 10017
COVENANT HOUSE
460 W 41ST ST
NEW YORK, NY 10036
DESIGN INDUSTRIES FOUNDATION FIGHTING AIDS INC
200 LEXINGTON AVE RM 1016
NEW YORK, NY 10016
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
FOUNDATION STATUS OF RECIPIENT
N/A
PC
N/A
PC
N/A
PC
N/A
PC
N/A
PC
N/A
PC
20-8607795
PURPOSE OF GRANT OR CONTRIBUTION
GENERAL & UNRESTRICTED
CHARITABLE EVENT
CHARITABLE EVENT
GENERAL & UNRESTRICTED
GENERAL G UNRESTRICTED
DINING BY DESIGN
ATTA('HMFNT L (Dl1MT' f1)
AMOUNT
5,000
5,000
10,000
325.
2, 500
500
ATTACHMENT 11
DUANE READE CHARITABLE FOUNDATION
MPM gqRPP PART YV - l:RAHTE AND rONTRTR11TT(1NS PATI1 ilI1RTEf: THP YEAR
RECIPIENT NAME AND ADDRESS
DOMINICO AMERICAN SOCIETY OF QUEENS INC
40-27 97TH ST
CORONA, NY 11366
DYCKHAN YOUTH ENTERPRISES
4768 BROADWAY
NEW YORK, NY 10034
EVE FENTON LOVE-ALL FOUNDATION INC
PO BOX 1258
NEW YORK, NY 10163
GAY MENS HEALTH CRISIS INC
446 W 33RD ST
NEW YORK, NY 10001
GAY MENS HEALTH CRISIS INC
446 W 33RD ST
NEW YORK, NY 10001
GAY HENS HEALTH CRISIS INC
446 W 33RD ST
NEW YORK, NY 10001
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
FOUNDATION STATUS OF RECIPIENT
N/A
PC
N/A
PC
N/A
PC
N/A
PC
N/A
PC
N/A
PC
20-6607795
PURPOSE OF GRANT OR CONTRIBUTION
CHARITABLE EVENT
GENERAL & UNRESTRICTED
GENERAL & UNRESTRICTED
GMHC FASHION FORWARD
CHARITABLE EVENT
CHARITABLE EVENT
ATTArNMPI.IT 11 (r(1NT' I1)
AMOUNT
5,000.
10,000
3,000
15,000.
60,000
15,000.
ATTACHMENT 11
DUANE READE CHARITABLE FOUNDATION
Ft)pM Qf1PF ' PART V 11 - /'RAI.TC AM II !'lIAiTRTRf1T Tl1UC PATfl fl1IRTIJf: TNF YPAR
RECIPIENT NAME AND ADDRESS
GAY MENS HEALTH CRISIS INC
446 W 33RD ST
NEW YORK, NY 10001
GRACE EVANGELICAL LUTHERAN CHURCH
3120 21ST AVE
LONG IS CITY, NY 11105
HEALTH ADVOCATES FOR OLDER PEOPLE INC
1233 2ND AVE
NEW YORK, NY 10065
HOPE FOR THE WARRIORS
1335 WESTERN BLVD STE E
JACKSONVILLE, NC 28546
HUNTINGTONS DISEASE SOCIETY OF AMERICA INC
505 8TH AVE, STE 902
NEW YORK, NY 10018
MEMORIAL SLOAN-KETTERING CANCER CENTER
633 3RD AVE 28TH FL
NEW YORK, NY 10017
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
FOUNDATION STATUS OF RECIPIENT
N/A
PC
N/A
PC
N/A
PC
N/A
PC
N/A
PC
N/A
PC
20-8607795
ATTAC HMPHT 11 (crwT'rn
PURPOSE OF GRANT OR CONTRIBUTION AMOUNT
GENERAL & UNRESTRICTED 295
GENERAL & UNRESTRICTED 2,500
GENERAL & UNRESTRICTED 500.
