efile GRAPHIC p rint - DO NOT PROCESS
Form
As Filed Data -
DLN: 93493318072853
OMB No 1545-0047
Return of Organization Exempt From Income Tax
990
Under section 501 (c), 527, or 4947 (a)(1) of the Internal Revenue Code ( except black lung
benefit trust or private foundation)
2012
Department of the Treasury
Internal Revenue Service
1-The organization may have to use a copy of this return to satisfy state reporting requirements
A For the 2012 calendar year, or tax year beginning 01 -01-2012
B Check if applicable
, 2012, and ending 12-31-2012
C Name of organization
THE SAFEWAY FOUNDATION
D Employer identification number
F Address change
91-2144510
Doing Business As
F Name change
1 Initial return
Number and street (or P 0 box if mail is not delivered to street address) Room/suite
5918 STONERIDGE MALL ROAD
p Terminated
E Telephone number
(925)467-3402
( - Amended return
City or town, state or country, and ZIP + 4
PLEASANTON, CA 94588
1 Application pending
G Gross receipts $ 49,529,217
F Name and address of principal officer
LARREE RENDA
5918 Stoneridge Mall Rd
Pleasanton, CA 94588
I
Tax-exempt status
J
Website : 1- www safewayfoundation org
1
F 501(c)(3)
501(c) (
) I (insert no )
H(a) Is this a group return for
affiliates?
(-Yes
No
H(b) Are all affiliates included? 1 Yes F No
If "No," attach a list (see instructions)
(- 4947(a)(1) or
F_ 527
Group exemption number 0-
H(c)
K Form of organization F Corporation 1 Trust F_ Association (- Other 0-
L Year of formation
2001
M State of legal domicile
CA
Summary
1
Briefly describe the organization's mission or most significant activities
The Safeway Foundation, working in partnership with local organizations, seeks to improve the quality of life in the communities it
serves By carefully directing its fundraising efforts and the generous contributions of Safeway Inc 's employees, vendors and
customers, the foundation supports a variety of worthy causes in hunger relief, education, health and human services and people
with special needs
2
Check this box Of- if the organization discontinued its operations or disposed of more than 25% of its net assets
3
Number of voting members of the governing body (Part VI, line 1a)
4
N umber of independent voting members of the governing body (Part VI, line 1b)
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5 Total number of individuals employed in calendar year 2012 (Part V, line 2a)
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3
8
4
1
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5
0
6
500
7a
0
6 Total number of volunteers (estimate if necessary)
7aTotal unrelated business revenue from Part VIII, column (C), line 12
b Net unrelated business taxable income from Form 990-T, l i n e 34
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7b
Prior Year
N
8
Contributions and grants (Part VIII, line 1h)
9
Program service revenue (Part VIII, line 2g)
52,028,752
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Current Year
48,221,634
0
10
Investment income (Part VIII, column (A), lines 3, 4, and 7d
.
300,842
1,307,583
11
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)
-94,236
-115,138
12
Total revenue-add lines 8 through 11 (must equal Part VIII, column (A), line
12) .
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52,235,358
49,414,079
13
Grants and similar amounts paid (Part IX, column (A), lines 1-3)
45,705,891
48,065,327
14
Benefits paid to or for members (Part IX, column (A), line 4)
15
Salaries, other compensation, employee benefits (Part IX, column (A), lines
5-10)
0
16a
Professional fundraising fees (Part IX, column (A), line 11e)
0
b
LLJ
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0
.
Total fundraising expenses (Part IX, column (D), line 25) 0-2,219,688
17
Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e)
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18
Total expenses Add lines 13-17 (must equal Part IX, column (A), line 25)
19
Revenue less expenses Subtract line 18 from line 12
.
2,040,539
3,309,424
47,746,430
51,374,751
4,488,928
-1,960,672
Beginning of Current
Year
20
Total assets (Part X, line 16)
%
21
Total liabilities (Part X, line 26)
ZLL
22
Net assets or fund balances Subtract line 21 from line 20
IL&UM
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Signature Block
Under penalties of perjury, I declare that I have examined this return, includin
my knowledge and belief, it is true, correct, and complete Declaration of preps
preparer has any knowledge
Sign
Here
Signature of officer
LARREE RENDA Chairman
Type or print name and title
Print/Type preparer's name
Oliver Laiming Ko
Paid
Pre pare r
Use Only
Firm's name
Preparers signature
1- FONG KO & ASSOCIATES LLP
Firm's address 1-1510 FASHION ISLAND BLVD STE 200
SAN MATEO, CA 944041596
May the IRS discuss this return with the preparer shown above? (see instructs
For Paperwork Reduction Act Notice, see the separate instructions.
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End of Year
38,377,898
35,204,754
12,643,218
11,430,746
25 734 680
23 774 008
Form 990 (2012)
Page 2
Statement of Program Service Accomplishments
Check if Schedule 0 contains a response to any question in this Part III
1
.F
Briefly describe the organization's mission
The Safeway Foundation, working in partnership with local organizations, seeks to improve the quality of life in the communities it serves By
carefully directing its fundraising efforts and the generous contributions of Safeway Inc 's employees, vendors and customers, the foundation
supports a variety of worthy causes in hunger relief, education, health and human services and people with special needs
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .
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fl Yes F No
If"Yes,"describe these new services on Schedule 0
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services?
F Yes F7 No
If"Yes,"describe these changes on Schedule 0
4
4a
Describe the organization's program service accomplishments for each of its three largest program services, as measured by
expenses Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others,
the total expenses, and revenue, if any, for each program service reported
(Code
) (Expenses $
14,351,626
including grants of $
14,351,626 ) (Revenue $
13,876,718
The Foundation supports a variety of worthy programs in hunger relief, education, health and human services and people with special needs, in accordance with the
mission of the Foundation
4b
(Code
) (Expenses $
14,206,011
including grants of $
14,206,011 ) (Revenue $
14,186,959
Programs that Help People with DisabilitiesWith 1 in 5 Americans living with a disability, the Safeway Foundation is committed to supporting a variety of programs
that support people living with disabilities These programs include physical therapy, assistive technology, autism research, muscular dystrophy research and physical
fitness training for people with intellectual disabilities
4c
(Code
) (Expenses $
11,663,439
including grants of $
11,663,439 ) (Revenue $
11,379,823
Breast Cancer ResearchThe Safeway Foundstion has made a long-term commitment to support research programs at premier breast cancer centers in the country
We believe in sustaining our support of progressive research that is focused on developing better treatments and ultimately a cure
4d
Other program services (Describe in Schedule 0 )
(Expenses $
4e
7,844,251
Total program service expenses 0-
including grants of $
7,844,251 ) (Revenue $
7,800,880
48,065,327
Form 990 (2012)
Form 990 (2012)
Page 3
Checklist of Required Schedules
Yes
1
Is the organization described in section 501(c)(3) or4947(a)(1) (other than a private foundation)? If "Yes,"
complete Schedule As .
1
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)?
2
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to
candidates for public office? If "Yes, "complete Schedule C, Part I .
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3
Section 501 ( c)(3) organizations . Did the organization engage in lobbying activities, or have a section 501(h)
election in effect during the tax year? If "Yes, "complete Schedule C, Part II .
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4
4
5
6
No
Yes
Yes
No
No
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,
assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes, "complete Schedule C,
Part III .
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Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the
right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes,"complete
Schedule D, Part Is .
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5
No
6
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes,"complete Schedule D, Part IIN .
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7
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III S .
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8
No
I lldI
No
l le
No
lif
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability, serve as a
custodian for amounts not listed in Part X, or provide credit counseling, debt management, credit repair, or debt
negotiation services? If "Yes,"complete Schedule D, Part IV
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10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments,
permanent endowments, or quasi-endowments? If "Yes,"complete Schedule D, Part V
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11
If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII,
VIII, IX, or X as applicable
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes,"complete Schedule D, Part VI. 19 .
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b
Did the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more of
its total assets reported in Part X, line 16? If "Yes, "complete Schedule D, Part VII
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c
Did the organization report an amount for investments-program related in Part X, line 13 that is 5% or more of
its total assets reported in Part X, line 16? If "Yes, "complete Schedule D, PartVIII19 .
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d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets
reported in Part X, line 16? If "Yes," complete Schedule D, Part IX'S .
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e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X19
f
Did the organization's separate or consolidated financial statements for the tax year include a footnote that
addresses the organization 's liability for uncertain tax positions under FIN 48 (ASC 740 )? If "Yes,"complete
Schedule D, Part X19 .
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12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes,"complete Schedule D, Parts XI and XII 15 .
12a
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b Was the organization included in consolidated , independent audited financial statements for the tax year? If
"Yes,"and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional 95
13
12b
No
13
No
14a
No
14b
No
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any
organization or entity located outside the United States? If "Yes," complete Schedule F, Parts II and IV
15
No
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to
individuals located outside the United States? If "Yes," complete Schedule F, Parts III and IV .
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16
No
No
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes, "complete Schedule E
14a
b
15
16
Did the organization maintain an office, employees, or agents outside of the United States?
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Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,
business, investment, and program service activities outside the United States, or aggregate foreign investment!
valued at $100,000 or more? If "Yes, "complete Schedule F, Parts I and IV .
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17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Par
IX, column (A), lines 6 and 11 e? If "Yes," complete Schedule G, Part I (see instructions) .
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17
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part
VIII, lines 1c and 8a? If "Yes, "complete Schedule G, Part II .
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IN
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19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If
"Yes,"complete Schedule G, Part III .
