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)
49
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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) . . . .
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
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
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,
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
b Cash distribution test (attach the required schedule ) . . . . . . . . . . . . . . . .. . . . . . . .. 3b
4 Qualifying distributions Add lines la through 3b Enter here and on PartV, line 8, and Part XIII, line 4. . . 4 692,318.
5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income
Enter 1% of Part I, line 27b (see instructions), ,, , , , , ,, , , , , , , , , , , , , , , , , , , , , , 5 0
6 Adjusted qualifying distributions . Subtract line 5 from line 4 . . . . . . . . . . . . . . .. ... . .. 6 692,318.
Note . The amount on line 6 will be used in Part V, column (b), in subsequent years when cqualifies for the section 4940(e) reduction of tax in those years
alcula ting whether the foundation
Form 990-PF (2013)
JSA
3E 1470 1 000
DUANE READE CHARITABLE FOUNDATION 20-8607795
Form 990 - PF (2013) Page 9
Undistributed Income (see instructions)
(a) (b) (c) (d)
1 Distributable amount for 2013 from Part XI , Corpus Years prior to 2012 2012 2013
line 7 . . .............. 31, 220.... . .
2 Undistributed income , if any, as of the end of 2013
a Enter amount for 2012 only . . . . . . . .
b Total for prior years 20 11 ,20 10 20 09
3 Excess distributions carryover , if any , to 2013
a From 2008 359, 976.
b From 2009 443, 366.
c From 2010 414,013.
d From 2011 329,134.
e From 2012 725, 393.
f Total of lines 3a through e , , , , . . . . . . 2, 271 , 882
4 Qualifying distributions for 2013 from Part XII,
line 4 ► $ 692,318.
a Applied to 2012, but not more than line 2a , , ,
c Treated as distributions out of corpus ( Election
required - see instructions) . . . . . . . . . ,
d Applied to 2013 distributable amount , , , , , 31,220.
e Remaining amount distributed out of corpus . . 661,098.
5 Excess distributions carryover applied to 2013(If an amount appears in column (d), the sameamount must be shown in column (a) )
6 Enter the net total of each column asindicated below:
a Corpus Add lines 3f, 4c, and 4e Subtract line 5 2,932,980.
b Prior years' undistributed income Subtractline 4b from line 2b
c Enter the amount of prior years' undistributedincome for which a notice of deficiency hasbeen issued , or on which the section 4942(a)tax has been previously assessed . . . . . . .
of Subtract line 6c from line 6b Taxableamount - see instructions
e Undistributed income for 2012 Subtract line4a from line 2a Taxable amount - seeinstructions . . . . . . . . . . . . . . . . .
f Undistributed income for 2013 Subtract lines
4d and 5 from line 1 This amount must bedistributed in 2014 . . . . . . . . . . . . . .
7 Amounts treated as distributions out of corpus
to satisfy requirements imposed by section
170(b)( 1)(F) or 4942 ( g)(3) (see instructions)
8 Euess distributions carryover from 2008 not
applied on line 5 or line 7 (see instructions ) 359,976.
9 Excess distributions carryover to 2014.
Subtract lines 7 and 8 from line 6a 2,573,004.
10 Analysis of line 9
a Excess from 2009 . 443,366.
.
b Excess from 2010 . . . 414,013.
c Excess from 2011 . . . 329,134.
d Excess from 2012 . . . 725, 393.
e Excess from 2013 . 661,098.
Form 990-PF(2013)
JSA
3E 1480 1 000
Form 990-PF (2013 ) DUANE READE CHARITABLE FOUNDATION 20-8607795 Page 10
Private Operating Foundations ( see instructions and Part VII-A, q uestion 9 ) NOT APPLICABLE
1 a If the *foundation has received a ruling or determination letter that it is a private operating
' foundation , and the ruling is effective for 2013, enter the date of the ruling ►b Check box to indicate whether the foundation is a private operating foundation described in section 49420 )( 3) or 49420)(5)
2 a Enter the lesser of the ad-Tax year Prior 3 years
( e) Totaljusted net income from Part ( a) 2013 (b) 2012 (c) 2011 (d) 2010
or the minimum investmentreturn from Part X for eachyear listed . . . . . . .
b 85% of line 2a . . . . .