LONG ISLAND RUN FOR THE WARRIORS 2,500
TEAM HOPE WALK - SUPPORTING SPONSOR 100
CHARITABLE EVENT 25,000
ATTACHMENT 11
DUANE READE CHARITABLE FOUNDATION
Fe)gm QPl1PF PART Y{! - ('RANTC ANY) rrm19'RTRI1TT/rNC PA M Il11RTNI THE VAR
RECIPIENT NAME AND ADDRESS
MEMORIAL SLOAN-KETTERING CANCER CENTER
633 3RD AVE 28TH FL
NEW YORK, NY 10017
OPERATION SMILE INC
3641 FACULTY BLVD
VIRGINIA BEACH, VA 23453
PFBL SCHOLARSHIP FUND INC
2225 5TH AVE
NEW YORK, NY 10037
QSAC INC
253 W 35TH ST
NEW YORK, NY 10001
RONALD MCDONALD HOUSE OF NEW YORK INC
405 E 73RD ST
NEW YORK, NY 10021
ROOM TO GROW NATIONAL INC
54 W 21ST ST RM 401
NEW YORK, NY 10010
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
FOUNDATION STATUS OF RECIPIENT
N/A
PC
N/A
PC
N/A
PC
N/A
PC
N/A
PC
N/A
PC
20-8607795
ATTA('HMPNT 11 (!^(1NT' M
PURPOSE OF GRANT OR CONTRIBUTION AMOUNT
TO SUPPORT THE LAURIE HARRIS HOPE AND DREAMS 5K 1,000
RUN
GENERAL I UNRESTRICTED 5,000
GENERAL I UNRESTRICTED 500.
CHARITABLE EVENT 2,500
CHARITABLE EVENT 5,000
GENERAL I UNRESTRICTED 20,000.
ATTACHMENT 11
DUANE READE CHARITABLE FOUNDATION
DART yy rRANTC ANn rQMTRTRI7TTl1NC PAT71 7177RTNl: THE VFAR
RECIPIENT NAME AND ADDRESS
ROOM TO GROW NATIONAL INC
54 W 21ST ST RM 401
NEW YORK, NY 10010
ROOM TO GROW NATIONAL INC
54 W 21ST ST RM 401
NEW YORK, NY 10010
SISTERS OF THE ORDER OF ST DOMINIC
555 ALBANY AVE
AMITYVILLE, NY 11701
STEPHEN SILLER TUNNEL TO TOWERS FOUNDATION
2361 HYLAN BLVD
STATEN ISLAND, NY 10306
SUSAN G KOMEN BREAST CANCER FOUNDATION
P.O. BOX 27963
NEW YORK, NY 10087
SUSAN G KOMEN BREAST CANCER FOUNDATION
P.O BOX 27963
NEW YORK, NY 10087
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
FOUNDATION STATUS OF RECIPIENT
N/A
PC
N/A
PC
N/A
PC
N/A
PC
N/A
PC
N/A
PC
20-8607795
PURPOSE OF GRANT OR CONTRIBUTION AMOUNT
CHARITABLE EVENT 10,000.
CHARITABLE EVENT 600
GENERAL 6 UNRESTRICTED 5,000
GENERAL & UNRESTRICTED 3,013
2012 KOMEN GREATER NYC RACE FOR THE CURE-
REGISTRATION FEE
KOMEN PRESENTING SPONSORSHIP
4,720
75,000
ATTACHMENT 11
DUANE READE CHARITABLE FOUNDATION
pngM PP PART Yl rPAATC A- rnNTRTRT1TTnNC PATE 1)I1RTNr THE VCAR
20-8607795
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
ATT A (`HMRHT 11 (!'(l AJT' Ill
AND
RECIPIENT NAME AND ADDRESS FOUNDATION STATUS OF RECIPIENT PURPOSE OF GRANT OR CONTRIBUTION AMOUNT
SUSAN G KOMEN BREAST CANCER FOUNDATION N/A SUSAN G KOMEN LUNCHEON 25,000
P.O. BOX 27963 PC
NEW YORK, NY 10087
SUSAN G KOMEN BREAST CANCER FOUNDATION N/A CITY IN PINK PROJECT 25,000
P.O BOX 27963 PC
NEW YORK, NY 10087
SUSAN G KOMEN BREAST CANCER FOUNDATION N/A CHARITABLE EVENT 680.