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20a
Did the organization operate one or more hospital facilities? If "Yes,"completeScheduleH
b
Yes
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If"Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
Yes
19
No
20a
No
20b
Form 990 (2012)
Form 990 ( 2012)
Page 4
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in
the United States on Part IX, column (A), line 1? If "Yes ," comp lete Schedule I, Parts I and II .
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22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States
'S
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on Part IX, column ( A), line 2? If "Yes , " comp lete Schedu le I, Parts I and III .
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23
Did the organization answer "Yes " to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's
current and former officers , directors , trustees , key employees , and highest compensated employees? If "Yes,"
complete Schedule J .
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24a
21
Yes
1 22
No
23
No
Did the organization have a tax - exempt bond issue with an outstanding principal amount of more than $ 100,000
as of the last day of the year, that was issued after December 31, 2002? If " Yes," answer lines 24b through 24d
and complete Schedule K. If "No, "go to line 25 .
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24a
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?
24b
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? .
24c
No
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?
24d
No
Section 501(c )( 3) and 501 ( c)(4) organizations . Did the organization engage in an excess benefit transaction with
a disqualified person during the year? If "Yes," complete Schedule L, Part I .
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25a
No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior
year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If
"Yes,"complete Schedule L, Part I .
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25b
No
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, o
disqualified person outstanding as of the end of the organization's tax year? If "Yes," complete Schedule L,
Part II .
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26
No
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial
contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family
member of any of these persons? If "Yes,"complete Schedule L, Part III .
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27
No
28a
No
28b
No
A n entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was
an officer, director, trustee, or direct or indirect owner? If "Yes,"complete Schedule L, Part IV .
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28c
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes,"completeScheduleM
29
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified
conservation contributions? If "Yes, "complete Schedule M .
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30
No
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I .
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31
No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes, " complete
Schedule N, Part II .
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32
No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations
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sections 301 7701-2 and 301 7701-3? If "Yes,"complete Schedule R, PartI .
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33
No
Was the organization related to any tax-exempt or taxable entity? If "Yes,"complete Schedule R, Part II, III, orIV,
t
and Part V, line 1 .
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34
Yes
35a
Yes
d
25a
b
26
27
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV
instructions for applicable filing thresholds, conditions, and exceptions)
a
A current or former officer, director, trustee, or key employee? If "Yes,"complete Schedule L, Part
IV .
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b A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV .
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c
31
32
33
34
35a
b
36
37
38
No
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Did the organization have a controlled entity within the meaning of section 512(b)(13)?
If'Yes'to line 35a, did the organization receive any payment from or engage in any transaction with a controlled
entity within the meaning of section 512 (b)(13 )? If "Yes," complete Schedule R, Part V, line 2 .
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Yes
35b
No
Section 501(c )( 3) organizations . Did the organization make any transfers to an exempt non-charitable related
organization? If "Yes," complete Schedule R, Part V, line 2 .
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36
No
Did the organization conduct more than 5 % of its activities through an entity that is not a related organization
and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
No
Did the organization complete Schedule 0 and provide explanations in Schedule 0 for Part VI, lines 1 lb and 19?
Note . All Form 990 filers are required to complete Schedule 0
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38
Yes
Form 990 (2012)
Form 990 (2012)
Page 5
Regarding Other IRS Filings and Tax Compliance
MEW - Statements
Check if Schedule 0 contains a res p onse to an y q uestion in this Part V
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Yes
la Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable
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la
0
lb
0
b
Enter the number of Forms W-2G included in line la Enter-0- if not applicable
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable
gaming (gambling) winnings to prize winners? .
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2a Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered
by this return .
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b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note . If the sum of lines la and 2a is greater than 250 , you may be required to e-file (see instructions)
If "Yes," has it filed a Form 990-T for this year? If "No,"provide an explanation in Schedule0
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4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority
over, a financial account in a foreign country (such as a bank account, securities account, or other financial
account)? .
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b
(No
1c
No
2b
No
3a
No
3b
No
4a
No
5a
No
5b
No
0
2a
3a Did the organization have unrelated business gross income of $ 1,000 or more during the year?
b
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If "Yes," enter the name of the foreign country 0See instructions for filing requirements for Form TD F 90-22 1, Report of Foreign Bank and Financial Accounts
5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
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b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
c
If"Yes,"to line 5a or 5b, did the organization file Form 8886-T?
5c
6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the
organization solicit any contributions that were not tax deductible as charitable contributions? .
.
b
7
6a
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts
were not tax deductible? .
No
6b
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and
services provided to the payor? .
7a
Yes
7b
Yes
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to
file Form 82827 .
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d
If "Yes," indicate the number of Forms 8282 filed during the year
e
7c
No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit
contract? .
7e
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
7f
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as
required? .
7g
No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a
Form 1098-C? .
7h
No
Sponsoring organizations maintaining donor advised funds and section 509(a )( 3) supporting organizations. Did
the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess
business holdings at any time during the year? .
8
No
9a
No
9b
No
12a
No
13a
No
14a
No
h
8
9
7d
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?
b
Did the organization make a distribution to a donor, donor advisor, or related person?
10
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Section 501(c )( 7) organizations. Enter
a
Initiation fees and capital contributions included on Part VIII, line 12
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club
facilities
11
.
10a
10b
Section 501(c )( 12) organizations. Enter
a
Gross income from members or shareholders
b
Gross income from other sources (Do not net amounts due or paid to other sources
against amounts due or received from them ) .
.
.
.
.
.
.
.
.
12a
b
13
.
.
.
.
.
.
.
.
11a
11b
Section 4947( a)(1) non -exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
If "Yes," enter the amount of tax-exempt interest received or accrued during the
year
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
12b
Section 501(c )( 29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note . See the instructions for additional information the organization must report on Schedule 0
b
Enter the amount of reserves the organization is required to maintain by the states
in which the organization is licensed to issue qualified health plans
13b
Enter the amount of reserves on hand
13c
c
14a
b
Did the organization receive any payments for indoor tanning services during the tax year?
.
.
.
If "Yes," has it filed a Form 720 to report these payments? If "No,"provide an explanation in Schedule 0 .
14b
Form 990 (2012)
Form 990 (2012)
Page 6
Governance , Management, and Disclosure For each "Yes"response to lines 2 through 7b below, and for a
"No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule 0.
See instructions.
Check if Schedule 0 contains a response to any question in this Part VI
.F
Section A . Governing Body and Management
Yes
la Enter the number of voting members of the governing body at the end of the tax
year
la
8
lb
1
No
If there are material differences in voting rights among members of the governing
body, or if the governing body delegated broad authority to an executive committee
or similar committee, explain in Schedule 0
b
Enter the number of voting members included in line la, above, who are
independent .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any
other officer, director, trustee, or key employee?
3
Did the organization delegate control over management duties customarily performed by or under the direct
supervision of officers, directors or trustees, or key employees to a management company or other person?
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was
filed? .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
2
Yes
3
No
4
No
5
Did the organization become aware during the year of a significant diversion of the organization's assets?
5
No
6
Did the organization have members or stockholders?
6
No
7a Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or
more members of the governing body? .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
b Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders,
or persons other than the governing body?
8
7a
Yes
7b
Yes
Did the organization contemporaneously document the meetings held or written actions undertaken during the
year by the following
a
The governing body?
8a
Yes
b
Each committee with authority to act on behalf of the governing body?
8b
Yes
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the
organization's mailing address? If "Yes,"provide the names and addresses in Schedule 0 .
.
.
.
.
.
9
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
No
Section B. Policies ( This Section B re q uests information about p olicies not re q uired b y the Internal Revenue Code.)
Yes
10a
Did the organization have local chapters, branches, or affiliates?
10a
Yes
If"Yes," did the organization have written policies and procedures governing the activities of such chapters,
affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing
the form? .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
11a
Yes
12a
Yes
12b
Yes
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"describe
in Schedule 0 how this was done .
12c
Yes
13
Did the organization have a written whistleblower policy?
13
Yes
14
Did the organization have a written document retention and destruction policy?
14
Yes
15
Did the process for determining compensation of the following persons include a review and approval by
independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
b
11a
b
12a
Describe in Schedule 0 the process, if any, used by the organization to review this Form 990
Did the organization have a written conflict of interest policy? If "No,"go to line 13
.
b Were officers, directors, or trustees, and key employees required to disclose annually interests that could give
rise to conflicts? .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
c
No
.
a
The organization's CEO, Executive Director, or top management official
15a
No
b
Other officers or key employees of the organization
15b
No
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a
taxable entity during the year? .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
16a
No
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its
participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the
organization's exempt status with respect to such arrangements? .
.
.
.
.
.
.
.
.
.
16b
If "Yes" to line 15a or 15b, describe the process in Schedule 0 (see instructions)
16a
b
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filed- WA , VA , PA , OR , NM , NJ , MD , IL , HI , CA , AZ , AK
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable ), 990, and 990 -T (501(c)
(3)s only) available for public inspection Indicate how you made these available Check all that apply
fl Own website fl Another' s website 17 Upon request fl Other ( explain in Schedule O)
Describe in Schedule 0 whether ( and if so, how ), the organization made its governing documents , conflict of
interest policy , and financial statements available to the public during the tax year
19
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization
-Safeway Inc 5918 STONERIDGE MALL ROAD PLEASANTON, CA (925) 467-3135
Form 990 (2012)
Form 990 (2012)
Page 7
Compensation of Officers , Directors , Trustees , Key Employees , Highest Compensated
Employees , and Independent Contractors
Check if Schedule 0 contains a response to any question in this Part VII
.(-
Section A. Officers, Directors, Trustees, Kev Employees, and Highest Compensated Employees
la Complete this table for all persons required to be listed Report compensation for the calendar year ending with or within the organization's
tax year
* List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation Enter-0- in columns (D), (E), and (F) if no compensation was paid
* List all of the organization's current key employees, if any See instructions for definition of "key employee "
* List the organization's five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations
* List all of the organization's former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations
* List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations
List persons in the following order individual trustees or directors, institutional trustees, officers, key employees, highest
compensated employees, and former such persons
F Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee
(A)
Name and Title
(B)
Average
hours per
week (list
any hours
for related
organizations
below
dotted line)
(C)
Position (do not check
more than one box, unless
person is both an officer
and a director/trustee)
T
(o L
EL
5
c
m Q
_
r
74
0
a
S
S
o
m{}
(D)
Reportable
compensation
from the
organization
(W- 2/1099MISC)
( E)
Reportable
compensation
from related
organizations
(W- 2/1099MISC)
(F)
Estimated
amount of
other
compensation
from the
organization
and related
organizations
ID
I
m
J.
