Form 990-PF I Return of Private Foundation...

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Form 990 -PF I Return of Private Foundation or 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 Inform ation about Form 990-PF and its separate instructions is at www.irs.g ovlfom For calendar year 2013 or tax DUANE READE CHARITABLE FOUNDATION and OMB No 1545-0052 00013 20 Employer identification number 20-8607795 Number 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) 839-1754 City 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 change 2. 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 q check 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 termination end 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 investment income (c) Adjusted net income for charitable purposes 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 . 1 40,785 12 Total. Add lines 1 throu g h 11 697,116 523 13 Compensation of officers, directors, trustees, etc. 14 Other employee salaries and wages y 15 Pension plans, employee benefits p X a ATCH 2 Legal 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 publications 23 Other expenses (attach schedule) ATCH, 4. , 66,460 4,923 61,537 24 Total operating and administrative expenses. M a 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 ne g ative, enter -0 -) For Paperwork Reduction Act Notice, see instructions. Cat No 11289X Form 990-PF (2013)

Transcript of Form 990-PF I Return of Private Foundation...

Page 1: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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)

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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

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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

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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

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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)

JSA

3E1460 1 000

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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---------------------------------------------------------------------------

---------------------------------------------------------------------------

2---------------------------------------------------------------------------

---------------------------------------------------------------------------

3---------------------------------------------------------------------------

---------------------------------------------------------------------------

4

---------------------------------------------------------------------------

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---------------------------------------------------------------------------

---------------------------------------------------------------------------

2---------------------------------------------------------------------------

---------------------------------------------------------------------------

All other program-related investments See instructions

3 NONE---------------------------------------------------------------------------

---------------------------------------------------------------------------

Total . Add lines 1 through 3 . . ►Form 990-PF(2013)

JSA

3E1465 1 000

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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

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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

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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)

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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

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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

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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

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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

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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

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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

Page 17: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 18: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

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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

Page 20: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

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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

Page 22: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 23: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

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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

Page 25: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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.

Page 26: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 27: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 28: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 29: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 30: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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.

Page 31: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 32: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 33: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 34: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 35: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 36: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 37: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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.

Page 38: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 39: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 40: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 41: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 42: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 43: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 44: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 45: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 46: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 47: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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

Page 48: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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' $

Page 49: Form 990-PF I Return of Private Foundation 00013990s.foundationcenter.org/990pf_pdf_archive/208/...Form 990-PF I Return of Private Foundation orSection 4947(a)(1) TrustTreatedasPrivate

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