P 0 BOX 27963 PC
NEW YORK, NY 10087
SUSAN G KOMEN BREAST CANCER FOUNDATION N/A CHARITABLE EVENT 7,500
P 0. BOX 27963 PC
NEW YORK, NY 10087
SUSAN G KOMEN BREAST CANCER FOUNDATION N/A GENERAL & UNRESTRICTED 9,104
P.O BOX 27963 PC
NEW YORK, NY 10087
VOLUNTEERS OF AMERICA INC N /A GENERAL 6 UNRESTRICTED 50,000.
340 W 85TH ST PC
NEW YORK, NY 10024
ATTACHMENT 11
DUANE READE CHARITABLE FOUNDATION
Ff1RM BBOPF PART Y11 f'RAN TR ANn rANTRTRTITTAMc PATH 1H1RTN(' THP VPA R
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
RECIPIENT NAME AND ADDRESS FOUNDATION STATUS OF RECIPIENT
VOLUNTEERS OF AMERICA INC N/A
340 W 85TH ST PC
NEW YORK, NY 10024
VOLUNTEERS OF AMERICA INC N/A
340 W 85TH ST PC
NEW YORK, NY 10024
VOLUNTEERS OF AMERICA INC N/A
340 W 85TH ST PC
NEW YORK, NY 10024
VOLUNTEERS OF AMERICA INC N/A
340 W 85TH ST PC
NEW YORK, NY 10024
WALGREEN BENEFIT FUND N/A
104 WILMOT RD MS-1410 PF
DEERFIELD , IL 60015
YOUNG MENS CHRISTIAN ASSOCIATION OF GREATER NEW YO N/A
5 W 63RD ST 6TH FL PC
NEW YORK, NY 10023
20-6607795
ATTA CHMPMT 11 (('(1NT 111)
PURPOSE OF GRANT OR CONTRIBUTION AMOUNT
OPERATION BACKPACK 15,000
FOOD VOUCHERS PROGRAM 5,000.
OPERATION BACKPACK 10,000.
CHARITABLE EVENT 10,000
EXPENDITURE RESPONSIBILITY GRANT 25,000
GIVING TUESDAY CAMPAIGN 1,000
ATTACHMENT 11
DUANE READE CHARITABLE FOUNDATION
^PM QQI) PF , PA T YT) !' PA/JTS AND 8111-10TITTIINC PATE ftlPTM!' THP VVAP
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
RECIPIENT NAME AND ADDRESS FOUNDATION STATUS OF RECIPIENT
CITY HARVEST INC N/A
6 E 32ND ST FL 5 PC
NEW YORK, NY 10016
20-8607795
PURPOSE OF GRANT OR CONTRIBUTION
GENERAL & UNRESTRICTED
ATTAfHMPNT 11 FrO T' fl)
AMOUNT
10,000
TOTAL CONTRIBUTIONS PAID
ATTACHMENT 11
Duane Reade Chartable Foundation • 20-8607795
Taxable Year Ending 12/31/2013
Part XV (Form 990 -PF) - Distributions of Property Value at Fair Market Value at Date of Distribution
Method for Determining Value of Turkeys Purchase Price
Date of Fair Market Value Book Value of Value of Cash Total Amount
Description of Property Distribution Grant Recipient of Property Property Portion of Grant of Grant
575 Boxed Turkeys 11/25/13 CITY HARVEST INC $ 24,299 $ 24 ,299 $ 24,299
Total $ 24,299 $ 24,299
Form 990-PF, Part III, Line 3 - Other Increases' $
DUANE READE CHARITABLE FOUNDATION
FORM 990-PF, PART XVI-A - ANALYSIS OF OTHER REVENUE
DESCRIPTION
GOLF TOURNAMENT NET INCOME
TOTALS
20-8607795
ATTACHMENT 12
BUSINESS EXCLUSION RELATED OR EXEMPT
CODE AMOUNT CODE AMOUNT FUNCTION INCOME
01 40,785.
40,785.
ATTACHMENT 12