4•
(1) Christy Duncan Anderson
0 00
Executive Direc
0 00
(2) Robert Bradford
0 00
Director
0 00
(3) DAVID LEE
0 00
Director
0 00
(4) KELLY GRIFFITH
0 00
Director
0 00
(5) Jonathan Mayes
0 00
Director
0 00
(6) MIKE MINASI
0 00
Director
0 00
(7) BRIAN DOWLING
0 00
Vice President
0 00
(8) LARREE RENDA
0 00
Chairman
0 00
(9) ROBERT GORDON
0 00
Secretary
0 00
(10) DENNIS J DUNNE
0 00
CFO
0 00
X
fl,
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
0
0
0
X
X
0
0
0
X
X
0
0
0
X
0
0
0
X
0
0
0
Form 990 (2012)
Form 990 (2012)
Page 8
Section A. Officers, Directors , Trustees , Key Employees , and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average
hours per
week (list
any hours
for related
organizations
below
dotted line)
(C)
Position (do not check
more than one box, unless
person is both an officer
and a director/trustee)
0T
;rl M=
boo
a
m_
74
7.
C:
SL
!
a
lb
Sub -Total
.
.
.
.
.
.
.
.
.
.
.
c
Total from continuation sheets to Part VII, Section A
d
Total ( add lines lb and 1c )
.
.
.
.
.
.
.
(F)
Estimated
amount of other
compensation
from the
organization and
related
organizations
ur
.
.
.
.
(E)
Reportable
compensation
from related
organizations (W2/1099-MISC)
fD
;3
.
(D)
Reportable
compensation
from the
organization (W2/1099-MISC)
.
.
.
.
.
.
.
.
.
Total number of individuals (including but not limited to those listed above) who received more than
$100,000 of reportable compensation from the organization-0
No
4
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee
on line la? If "Yes," complete Schedule Jfor such individual .
.
.
.
.
.
.
.
.
.
.
.
.
3
No
For any individual listed on line la, is the sum of reportable compensation and other compensation from the
organization and related organizations greater than $150,0007 If "Yes," complete Schedule -7 for such
individual .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
4
No
Did any person listed on line la receive or accrue compensation from any unrelated organization or individual for
services rendered to the organization? If "Yes,"complete Schedule J for such person .
.
.
.
.
.
.
5
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of
compensation from the organization Report compensation for the calendar year ending with or within the organization's tax year
(A)
Name and business address
(B)
Description of services
(C)
Compensation
SPORTS ONE INC 9640 SW Sunshine Court 400 Beaverton OR 97005
SPORTS AND MARKETING
642,234
PAULA LEDUC FINE CATERING 1350 PARK AVE EMERYVILLE CA 93010
CATERER
312,930
NTROPIC LLC 1025 Battery St SAN FRANCISCO CA 94111
ADVERSITING
200,095
BLUEPRINT STUDIOS 1555 BANCROFT AVENUE SAN FRANCISCO CA 94124
EVENT PLANNING
202,003
ATEI CO INC 3820 E LA PALMA AVE ANAHEIM CA92807
ENTERTAINMENT SERVIC
155,000
2
Total number of independent contractors ( including but not limited to those listed above ) who received more than
$100,000 of compensation from the organization 0-7
Form 990 (2012)
Form 990 (2012)
Page 9
Statement of Revenue
Check if Schedule 0 contains a response to any question in this Part VIII
(A)
Total revenue
Z
Federated campaigns
.
b
Membership dues
.
c
Fundraising events
d
Related organizations
E
e
Government grants (contributions)
le
V
^
f
All other contributions, gifts, grants, and
similar amounts not included above
if
g
Noncash contributions included in lines
la-If $
h
Total . Add lines la-1f .
6-
0
0
E
la
.
(C)
Unrelated
business
revenue
F
(D)
Revenue
excluded from
tax under
sections
512, 513, or
514
la
.
.
(B)
Related or
exempt
function
revenue
.
.
.
lb
1c
8,926,671
ld
2,061,665
.
.
tJ'
37,233,298
977,254
48,221,634
Business Code
2a
b
c
d
e
f
All other program service revenue
g
Total . Add lines 2a-2f .
3
.
5
.
.
.
.
Royalties
.
.
.
.
.
.
.
.
6a
Gross rents
b
Less rental
expenses
Rental income
or (loss)
d
Net rental inco me or (loss)
7a
Gross amount
from sales of
assets other
than inventory
Less cost or
other basis and
sales expenses
Gain or (loss)
.
c
d
Net gain or (loss)
8a
Gross income from fundraising
events (not including
W
$
,
.
,
.
0-
0
0-
0
1,307,583
(ii) Personal
(i) Securities
b
1,307,583
.
.
Income from investment of tax-exempt bond proceeds
(i) Real
c
0
Investment income (including dividends, interest,
and other similar amounts)
4
0-
lim-
0
lim-
0
(ii) Other
.
8,926,671
of contributions reported on line 1c)
See Part IV, line 18
W
a
b
s
Less
direct expenses
b
115,138
c
Net income or (loss) from fundraising events
9a
Gross income from gaming activities
See Part IV, line 19
.
.
a
b
c
Less
direct expenses
.
-115,138
.-
0
lim-
0
-115,138
b
Net income or (loss) from gaming acti vities
10a
0-
.
.
Gross sales of inventory, less
returns and allowances .
a
b
Less
cost of goods sold
.
c
Net income or (loss) from sales of inventory
Miscellaneous Revenue
b
.
Business Code
11a
b
c
d
All other revenue
e
Total .Add lines 11a-11d
.
.
00
12
Total revenue . See Instructions
49,414,079
1,192,445
Form 990 (2012)
Form 990 (2012)
Page 10
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns All other organizations must complete column (A)
Check if Schedule 0 contains a response to any auestion in this Part IX
.
.
.
Total expenses
1
Grants and other assistance to governments and organizations
in the United States See Part IV, line 21
2
Grants and other assistance to individuals in the
United States See Part IV, line 22
0
Grants and other assistance to governments,
organizations, and individuals outside the United
States See Part IV, lines 15 and 16
0
4
Benefits paid to or for members
0
5
Compensation of current officers, directors, trustees, and
key employees
.
.
.
.
0
6
Compensation not included above, to disqualified persons
(as defined under section 4958(f)(1)) and persons
described in section 4958(c)(3)(B) .
0
7
Other salaries and wages
0
8
Pension plan accruals and contributions (include section 401(k)
and 403(b) employer contributions)
0
Other employee benefits
0
3
9
.
10
Payroll taxes
11
Fees for services (non-employees)
.
48,065,327
.
.
.
.
.
.
.
.
(C)
Management and
general expenses
.
.
(D)
Fundraising
expenses
48,065,327
0
a
Management
b
Legal
c
Accounting
d
Lobbying
e
Professional fundraising services See Part IV, line 17
f
Investment management fees
g
Other (If line 11g amount exceeds 10% of line 25,
column (A) amount, list line 11g expenses on
Schedule O) .
0
12
Advertising and promotion
0
13
Office expenses
14
Information technology
0
15
Royalties
0
.
0
.
0
.
0
.
0
0
20,799
.
.
20,799
0
.
16
Occupancy
17
Travel
18
Payments of travel or entertainment expenses for any federal,
state, or local public officials
0
261,454
.
261,454
0
19
Conferences, conventions, and meetings
0
20
Interest
.
0
21
Payments to affiliates
0
22
Depreciation, depletion, and amortization
0
23
Insurance
24
Other expenses Itemize expenses not covered above (List
miscellaneous expenses in line 24e If line 24e amount exceeds 10%
of line 25, column (A) amount, list line 24e expenses on Schedule 0
a
.
(B)
Program service
expenses
( A)
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII .
.
.
.
.
.
.
.
.
.
.
.
.
.
SUPPLIES
0
35,497
35,497
b
EQUIPMENT RENTAL
c
OTHER ADMINSTRATIVE EXPENSE
1,068,937
d
CONTRACT LABOR
1,805,937
1,805,937
e
All other expenses
11,304
11,304
25
Total functional expenses. Add lines 1 through 24e
26
Joint costs. Complete this line only if the organization
reported in column (B) joint costs from a combined
educational campaign and fundraising solicitation Check
here - fl if following SOP 98-2 (ASC 958-720)
105,496
51,374,751
105,496
1,068,937
48,065,327
1,089,736
2,219,688
Form 990 (2012)
Form 990 (2012)
Page 11
Balance Sheet
Check if Schedule 0 contains a response to any question in this Part X
F
(A)
Beginning of year
1
Cash-non-interest-bearing
2
Savings and temporary cash investments
.