C Qualifying distributions from Part
XII, line 4 for each year listed ,
d Amounts included in line 2c not
used directly for active conduct
of exempt activities . . . . .
e Qualifying distributions made
directly for active conduct of
exempt activities Subtract line
2d from line 2c
3 Complete 3a, b, or c for the
alternative test relied upon
a 'Assets' alternative test - enter
(1) Value of all assets , , ,
(2) Value of assets qualifying
under section
49420)(3)(8)(i) . . . . .
b "Endowment' alternative test-
enter 2/3 of minimum invest-
ment return shown in Part X
line 6 for each year listed , ,
C 'Support` alternative test - enter
(1) Total support other than
gross investment income
(interest, dividends, rents,
payments on securities
loans (section 512(a)(5)),
or royalties), , . , , ,
(2) Support from general
public and 5 or more
exempt organizations as
provided in section 4942
t)(3)(6)(w) . . . . . .
(3) Largest amount of sup-
port from an exempt
organization, , , , ,
4 Gross investment income
ORM. Supplementary Information (Complete this part only if the foundation had $5,000 or more in assetsat any time during the year - see instructions.)
1 Information Regarding Foundation Managers:
a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundationbefore the close of any tax year (but only if they have contributed more than $5,000) (See section 507(d)(2) )
NONE
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of theownership of a partnership or other entity) of which the foundation has a 10% or greater interest
NONE
2 Information Regarding Contribution , Grant , Gift, Loan, Scholarship , etc., Programs:
Check here- q if the foundation only makes contributions to preselected charitable organizations and does not acceptunsolicited requests for funds If the foundation makes gifts, grants, etc (see instructions) to individuals or organizations underother conditions, complete items 2a, b, c, and d
a The name , address , and telephone number or e-mail address of the person to whom applications should be addressed
ATCH 9
b The form in which applications should be submitted and information and materials they should include
(See worksheet in line 13 instructions to verify calculations )
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No. Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the
V accomplishment of the foundation ' s exempt purposes ( other than by providing funds for such purposes ) (See Instructions )
Form 990 -PF (2013)JSA
3E 1492 1 000
Form 990 -PF (2013 ) DUANE READE CHARITABLE FOUNDATION 20-8607795 Page 13
Information Regarding Transfers To and Transactions and Relationships With NoncharitableExempt Organizations
1 Did the, organization directly or indirectly engage in any of the following with any other organization described Yes Noin section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to politicalorganizations?
a Transfers from the reporting foundation to a noncharitable exempt organization of
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees . . .. .. . . . .. . .. .. . .. 1c Xd If the answer to any of the above is "Yes," complete the following schedule Column (b) should always show the fair market
value of the goods, other assets, or services given by the reporting foundation If the foundation received less than fair marketvalue in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received
(a) Line no (b) Amount Invdved (c) Name of noncharltable exempt organization (d) Description of transfers, transactions, and sharing arrangements
N/A N/A
2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizationsdescribed in section 501(c) of the Code ( other than section 501(c)(3)) or in section 527 .. q Yes q No
h If "Yes " cmmirtlete the fnllnwinn schPrhile
(a) Name of organization ( b) Type of organization (c) Description of relationship
Sign
Here
Paid
Under pen es of p u , I d are that I ave a this return , including accompanying schedules and statements, and to the best of my knowledge and belief , it is true,correct , complete do f p epare (other an t ayer ) is based on all information of which preparer has any knowledge
14-7-
Sig re of officer or trustee Date
Pnnt/Type preparer's name Preparer's signature
JEFFREY D HASKELL JEFFREY D
I I UPON Wit
Use Only
JSA
3E1493 1 000
Schedule B(Form 990,990-EZ,or 990-PF)Department of the TreasuryInternal Revenue Service
Name of the organizatior
Schedule of Contributors
► Attach to Form 990, Form 990-EZ, or Form 990-PF.► Information about Schedule B (Form 990, 990-EZ, or 990-PF) and Its Instructions Is at www irs gov/form990.