.
.
.
.
.
.
.
3
Pledges and grants receivable, net
4
Accounts receivable, net
5
Loans and other receivables from current and former officers, directors, trustees,
key employees, and highest compensated employees Complete Part II of
Schedule L .
.
.
.
.
.
.
.
.
.
.
.
.
.
(B)
End of year
1
0
24,904,160
2
16,332,162
3
0
3,113,193
4
2,226,894
5
0
6
Loans and other receivables from other disqualified persons (as defined under
section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing
employers and sponsoring organizations of section 501(c)(9) voluntary employees'
beneficiary organizations (see instructions) Complete Part II of Schedule L
6
0
7
Notes and loans receivable, net
7
0
8
Inventories for sale or use
8
0
9
Prepaid expenses and deferred charges
9
0
10a
b
Land, buildings, and equipment cost or other basis Complete
Part VI of Schedule D
10a
Less accumulated depreciation
10b
.
Investments-publicly traded securities
12
Investments-other securities See Part IV, line 11
13
Investments-program-related See Part IV, line 11
14
Intangible assets
.
.
.
.
.
10c
10,360,545
11
.
.
.
.
.
.
.
.
.
.
16,645,698
12
0
13
0
14
0
15
Other assets See Part IV, line 11
16
Total assets . Add lines 1 through 15 (must equal line 34)
17
Accounts payable and accrued expenses
18
Grants payable
19
Deferred revenue
20
Tax-exempt bond liabilities
21
Escrow or custodial account liability Complete Part IV of Schedule D
22
Loans and other payables to current and former officers, directors, trustees,
key employees, highest compensated employees, and disqualified
23
Secured mortgages and notes payable to unrelated third parties
23
24
Unsecured notes and loans payable to unrelated third parties
24
25
Other liabilities (including federal income tax, payables to related third parties,
and other liabilities not included on lines 17-24) Complete Part X of Schedule
D .
25
15
0
38,377,898
16
35,204,754
101,015
17
20,773
12,542,203
18
11,409,973
19
.
.
.
persons Complete Part II of Schedule L
26
.
0
11
Total liabilities . Add lines 17 through 25
.
.
.
.
.
.
.
.
.
20
.
21
.
22
.
12,643,218
26
11,430,746
23,944,619
27
21,875,157
1,790,061
28
1,898,851
Organizations that follow SFAS 117 ( ASC 958 ), check here 1- F and complete
lines 27 through 29, and lines 33 and 34.
C5
27
Unrestricted net assets
M
ca
28
Temporarily restricted net assets
r
_
29
Permanently restricted net assets
29
Organizations that do not follow SFAS 117 (ASC 958 ), check here 1- fl and
complete lines 30 through 34.
4T
z
30
Capital stock or trust principal, or current funds
30
31
Paid-in or capital surplus, or land, building or equipment fund
31
32
Retained earnings, endowment, accumulated income, or other funds
33
Total net assets or fund balances
25,734,680
32
33
34
Total liabilities and net assets/fund balances
38,377,898
34
23,774,008
35,204,754
Form 990 (2012)
Form 990 (2012)
«
Page 12
Reconcilliation of Net Assets
('hark if crhariiila () rnntainc a rocnnnca to anv niiactinn in Chic Part YT
1
Total revenue (must equal Part VIII, column (A), line 12)
2
Total expenses (must equal Part IX, column (A), line 25)
3
Revenue less expenses Subtract line 2 from line 1
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))
5
.
.
.
1
49,41 4,079
2
51,37 4,751
3
-1,96 0,672
4
25,73 4,680
.
Net unrealized gains (losses) on investments
5
6
Donated services and use of facilities
6
7
Investment expenses
.
.
7
8
Prior period adjustments
.
.
8
9
Other changes in net assets or fund balances (explain in Schedule 0)
10
Net assets or fund balances at end of year Combine lines 3 through 9 (must equal Part X, line 33,
column (B))
9
10
23,77 4,008
Financial Statements and Reporting
Check if Schedule 0 contains a response to any question in this Part XII
(Yes
1
No
Accounting method used to prepare the Form 990
fl Cash F Accrual (Other
If the organization changed its method of accounting from a prior year or checked " Other," explain in
Schedule 0
2a Were the organization 's financial statements compiled or reviewed by an independent accountant?
2a
Yes
2b
Yes
2c
Yes
If'Yes,'check a box below to indicate whether the financial statements for the year were compiled or reviewed on
a separate basis, consolidated basis, or both
F Separate basis
fl Consolidated basis
fl Both consolidated and separate basis
b Were the organization 's financial statements audited by an independent accountant?
If'Yes,'check a box below to indicate whether the financial statements for the year were audited on a separate
basis, consolidated basis, or both
F Separate basis
c
fl Consolidated basis
fl Both consolidated and separate basis
If"Yes,"to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the
audit, review , or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in
Schedule 0
3a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the
Single Audit Act and 0 MB Circular A-1 33?
b
If"Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required
audit or audits , explain why in Schedule 0 and describe any steps taken to undergo such audits
3a
No
3b
Form 990 (2012)
efile GRAPHIC p rint - DO NOT PROCESS
As Filed Data -
DLN: 93493318072853
OMB No 1545-0047
SCHEDULE A
Public Charity Status and Public Support
(Form 990 or 990EZ)
2012
Complete if the organization is a section 501(c)( 3) organization or a section
4947( a)(1) nonexempt charitable trust.
Department of the Treasury
Internal Revenue Service
^ Attach to Form 990 or Form 990-EZ. ^ See separate instructions.
Name of the organization
THE SAFEWAY FOUNDATION
Employer identification number
1 91-2144510
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organi zation is not a private foundation because it is (For lines 1 through 11, check only one box )
1
1
A church, convention of churches, or association of churches described in section 170 ( b)(1)(A)(i).
2
1
A school described in section 170 (b)(1)(A)(ii). (Attach Schedule E )
3
1
A hospital or a cooperative hospital service organization described in section 170 ( b)(1)(A)(iii).
4
1
5
fl
A medical research organization operated in conjunction with a hospital described in section 170 (b)(1)(A)(iii). Enter the
hospital's name, city, and state
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170 ( b)(1)(A)(iv ). (Complete Part II )
6
fl
A federal, state, or local government or governmental unit described in section 170 ( b)(1)(A)(v).
7
1
8
1
An organization that normally receives a substantial part of its support from a governmental unit or from the general public
described in section 170 ( b)(1)(A)(vi ). (Complete Part II )
A community trust described in section 170 ( b)(1)(A)(vi ) (Complete Part II )
9
F
An organization that normally receives
(1) more than 331/3% of its support from contributions, membership fees, and gross
receipts from activities related to its exempt functions-subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975 See section 509 ( a)(2). (Complete Part III )
10
fl
An organization organized and operated exclusively to test for public safety See section 509(a)(4).
11
1
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of
one or more publicly supported organizations described in section 509 ( a)(1) or section 509(a )( 2) See section 509(a)(3). Check
the box that describes the type of supporting organization and complete lines Ile through 11 h
a
fl Type I
b
1 Type II
c
fl Type III - Functionally integrated
d
(- Type III - Non - functionally integrated
e
(-
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons
other than foundation managers and other than one or more publicly supported organizations described in section 509 ( a)(1 ) or
section 509(a)(2)
If the organization received a written determination from the IRS that it is a Type I, Type II, orType III supporting organization,
check this box
(Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?
(i) A person who directly or indirectly controls , either alone or together with persons described in (ii)
Yes
No
f
g
h
and (iii) below, the governing body of the supported organization?
11g(i)
(ii) A family member of a person described in (i) above?
11g(ii)
(iii) A 35% controlled entity of a person described in (i) or (ii) above?
11g(iii)
Provide the following information about the supported organization(s)
(i) Name of
supported
organization
(ii) EIN
(iii) Type of
organization
(described on
lines 1- 9 above
or IRC section
(see
instructions))
(iv) Is the
organization in
col (i) listed in
your governing
document?
Yes
No
(v) Did you notify
the organization
in col (i) of your
support?
Yes
(vi) Is the
organization in
col (i) organized
in the U S ?
No
Yes
(vii) Amount of
monetary
support
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ .
Cat No 11285F
ScheduleA(Form 990 or 990-EZ)2012
Schedule A (Form 990 or 990-EZ) 2012
MU^
Page 2
Support Schedule for Organizations Described in Sections 170(b )( 1)(A)(iv) and 170 ( b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under
Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A . Public Support
Calendar year ( or fiscal year beginning
in) 11111
1
Gifts, grants, contributions, and
membership fees received (Do not
include any "unusual
grants ")
2
Tax revenues levied for the
organization's benefit and either
paid to or expended on its
behalf
3
The value of services or facilities
furnished by a governmental unit to
the organization without charge
4
Total .Add lines 1 through 3
5
The portion of total contributions
by each person (other than a
governmental unit or publicly
supported organization) included on
line 1 that exceeds 2% of the
amount shown on line 11, column
(f)
6
Public support . Subtract line 5 from
line 4
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
(d) 2011
(e) 2012
(f) Total
Section B. Total Su pp ort
Calendar year ( or fiscal year beginning
(a) 2008
(b) 2009
in) ^
7
Amounts from line 4
Gross income from interest,
8
dividends, payments received on
securities loans, rents, royalties
and income from similar
sources
9
Net income from unrelated
business activities, whether or not
the business is regularly carried
on
Other income Do not include gain
10
or loss from the sale of capital
assets (Explain in Part IV )
Total support (Add lines 7 through
11
10)
12
Gross receipts from related activities, etc (see instructions)
13
(c) 2010
12
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check
this box and stop here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ItE
Section C. Com p utation of Public Su pp ort Percenta g e
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
15
16a
331 / 3%support test - 2012 . If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here . The organization qualifies as a publicly supported organization
b 331 / 3%support test - 2011 . If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here . The organization qualifies as a publicly supported organization
17a 10%-facts-and -circumstances test - 2012 . If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here . Explain
in Part IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly supported
organization
b 10%-facts-and-circumstances test - 2011 . If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts- and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test The organization qualifies as a publicly
supported organization
18
Private foundation . If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under
Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A . Public Support
IMMITM
Calendar year ( or fiscal year beginning
in) 11111
1
Gifts, grants, contributions, and
membership fees received (Do
not include any "unusual
grants ")
2
Gross receipts from admissions,
merchandise sold or services
performed, or facilities furnished
in any activity that is related to
the organization's tax-exempt
purpose
3
Gross receipts from activities
that are not an unrelated trade or
business under section 513
4
Tax revenues levied for the
organization's benefit and either
paid to or expended on its
behalf
5
The value of services or facilities
furnished by a governmental unit
to the organization without
charge
6
Total . Add lines 1 through 5
(a) 2008
55,369,598
(b) 2009
55,165,979
(c) 2010
(d) 2011
53,516,413
52,028,752
(e) 2012
48,221,634
(f) Total
264,302,376
0
0
0
0
55,369,598
55,165,979
53,516,413
52,028,752
48,221,634
264,302,376
7a
Amounts included on lines 1, 2,
and 3 received from disqualified
0
persons
b Amounts included on lines 2 and
3 received from other than
disqualified persons that exceed
0
the greater of $5,000 or 1% of
the amount on line 13 for the
year
c Add lines 7a and 7b
8
Public support (Subtract line 7c
264,302,376
from line 6 )
Section B. Total Su pp ort
Calendar year ( or fiscal year
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
beginning in) ^
55,369,598
55,165,979
53,516,413
52,028,752
48,221,634
264,302,376
9
Amounts from line 6
Gross income from interest,
10a
dividends, payments received
487,271
61,447
1,251
305,695
1,307,583
2,163,247
on securities loans, rents,
royalties and income from
similar sources
Unrelated business taxable
b
income (less section 511
0
taxes) from businesses
acquired after June 30, 1975
487,271
61,447
1,251
305,695
1,307,583
2,163,247
c
Add lines 10a and 10b
Net income from unrelated
11
business activities not included
0
in line 10b, whether or not the
business is regularly carried on
Other income Do not include
12
gain or loss from the sale of
0
capital assets (Explain in Part
IV )
Total support . (Add lines 9,
13
55,856,869
55,227,426
53,517,664
52,334,447
49,529,217
266,465,623
1Oc, 11, and 12 )
14
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here
Section C. Com p utation of Public Su pp ort Percenta g e
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
15
99 190 %
16
Public support percentage from 2011 Schedule A, Part III, line 15
16
99 520 %
Section D . Com p utation of Investment Income Percenta g e
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
17
0 810 %
18
Investment income percentage from 2011 Schedule A, Part III, line 17
18
0 480 %
19a
331 / 3%support tests- 2012 . If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not
more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
331 / 3%support tests- 2011 . If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18
is not more than 33 1/3%, check this box and stop here . The organization qualifies as a publicly supported organization
lk'FPrivate foundation . If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
b
20
Schedule A (Form 990 or 990- EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Supplemental Information . Complete this part to provide the explanations required by Part II, line 10;
Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See
instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2012
lefile GRAPHIC print - DO NOT PROCESS
Internal Revenue Service
DLN: 93493318072853
OMB No 1545-0047
SCHEDULE D
(Form 990)
Department of the Treasury
As Filed Data -
2012
Supplemental Financial Statements
0- Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
0- Attach to Form 990. 0- See separate instructions.
Employer identification number
Name of the organization
THE SAFEWAY FOUNDATION
1 91-2144510
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts . Complete if the
or g anization answered "Yes" to Form 990 , Part IV , line 6.
(a) Donor advised funds
1
Total number at end of year
2
Aggregate contributions to (during year)
( b) Funds and other accounts
3
Aggregate grants from ( during year)
4
Aggregate value at end of year
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization ' s property , subject to the organization ' s exclusive legal control?
F Yes
I No
Did the organization inform all grantees , donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose
conferring impermissible private benefit?
fl Yes
fl No
6
MRSTIConservation Easements . Complete if the organization answered "Yes" to Form 990, Part IV , line 7.
1
Purpose ( s) of conservation easements held by the organization ( check all that apply)
1 Preservation of land for public use ( e g , recreation or education )
1 Preservation of an historically important land area
1 Protection of natural habitat
1
Preservation of a certified historic structure
fl Preservation of open space
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation
easement on the last day of the tax year
Held at the End of the Year
a
Total number of conservation easements
2a
b
Total acreage restricted by conservation easements
2b
c
Number of conservation easements on a certified historic structure included in (a)
2c
d
Number of conservation easements included in (c) acquired after 8/17/06, and not on a
historic structure listed in the National Register
2d
3
N umber of conservation easements modified, transferred , released, extinguished, or terminated by the organization during
the tax year 0-
4
N umber of states where property subject to conservation easement is located 0-
5
Does the organization have a written policy regarding the periodic monitoring , inspection , handling of violations, and
enforcement of the conservation easements it holds?
6
Staff and volunteer hours devoted to monitoring , inspecting , and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring , inspecting, and enforcing conservation easements during the year
fl Yes
fl No
F Yes
1 No
0-
0- $
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i)
and section 170(h)(4)(B)(ii)?
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes
the organization's accounting for conservation easements
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the oraanization answered "Yes" to Form 990. Part IV. line 8.
la
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet
works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public
service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet
works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public
service, provide the following amounts relating to these items
2
(i) Revenues included in Form 990, Part VIII, line 1
$
(ii)Assets included in Form 990, Part X
$
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items
a
Revenues included in Form 990, Part VIII, line 1
b
Assets included in Form 990, Part X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
$
$
Cat No 52283D
Schedule D ( Form 990) 2012
Schedule D (Form 990) 2012
3
Page 2
Organizations Maintaining Collections of Art, Historical Treasures , or Other Similar Assets (continued)
r:FTnFW
Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its
collection items (check all that apply)
a
F_
Public exhibition
d
fl
Loan or exchange programs
b
1
Scholarly research
e
(-
Other
c
F
Preservation for future generations
4
Provide a description of the organization's collections and explain how they further the organization's exempt purpose in
Part XIII
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
1 Yes
assets to be sold to raise funds rather than to be maintained as part of the organization's collection?
Escrow and Custodial Arrangements . Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
la
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X?
b
If "Yes," explain the arrangement in Part XIII and complete the following table
c
Beginning balance
1c
d
Additions during the year
ld
e
Distributions during the year
le
f
Ending balance
if
1 No
1 Yes
F No
A mount
2a
b
Did the organization include an amount on Form 990, Part X, line 21?
fl Yes
If"Yes," explain the arrangement in Part XIII Check here if the explanation has been provided in Part XI II
.
. .
. .
. .
fl No
.
F
MWAFEndowment Funds . Com p lete If the or g anization answered "Yes" to Form 990 , Part IV , line 10.
(a)Current year
la
Beginning of year balance
b
Contributions
c
Net investment earnings, gains, and losses
d
Grants or scholarships
e
Other expenditures for facilities
and programs
f
Administrative expenses
g
End of year balance
2
(b)Prior year
b (c)Two years back (d)Three years back
(e)Four years back
.
.
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as
a
Board designated or quasi-endowment 0-
b
Permanent endowment 0-
c
Temporarily restricted endowment 0The percentages in lines 2a, 2b, and 2c should equal 100%
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by
(i) unrelated organizations
b
4
.
Yes
.
(ii) related organizations
.
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R?
No
3a(i)
3a(ii)
.
3b
Describe in Part XIII the intended uses of the organization's endowment funds
Land , Buildin g s , and E q ui p ment . See Form 990 , Par t X , line 10.
(a) Cost or other
basis (investment)
Description of property
la
Land
.
(c) Accumulated
depreciation
(d) Book value
.
b Buildings
.
.
c Leasehold improvements
d Equipment
e Other
(b)Cost or other
basis (other)
.
.
.
.
.
.
Total . Add lines la through 1e (Column (d) must equal Form 990, Part X, column (B), line 10(c).)
.
.
0-
Schedule D (Form 990) 2012
Schedule D (Form 990) 2012
Page 3
Investments - Other Securities . See Form 990 , Part X , line 12.
(a) Description of security or category
(b)Book value
(including name of security)
(c) Method of valuation
Cost or end-of-year market value
(1 )Financial derivatives
(2)Closely-held equity interests
Other
0.1
Total . (Column (b) must equal Form 990, Part X, col (B) line 12 )
I
VIIIIJOIr Investments
- Pro g ram Related . See Form 990 , Part X , line 13.
(a) Description of investment type
(b) Book value
I
I
(c) Method of valuation
Cost or end-of-year market value
0. 1
Total . (Column (b) must equal Form 990, Part X, col (8) line 13 )
Other Assets . See Form 990 , Part X line 15.
(a) DescriDtion
(b) Book value
Total . (Column (b) must equal Form 990, Part X, co/.(8) line 15.)
Other Liabilities . See Form 990 , Part X line 25.
1
(a) Description of liability
( b) Book value
Federal income taxes
Total . (Column ( b) must equa l Form 990, Part X, col (8) line 25)
p.