OMB No 1545-0047
2013Employer identification number
DUANE READE CHARITABLE FOUNDATION
20-8607795
Organization type (check one)
Filers of:
Form 990 or 990-EZ
Form 990-PF
Section:
q 501(c)( ) (enter number) organization
q 4947( a)(1) nonexempt charitable trust not treated as a private foundation
q 527 political organization
q 501(c )( 3) exempt private foundation
q 4947( a)(1) nonexempt charitable trust treated as a private foundation
q 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.
Note . Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule See
Instructions
General Rule
q For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor Complete Parts I and II
Special Rules
q For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33 1/3 % support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of
the greater of (1) $5,000 or (2) 2% of the amount on (I) Form 990, Part VIII, line 1h, or (II) Form 990-EZ, line 1
Complete Parts I and II
q For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary,
or educational purposes, or the prevention of cruelty to children or animals Complete Parts I, II, and III
q For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc , purposes, but these contributions did
not total to more than $1,000 If this box is checked, enter here the total contributions that were received during the
year for an exclusively religious, charitable, etc , purpose Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc , contributions of $5,000 or
JSASchedule B (Fom1 990, 990-EZ, or 990-PF) (2013)
3E1254 1 000
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Name of organization DUANE READE CHARITABLE FOUNDATION Employer identification number
20-8607795
4
Exdusively religious , charitable , etc., individual contributions to section 501(c )( 7), (8), or (10) organizationsthat total more than $1,000 for the year . Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,contributions of $1,000 or less for the year (Enter this information once See instructions) ► $
-------------Use duplicate copies of Part III if additional space is needed
(a) No.fromPart l
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
- - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
-------------------------
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
---------------------------
---------------------------
---------------------------
(e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
(a) No.fromPart l
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
- - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
-------------------------
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
---------------------------
---------------------------
---------------------------
(e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
(a) NofromPart I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
- - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
-------------------------
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
---------------------------
---------------------------
---------------------------
(e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
(a) NofromPart I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
- - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
-------------------------
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
---------------------------
---------------------------
---------------------------
(e) Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
----------------------------------------
JSASchedule B (Form 990 , 990-EZ , or 990 -PF) (2013)
3E 1255 1 000
DUANE READE CHARITABLE FOUNDATION 20-8607795
ATTACHMENT 1
FORM 990PF, PART I - OTHER INCOME
REVENUEAND
EXPENSESDESCRIPTION PER BOOKSGOLF TOURNAMENT NET INCOME 40,785.
TOTALS 40,785.
Duane Reade Charitable Foundation
Part I. Line 11 (990-PF ) - Other Income
20-8607795
Gross Receipts Contributions Gross Revenue Expenses Net Income
The Foundation held a charitable golf tournament in order to raise funds Expenses to the extent of the non-deductible portion of funds
received have been netted against the related income on Part I, Line 11 The remaining expenses have been reported on Part I, Line 23
Attachment to Part 1, Line 11
DUANE READE CHARITABLE FOUNDATION
FORM 990PF, PART I - LEGAL FEES
20-8607795
ATTACHMENT 2
REVENUEAND NET ADJUSTED
EXPENSES INVESTMENT NET CHARITABLE
DESCRIPTION PER BOOKS INCOME INCOME PURPOSES
GENERAL GOVERNANCE/COUNSELING 396. 396.
TOTALS 396. 396.
ATTACHMENT 2
DUANE READE CHARITABLE FOUNDATION 20-8607795
ATTACHMENT 3
FORM 990PF , PART I - ACCOUNTING FEES
DESCRIPTION
AUDIT SUPPORT
REVENUEAND NET ADJUSTED
EXPENSES INVESTMENT NET CHARITABLEPER BOOKS INCOME INCOME PURPOSES
12,930. 12,930.
TOTALS 12,930. 12, 930.
ATTACHMENT 3
DUANE READE CHARITABLE FOUNDATION 20-8607795
ATTACHMENT 4
FORM 990PF, PART I - OTHER EXPENSES
DESCRIPTIONADMINISTRATIVEBANK CHARGES
GOLF TOURNAMENTSTATE OR LOCAL
FEES
REVENUEAND
EXPENSESPER BOOKS
45, 000.4,923.16,212.