1
2. Fin 48 (A SC 740) Footnote In Part XIII, provide the text of the footnote to the organization ' s financial statements that reports the
organization ' s liability for uncertain tax positions under FIN 48 (A SC 740) Check here if the text of the footnote has been provided in
Part XIII
F
Schedule D (Form 990) 2012
Schedule D (Form 990) 2012
Page 4
171174W Reconciliation of Revenue p er Audited Financial Statements With Revenue p er Return
1
Total revenue, gains, and other support per audited financial statements
2
1
49,414,079
Amounts included on line 1 but not on Form 990, Part VIII, line 12
a
Net unrealized gains on investments
b
Donated services and use of facilities
.
2a
.
2b
c
Recoveries of prior year grants
2c
d
Other (Describe in Part XIII )
2d
e
Add lines 2a through 2d
3
.
.
Subtract line 2e from line 1 .
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
2e
.
3
.
4c
49,414,079
Amounts included on Form 990, Part VIII, line 12, but not on line 1
a
Investment expenses not included on Form 990, Part VIII, line 7b
4a
b
Other (Describe in Part XIII )
.
.
.
.
.
.
.
.
.
.
4b
Add lines 4a and 4b .
.
.
.
.
.
.
.
.
.
.
c
5
.
.
.
.
.
.
Total revenue Add lines 3 and 4c. (This must equal Form 990, Part I, line 12 )
1
Total expenses and losses per audited financial statements
2
Amounts included on line 1 but not on Form 990, Part IX, line 25
a
Donated services and use of facilities
b
Prior year adjustments
c
Other losses
d
Other (Describe in Part XIII )
e
Add lines 2a through 2d
.
.
.
.
.
.
.
5
.
.
1
.
49,414,079
51,374,751
2a
2b
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
2c
.
.
3
Subtract line 2e from line 1 .
4
Amounts included on Form 990, Part IX, line 25, but not on line 1:
.
Investment expenses not included on Form 990, Part VIII, line 7b
Other (Describe in Part XIII )
.
.
.
.
.
.
.
.
.
.
.
Add lines 4a and 4b .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
b
.
2d
.
a
c
.
.
of Ex p enses p er Audited Financial Statements With Ex p enses p er Return
191 M
.O ff -
5
.
.
.
.
.
.
.
.
.
.
.
.
2e
.
.
.
.
.
3
.
.
.
.
.
4c
51,374,751
4a
4b
.
.
.
Total expenses Add lines 3 and 4c. (This must equal Form 990, Part I, line 18 )
.
5
51,374,751
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9, Part III, lines la and 4, Part IV, lines lb and 2b,
Part V, line 4, Part X, line 2, Part XI, lines 2d and 4b, and Part XII, lines 2d and 4b Also complete this part to provide any additional
information
Identifier
Return Reference
Explanation
Schedule D (Form 990) 2012
l efile
GRAPHIC p rint - DO NOT PROCESS
As Filed Data -
DLN: 93493318072853
OMB No 1545-0047
lemental Information Re ardin
pp
g
g
Fundraising or Gaming Activities
SCHEDULEG
(Form 990 or 990-EZ)
SU
Complete if the organization answered "Yes" to Forth 990, Part IV, lines 17, 18, or 19 , or if the organization entered
more than $15,000 on Form 990-EZ, line 6a. Form 990-EZ filers are not required to complete this part.
Department of the Treasury
2012
PrAttach to Form 990 or Forth 990-EZ. PrSee separate instructions.
Internal Revenue Service
Name of the organization
THE SAFEWAY FOUNDATION
Employer identification number
91-2144510
Fundraising Activities . Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Indicate whether the organization raised funds through any of the following activities Check all that apply
a
1
e
1 Solicitation of non-government grants
b
1 Internet and email solicitations
f
1 Solicitation of government grants
c
1
g
1 Special fundraising events
d
1 In-person solicitations
2a
Mail solicitations
Phone solicitations
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
1'
Yes
F
No
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization
(i) Name and address of
individual
or entity (fundraiser)
(ii) Activity
(iii) Did
fundraiser have
custody or
control of
contributions?
Yes
No
(iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col (i)
(vi) Amount paid to
(or retained by)
organization
Total
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or
licensing
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ .
Cat No 50083H
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
Page 2
Fundraising Events . Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported
more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List
events with gross receipts greater than $5,000.
(a) Event #1
Golf Tournaments
(event type)
(b) Event #2
(c) Other events
(event type)
1
(total number)
Gala
(d) Total events
(add col (a) through
col (c))
co
1
Gross receipts
4,549,697
3,537,794
839,180
8,926,671
2
Less Contributions
4,549,697
3,537,794
839,180
8,926,671
3
Gross income (line 1
minus line 2)
4
Cash prizes
5
Noncash prizes
6
Rent/facility costs
7
Food and beverages
8
Entertainment
9
Other direct expenses
75
u7
115,138
10
Direct expense summary Add lines 4 through 9 in column (d)
11
Net income summary Combine line 3, column (d), and line 10
.
115,138
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
(115,138)
^
.
.
-115,138
Gaming . Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than
$15,000 on Form 990-EZ, line 6a.
(a) Bingo
(b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming
(d) Total gaming (add
col (a) through col
co
(c) )
1
Gross revenue
.
2
Cash prizes
3
Non-cash prizes
4
Rent /facility costs
5
Other direct expenses
6
Volunteer labor
7
Direct expense summary Add lines 2 through 5 in column (d) .
8
Net gaming income summary Combine lines 1 and 7 in column (d) .
u)
C
LIJ
9
.
F Yes
F Yes
F Yes
n No
F No
F No
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
^
.
^
Enter the state (s) in which the organization operates gaming activities
a
Is the organization licensed to operate gaming activities in each of these states?
b
If "No," explain
10a
b
.
.
.
.
.
.
.
.
.
.
.
.
. Yes
r No
------------- ------------------------- ------------------------- ------------------------- ------------------------ ------------------------- ------------------------- ------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Were any of the organization ' s gaming licenses revoked, suspended or terminated during the tax year? . . . . . F Yes F No
If "Yes," explain
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
Page 3 11
Does the organization operate gaming activities with nonmembers?
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
. Yes
r- No
Is the organization a grantor , beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming?
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
. Yes
r- No
r- Yes
r- No
Indicate the percentage of gaming activity operated in
a
The organization ' s facility
13a
b
An outside facility
13b
14
Enter the name and address of the person who prepares the organization ' s gaming / special events books and records
Name ^
Address ^
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue?
b
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
amount of gaming revenue retained by the third party
c
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
If "Yes," enter the amount of gaming revenue received by the organization ^ $
.
.
.
.
and the
$
If "Yes," enter name and address of the third party
Name '
Address '
---------------- ------------------------------ ------------------------------ ------------------------------------------------------------ ------------------------------ -
16
Gaming manager information
Name llik^
------------ ----------------------- ---------------------- ----------------------- ----------------------- ----------------------- ---------------------- -
Gaming manager compensation ^ $ _ -------------------------------------------Description of services provided
---------- ------------------ ------------------ ------------------ ------------------- ------------------ ------------------ ------------------ ---------r- Director/ officer
17
Employee
Independent contractor
Mandatory distributions
a
Is the organization required understate law to make charitable distributions from the gaming proceeds to
retain the state gaming license?
b
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
r-Yes
r-No
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization ' s own exempt activities during the tax year
$
Supplemental Information . Complete this part to provide the explanations required by Part I , line 2b,
columns ( iii) and (v ), and Part III , lines 9 , 9b, 10b, 15b, 15c, 16, and 17b , as applicable . Also complete this
part to provide any additional information ( see instructions).
Identifier
I
Return Reference
I
Explanation
Schedule G (Form 990 or 990-EZ) 2012
efile GRAPHIC print - DO NOT PROCESS
I As Filed Data - I
DLN: 93493318072853
OMB No 1545-0047
Schedule I
(Form 990 )
Grants and Other Assistance to Organizations,
20
Governments and Individuals in the United States
Department of the Treasury
Internal Revenue Service
Name of the organization
THE SAFEWAY FOUNDATION
12
Complete if the organization answered " Yes," to Form 990, Part IV , line 21 or 22.
l Attach to Form 990
Employer identification number
91-2144510
JL^ll
1
2
General Information on Grants and Assistance
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States
.
.
F Yes
.
1 No
Grants and Other Assistance to Governments and Organizations in the United States . Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of
organization
or government
(b) EIN
(c) IRC Code
section
if applicable
(d) Amount of cash
grant
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table .
3
Enter total number of other organizations listed in the line 1 table .
For Paperwork Reduction Act Noticee see the Instructions for Form 990 .
(e) Amount of noncash
assistance
(f) Method of
valuation
(book, FMV,
appraisal,
other)
(g) Description of
non-cash assistance
^
0
.
Cat No 50055P
(h) Purpose of grant
or assistance
0
Schedule I (Form 990) 2012
Schedule I (Form 990) 2012
Page 2
Grants and Other Assistance to Individuals in the United States . Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance
(b)N umber of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation
(book,
FMV, appraisal, other)
(f)Description of non-cash assistance
Complete this Dart to provide the information required in Part I. line 2. Part III. column (b). and any other additional information
Identifier
Grantmaker's Description
of How Grants are Used
Return Reference
Explanation
For all large grants of $100,000 or more, we are developing an improved progress report each organization must complete
online This progress report includes information on how the funds are spent, what percentage is used for administrative
expenses as compared to program services, what percentage of the overall budget is the Safeway Foundation grant We also
collect program statistics about the number of people being served and research milestones In addition to the above
precedures, grantees of funding over$100,000 must perform the following All requests must be made in writing on the
applicants letterhead or on an official Safeway Foundation grant application We require a copy of the IRS tax-determination
letter and financial statements to be submitted The request should clearly state the organizations mission, description of the
services it provides, number of people that it serves annually, whether there are any Safeway employees on its board, and
whether it charges a fee for its services In addition to the above precedures, grantees of funding over $1,000,000 must
perform the following All requests must complete an online application and prove that they (1) are a 501(c)(3) in good
standing with the IRS, (2) provide information on what they would like to use the money for and (3) provide recent financial
statements
Schedule I (Form 990) 2012
l efile
GRAPHIC p rint - DO NOT PROCESS
SCHEDULEM
(Form 990)
As Filed Data -
DLN: 93493318072853
OMB No 1545-0047
Noncash Contributions
20
Complete if the organizations answered " Yes" on Form
990, Part IV, lines 29 or 30.
Department of the Treasury
12
P- Attach to Form 990.
Internal Revenue Service
Name of the organization
THE SAFEWAY FOUNDATION
Employer identification number
1 91-2144510
Types of Property
(a)
Check
if
applicable
1
Art-Works of art
2
Art-Historical treasures
.
.
.
3
Art-Fractional interests
4
Books and publications
5
Clothing and household
goods
.
.
.
.
.
Cars and other vehicles
6
.
.
.
.
Boats and planes
Intellectual property
9
Securities-Publicly traded .
.
.
.
.
.
.
10
Securities-Closely held stock
11
Securities-Partnership, LLC,
or trust interests
Securities-Miscellaneous
15
Qualified conservation
contribution-Historic
structures
Qualified conservation
contribution-Other .
.
Real estate-Residential
16
Real estate-Commercial
14
17
Real estate-Other
18
Collectibles
.
.
.
.
.
.
.
.
19
Food inventory
Drugs and medical supplies
21
Taxidermy
22
Historical artifacts
23
Scientific specimens
24
Archeological artifacts
.
.
.
20
.
.
.
.
.
.
.
.
.
.
.
.
.
977,254 ACTUAL COST
( ADMINISTRATIVE
25
(d)
Method of determining
noncash contribution amounts
.
8
13
(c)
Noncash contribution
amounts reported on
Form 990, Part VIII, line
1g
.
7
12
(b)
Number of contributions
or items contributed
26
Other(
27
Other(
28
Other ■ (
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement .
)
29
Yes
30a
No
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period?
30a
No
b If "Yes," describe the arrangement in Part II
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
32a
No
b If "Yes," describe in Part II
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II
For Paperwork Reduction Act Noticee see the Instructions for Form 990 .
Cat No 51227 ]
Schedule M (Form 990 ) ( 2012)
Page 2
Schedule M (Form 990 ) (2012)
Supplemental Information . Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the
number of items received, or a combination of both. Also complete this part for any additional information.
Identifier
I
Return Reference
Explanation
Schedule M (Form 990) (2012)
efile GRAPHIC p rint - DO NOT PROCESS
SCHEDULE 0
(Form 990 or 990-EZ)
As Filed Data -
DLN: 93493318072853
OMB No 1545 0047
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information .
Department of the Treasury
Internal Revenue Service
Identifier
Open
Inspection
1- Attach to Form 990 or 990-EZ.
Name of the organization
THE SAFEWAY FOUNDATION
2012
Employer identification number
Return Reference
Explanation
Form 990,
Part VI, Line
19
Form 990, Part VI, Line
19 Other Organization
Documents Publicly
Available
Governing documents, policies and financial statements are available upon request
Form 990,
Part VI, Line
12c
Form 990, Part VI, Line
12c Explanation of
Monitoring and
Enforcement of
Conflicts
The possible conflicts of interest are reviewed by governing body each year
Form 990,
Part VI, Line
11b
Form 990, Part VI, Line
11 b Form 990 Review
Process
Financial statement information which has been incorporated in the Form 990 was reviewed and
approved by the board of directors
Form 990,
Part VI, Line
7b
Form 990, Part VI, Line
7b Describe Decisions
of Governing Body
Approval by Members
or Shareholders
The members elect the members of the governing body (but not if the persons on the governing body
are the organizations only members) or their delegates
Form 990,
Part VI, Line
7a
Form 990, Part VI, Line
7a How Members or
Shareholders Hect
Governing Body
The members elect the members of the governing body (but not if the persons on the governing body
are the organizations only members) or their delegates
Form 990,
Part VI, Line
2
Form 990, Part VI, Line
2 Description of
Business or Family
Relationship of Officers,
Directors, Et
Directors and officers of the Foundation are employed by Safeway Inc (including its subsidiaries)
However, none are expected to be disqualified persons vis-a-vis the Foundation by virture of their
positions with Safeway Inc Larree Renda, EVP, Chief Strategist and Information OfficerBrian Dowling,
Vice President Public AffairsMike Minasi, President, MarketingKelly Griffith, President, PerishablesDavid
Lee, President, Non PerishablesJonathan Mayes,SVP, Public Affairs/Government
Relations/Ph ila nth ropy/CSRDen n is J Dunne, Chief Financial OfficerRobert Bradford, N/AChristy
Duncan Anderson, N/A
Form 990,
Part III, Line
4d
Form 990, Part III, Line
4d Other Program
Services Description
OTHER PROGRAM SERVICES 4 The Foundation supports a variety of worthy programs in hunger
relief, education, health and human services and people with special needs, in accordance with the
mission of the Foundation
Client Note 1 -
jefile GRAPHIC print - DO NOT PROCESS
SCHEDULE R
(Form 990)
As Filed Data -
DLN:93493318072853
OMB No 1545-0047
Related Organizations and Unrelated Partnerships
2012
1- Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
1- Attach to Form 990.
1- See separate instructions.
Department of the Treasury
Internal Revenue Service
Name of the organization
THE SAFEWAY FOUNDATION
Employer identification number
91-2144510
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one
or more related tax-exempt organizations during the tax year.)
( a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)
(13) controlled
entity?
Yes
(1) The Dominicks Foundation
711 Jorie Blvd
Supports hunger relief,
education, health and
human services
IL
Supports hunger relief,
education, health and
human services
CA
501(c)(3)
Public charity
No
No
N/A
Oak Brook, IL 605234425
36-4059130
(2) The Vons Companies Charitable Foundation
5918 Stoneridge Mall Road
501 (c)(3)
Public charity
No
N/A
Pleasanton, CA 945883229
95-4523801
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat No 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34
because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or
foreign
country)
(d)
Direct
controlling
entity
(e)
Predominant
income(related,
unrelated,
excluded from
tax under
sections 512514)
(f)
(g)
(h)
(i)
U)
Share of
Share of Disproprtionate Code V-UBI General or
total income end-of-year allocations?
amount in box managing
assets
20 of
partner?
Schedule K-1
(Form 1065)
Yes
No
Yes
(k)
Percentage
ownership
No
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV,
line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total
income
(g)
Share of endof-year
assets
(h)
Percentage
ownership
(i)
Section 512
(b)(13)
controlled
entity?
Yes
(1) Safeway Inc
5918 STONERIDGE MALL
Pleasanton, CA 94588
94-2144510
Retail sales
N/A
C Corp
No
Yes
CA
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
ff^
Page 3
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
YesFNo
Note . Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity
No
b
Gift, grant, or capital contribution to related organization(s)
No
c
Gift, grant, or capital contribution from related organization(s)
No
d
Loans or loan guarantees to or for related organization(s)
No
e
Loans or loan guarantees by related organization(s)
No
f
Dividends from related organization(s)
if
No
g
Sale of assets to related organization(s)
1g
No
h
Purchase of assets from related organization(s)
1h
No
No
No
i
Exchange of assets with related organization(s)
ii
j
Lease of facilities, equipment, or other assets to related organization(s)
ii
k
Lease of facilities, equipment, or other assets from related organization(s)
Performance of services or membership or fundraising solicitations for related organization(s)
No
m Performance of services or membership or fundraising solicitations by related organization(s)
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
No
o
Sharing of paid employees with related organization(s)
No
I
2
No
p
Reimbursement paid to related organization(s) for expenses
No
q
Reimbursement paid by related organization(s) for expenses
No
r
Other transfer of cash or property to related organization(s)
No
s
Other transfer of cash or property from related organization(s)
No
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds
(a)
Name of other organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross
revenue) that was not a related organization See instructions regarding exclusion for certain investment partnerships
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal
domicile
(state or
foreign
country)
(d)
Predominant
income
(related,
unrelated,
excluded from
tax under
section 512514)
(e)
Are all partners
section
501(c)(3)
organizations?
Yes
No
(f)
Share of
total
income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate
allocations?
Yes
No
(i)
Code V-UBI
amount in
box 20
of Schedule
K-1
(Form 1065)
U)
General or
managing
part ner?