325.
NETINVESTMENT
INCOME
4,923.EXPENSESFILING FEES
TOTALS 66,460. 4,923.
CHARITABLEPURPOSES
45, 000.
16,212.325.
61,531-.-
ATTACHMENT 4
DUANE READE CHARITABLE FOUNDATION 20-8607795
ATTACHMENT 5
FORM 990PF, PART VII-A - LIQUIDATION, TERMINATION, ETC. STATEMENT
THIS STATEMENT IS SUBMITTED TO REPORT THE DISTRIBUTION OF CERTAINASSETS DURING THE ABOVE REFERENCED YEAR. THE DISTRIBUTIONS RESULTEDIN A SUBSTANTIAL CONTRACTION OF ASSETS.
THE FOLLOWING INFORMATION IS SUBMITTED IN ACCORDANCE WITH TREASURYREGULATION SECTION 1.6043-3(A)(1) AND THE FORM 990-PF INSTRUCTIONS:
DURING THE TAXABLE YEAR ENDING DECEMBER 31, 2013, THE FOUNDATION MADEDISTRIBUTIONS FROM ASSETS FROM SOURCES OTHER THAN CURRENT INCOME.COLLECTIVELY, THE DISTRIBUTIONS IN EXCESS OF CURRENT INCOME TOTALED$615,455. THIS AMOUNT REPRESENTS MORE THAN 25% OF THE FOUNDATION'SNET ASSETS OF $684,927 (AS MEASURED BY FAIR MARKET VALUE) AT THEBEGINNING OF THE FOUNDATION'S TAXABLE YEAR ENDING DECEMBER 31, 2013.ALTHOUGH THE FOUNDATION TECHNICALLY EXPERIENCED A "SUBSTANTIALCONTRACTION," IT WILL CONTINUE IN EXISTENCE AND HAS NO PLANS FORDISSOLUTION.
THE FOUNDATION MADE DISTRIBUTIONS OF CASH TO THE GRANTEES LISTED INTHE ATTACHMENT TO PART XV, LINE 3A; EACH SUCH GRANT WAS MADE SOLELYFOR THE CHARITABLE PURPOSE SPECIFIED THEREIN.
DUANE READE CHARITABLE FOUNDATION 20-8607795
FORM 990PF, PART VII-A, LINE 10 - NEW SUBSTANTIAL CONTRIBUTORS ATTACHMENT 6
NAME AND ADDRESS
GRAPHICS ATLANTA II INC.
2196 WEST PARK COURT
STONE MOUNTAIN, GA 30087
KISS PRODUCTS3187 BENNINGTON DRIVEWIXOM, MI 48393
ATTACHMENT 6
DUANE READE CHARITABLE FOUNDATION 20-8607795
ATTACHMENT 7
FORM 990PF, PART VII-B, LINE 5C-EXPENDITURE RESPONSIBILITY STATEMENT
GRANTEE'S NAME: WALGREEN BENEFIT FUNDGRANTEE'S ADDRESS: 102 WILMOT RD. MS-1410CITY, STATE & ZIP: DEERFIELD, IL 60015GRANT DATE: 11/05/2013GRANT AMOUNT: 25,000.GRANT PURPOSE: TO PROVIDE EMERGENCY ASSISTANCE FOR EMPLOYEES AFFECTED
BY SUPER-STORM SANDY.AMOUNT EXPENDED:ANY DIVERSION? NODATES OF REPORTS: REPORT EXPECTED IN 2014VERIFICATION DATE:RESULTS OF VERIFICATION:
NONE NECESSARY
DUANE READE CHARITABLE FOUNDATION
FORM 990PF , PART VIII - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES
NAME AND ADDRESS
TITLE AND AVERAGE HOURS PER
WEEK DEVOTED TO POSITION
FRAN BARUCH VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
GREGORY CALVANO VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
CHRIS DARROW * VP / DIR / SEC
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
* REMOVED IN 2013
DAN GRALTON VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
ADRIENNE JOHNSON VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
20-8607795
ATTACHMENT 8
ATTACHMENT 8
DUANE READE CHARITABLE FOUNDATION
FORM 990PF , PART VIII - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES
NAME AND ADDRESS
TITLE AND AVERAGE HOURS PER
WEEK DEVOTED TO POSITION
JEFFREY KOZIEL VP / DIR
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
JOSEPH MAGNACCA * VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
* REMOVED IN 2013
SCOTT MCCULLOCH VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
ANTHONY RISO VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
AILEEN RODRIGUEZ PRES / DIR / SEC
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
20-8607795
ATTACHMENT 8 (CONT'D)
ATTACHMENT 8
DUANE READE CHARITABLE FOUNDATION
FORM 990PF PART VIII - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES
NAME AND ADDRESS
TITLE AND AVERAGE HOURS PER
WEEK DEVOTED TO POSITION
KENNETH WISTREICH VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
DEIDRE ZACCONE VP
FOUNDATION SOURCE 501 SILVERSIDE RD 1.00
123
WILMINGTON, DE 19809-1377
20-8607795
ATTACHMENT 8 (CONT'D)
ATTACHMENT 8
DUANE READE CHARITABLE FOUNDATION 20-8607795
ATTACHMENT 9
FORM 990PF, PART XV - NAME, ADDRESS AND PHONE FOR APPLICATIONS
YADIRA VELASQUEZ40 WALL STREETNEW YORK, NY 10005212-356-5241
DUANE READE CHARITABLE FOUNDATION 20-8607795
ATTACHMENT 10
990PF, PART XV - SUBMISSION DEADLINES
ORGANIZATIONS MAY SUBMIT GRANT REQUESTS THROUGHOUT THE YEAR.
GRANT REQUESTS ARE CONSIDERED AT EACH MONTHLY BOARD MEETING.
DUANE READE CHARITABLE FOUNDATION
c M - rnrlmoTRrlm Tc1M Darn nf1D T1. (: TF7C VFAR
RECIPIENT NAME AND ADDRESS
ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATI
360 LEXINGTON AVE FL 4
NEW YORK, NY 10017
AMERICAN DIABETES ASSOCIATION INC
333 7TH AVE,
NEW YORK, NY 10001
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE
DALLAS, TX 75231
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE
DALLAS, TX 75231
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE
DALLAS, TX 75231
AMERICAN RED CROSS IN GREATER NEW YORK
520 W 49TH ST
NEW YORK, NY 10019
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
FOUNDATION STATUS OF RECIPIENT
N/A
PC
N/A
PC
N/A
PC
N/A
PC
N/A
PC
N/A
PC
20-6607795
ATTAr--T 11
PURPOSE OF GRANT OR CONTRIBUTION AMOUNT
CHARITABLE EVENT 10,000
GENERAL 6 UNRESTRICTED 23,410.
GENERAL S UNRESTRICTED 1,000
CHARITABLE EVENT 15,000
CHARITABLE EVENT 10,000
GENERAL & UNRESTRICTED 7
ATTACHMENT 11
DUANE READE CHARITABLE FOUNDATION
PART EU - PRANTC ANh (VINTRTRrTTTOM PATII fu7RTED TWP 'PhD
20-8607795
RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR
AND
RECIPIENT NAME AND ADDRESS FOUNDATION STATUS OF RECIPIENT PURPOSE OF GRANT OR CONTRIBUTION AMOUNT
BETH ISRAEL MEDICAL CENTER N/A GENERAL & UNRESTRICTED 10,000.
555 57TH ST PC
NEW YORK, NY 10019
BETH ISRAEL MEDICAL CENTER N/A BREAST SERVICE LUNCHEON 1,000
555 57TH ST PC
NEW YORK, NY 10019
CHURCH OF GOD OF EAST FLATBUSH N/A GENERAL & UNRESTRICTED 5,000
409-15 E 95TH ST PC
BROOKLYN , NY 11212
CITY HARVEST INC N /A 575 BOXED TURKEYS 24,299.
6 E 32ND ST FL 5 PC
NEW YORK, NY 10016
CITY HARVEST INC N /A CHARITABLE EVENT 15,000.
6 E 32ND ST FL 5 PC
NEW YORK, NY 10016
CITY HARVEST INC N /A GENERAL & UNRESTRICTED 12,902.