Yes
(k)
Percentage
ownership
No
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Supplemental Information
Complete this Dart to provide additional information for responses to auestions on Schedule R (see instructions
Identifier
Return Reference
Explanation
Additional Data
Return to Form
Software ID :
Software Version :
EIN:
Name :
12000229
2012v2.0
91 -2144510
THE SAFEWAY FOUNDATION
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of noncash assistance
(h) Purpose of grant
or assistance
1 1 2 3 GO DIV OF PAAK FNDTN (288596)
Upon request
501(c)(3)
5,00000
Program services
2 2012 SF ACCR-BREAST CANCER
Upon request
501(c)(3)
47,661 90
Program services
3 2012 SF ACCR-BREAST CANCER
Upon request
501(c)(3)
229,466 82
Program services
4 2012 SF ACCR-BREAST CANCER
Upon request
501(c)(3)
231,733 52
Program services
5 2012 SF ACCR-BREAST CANCER
Upon request
501(c)(3)
293,473 24
Program services
6 2012 SF ACCR-BREAST CANCER
Upon request
501(c)(3)
551,651 53
Program services
7 2012 SF ACCR-BREAST CANCER
Upon request
501(c)(3)
663,368 65
Program services
8 2012 SF ACCR-BREAST CANCER
Upon request
501(c)(3)
755,378 14
Program services
9 2012 SF ACCR-BREAST CANCER
Upon request
501(c)(3)
1,301,305 00
Program services
10 2012 SF ACCR-BREAST CANCER
Upon request
501(c)(3)
2,047,186 07
Program services
11 2012 SF ACCR-BREAST CANCER
Upon request
501(c)(3)
2,175,676 13
Program services
12 2012 SF ACCR-DISABILITIES
Upon request
501(c)(3)
16,000 00
Program services
13 2012 SF ACCR-WOUNDED WARRIOR
Upon request
501(c)(3)
25,000 00
Program services
14 2012 SF ACCR-WOUNDED WARRIOR
Upon request
501(c)(3)
25,000 00
Program services
15 2012 SF ACCR-WOUNDED WARRIOR
Upon request
501(c)(3)
25,000 00
Program services
16 A NEW LEAF (517171)
Upon request
501(c)(3)
5,00000
Program services
17 ABODE SERVICES (242919)
Upon request
501(c)(3)
5,00000
Program services
18 ACHIEVEKIDS (512652)
Upon request
501(c)(3)
5,00000
Program services
19 ACTION COUNCIL OF MONTEREY CNT (513336)
Upon request
501(c)(3)
5,00000
Program services
20 AFRICAN AMERICAN (278157)
Upon request
501(c)(3)
5,00000
Program services
21 AFTER SCHOOL ALL STARS (515582)
Upon request
501(c)(3)
5,00000
Program services
22 AGRI BUSINESS EDUCATION CORP (505030)
Upon request
501(c)(3)
5,00000
Program services
23 AIDS SERVICE CENTER (504299)
Upon request
501(c)(3)
10,000 00
Program services
24 AIDS WALK SAN FRANCISCO (153335)
Upon request
501(c)(3)
5,00000
Program services
25 ALA COSTA CTR (513990)
Upon request
501(c)(3)
5,00000
Program services
26 ALBERTINA KERR CNTRS (167225)
Upon request
501(c)(3)
12,000 00
Program services
27 ALIVE INC (175670)
Upon request
501(c)(3)
5,00000
Program services
28 ALL SPORTS FOUNDATION (284407)
Upon request
501(c)(3)
5,00000
Program services
29 ALZHEIMERS ASSOCIATION (514283)
Upon request
501(c)(3)
5,00000
Program services
30 AMERICAN DIABETES ASSN (274239)
Upon request
501(c)(3)
12,791 63
Program services
31 AMERICAN DIABETES ASSOCIATION (513035)
Upon request
501(c)(3)
14,000 00
Program services
32 AMERICAN RED CROSS (163381)
Upon request
501(c)(3)
7,15354
Program services
33 AMERICAN RED CROSS (163381)
Upon request
501(c)(3)
107,846 46
Program services
34 AMERICAN RED CROSS (208778)
Upon request
501(c)(3)
10,000 00
Program services
35 AMERICAN RED CROSS (208778)
Upon request
501(c)(3)
10,000 00
Program services
36 AMERICAN RED CROSS (208778)
Upon request
501(c)(3)
100,000 00
Program services
37 AMERICAN RED CROSS (515759)
Upon request
501(c)(3)
25,000 00
Program services
38 AMERICAN RED CROSS (516256)
Upon request
501(c)(3)
10,000 00
Program services
39 AMERICAN RED CROSS (516256)
Upon request
501(c)(3)
25,000 00
Program services
Page 1 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of non cash assistance
( h) Purpose of grant
or assistance
40 AMERICAN RED CROSS BAY AREA ( 104588 )
Upon request
501(c)(3 )
6,25000
Program services
41 AMERICAN RED CROSS DALLAS AREA ( 222890)
Upon request
501(c)(3 )
39,259 00
Program services
42 AMY ROLOFF CHARITY FNDTN ( 516011)
Upon request
501(c)(3 )
5,00000
Program services
43 ANGELS ANONYMOUS (517722)
Upon request
501(c)(3 )
5,00000
Program services
44 ANN MARTIN CENTER (513335)
Upon request
501(c)(3 )
5,00000
Program services
45 ANNE ARUNDAL CO COMM (514242)
Upon request
501(c)(3 )
5,00000
Program services
46 ANNE ARUNDEL CNTY CASA INC (517733)
Upon request
501(c)(3)
6,00000
Program services
47 ARC OF TEMPE (171260)
Upon request
501(c)(3 )
5,00000
Program services
48 ARC THRIFT STORES ( 279692 )
Upon request
501(c)(3 )
10,000 00
Program services
49 ARIZONA EDUCATIONAL FNDTN (240783)
Upon request
501(c)(3 )
7,50000
Program services
50 ARIZONA HUMANE SOCIETY ( 516194 )
Upon request
501(c)(3 )
50,000 00
Program services
51 ARLINGTONIANS MTG EMERG NEEDS (517731)
Upon request
501(c)(3 )
5,00000
Program services
52 ARRIBA CENTER ( 503642 )
Upon request
501(c)(3 )
5,00000
Program services
53 ARTHRITIS FOUNDATION (174064)
Upon request
501(c)(3 )
5,00000
Program services
54 ARTHRITIS FOUNDATION ( 515945)
Upon request
501(c)(3 )
38,278 01
Program services
55 ASIAN PACIFIC FUND (245939 )
Upon request
501(c)(3 )
10,000 00
Program services
56 ASSISTANCE LEAGUE OF AMADOR ( 269443 )
Upon request
501(c)(3 )
5,00000
Program services
57 ASSISTANCE LEAGUE OF SAN JOSE (269444)
Upon request
501(c)(3 )
6,00000
Program services
58 ASSOC CATHOLIC CHARITIES INC (514244)
Upon request
501(c)(3 )
5,00000
Program services
59 ASSOCIATION OF AZ FOOD BANKS ( 171891)
Upon request
501(c)(3 )
5,00000
Program services
60 ASST LGE OF LOS GATOS SARATOGA ( 513339 )
Upon request
501(c)(3 )
5,00000
Program services
61 ASU FOUNDATION ( 514668 )
Upon request
501(c)(3)
15,000 00
Program services
62 AUDUBON CANYON RANCH (289157)
Upon request
501(c)(3 )
5,00000
Program services
63 AUGUSTA MILITARY ACADEMY (507346)
Upon request
501(c)(3 )
5,00000
Program services
64 AUSTIN MAYORS COMMITTEE FOR (140705)
Upon request
501(c)(3 )
6,25000
Program services
65 AUTISM HEALTH INSURANCE PRJCT (513027)
Upon request
501(c)(3 )
10,000 00
Program services
66 AUTISM RELIEF FNDTN (514245)
Upon request
501(c)(3 )
5,00000
Program services
67 AUTISM SPEAKS ( 517599)
Upon request
501(c)(3 )
27,736 81
Program services
68 AUTISM SPEAKS INC (513534)
Upon request
501(c)(3 )
10,000 00
Program services
69 AUTISM SPEAKS PACIFIC NW (510709)
Upon request
501(c)(3 )
5,00000
Program services
70 AVRIL LAVIGNE FNDTN (514977)
Upon request
501(c)(3 )
50,000 00
Program services
71 AZ BRIDGE TO INDEPENDENT LIVIN (516829)
Upon request
501(c)(3 )
5,00000
Program services
72 AZ ONCOLOGY FNDTN (517725)
Upon request
501(c)(3 )
35,000 00
Program services
73 AZ STANDDOWN (517834)
Upon request
501(c)(3 )
5,00000
Program services
74 BALD FACED TRUTH FNDTN ( 514910 )
Upon request
501(c)(3 )
5,00000
Program services
75 BALD FACED TRUTH FNDTN ( 514910 )
Upon request
501(c)(3 )
5,00000
Program services
76 BAY AREA CHILDRENS THEATRE (513997)
Upon request
501(c)(3 )
5,00000
Program services
77 BAY AREA OUTREACH ( 502645)
Upon request
501(c)(3 )
5,00000
Program services
78 BAY CLINIC INC (281748)
Upon request
501(c)(3 )
5,00000
Program services
Page 2 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of noncash assistance
(h) Purpose of grant
or assistance
79 BAY INSTITUTE AQUARIUM FNDTN (512653)
Upon request
501(c)(3)
5,00000
Program services
80 BAYLOR HLTH CARE SYSTEM FNDTN (210470)
Upon request
501(c)(3)
100,000 00
Program services
81 BEACON GROUP SW INC (285526)
Upon request
501(c)(3)
5,00000
Program services
82 BECAUSE THERE IS HOPE (289692)
Upon request
501(c)(3)
6,00000
Program services
83 BERKELEY FOOD & HOUSING PROJEC (176660) Upon request
501(c)(3)
5,00000
Program services
84 BERKELEY PUBLIC EDU FNDTN (516749)
Upon request
501(c)(3)
5,00000
Program services
85 BERKELEY REPERTORY THEATRE (213165)
Upon request
501(c)(3)
5,00000
Program services
86 BEST BUDDIES (243233)
Upon request
501(c)(3)
5,00000
Program services
87 BEST BUDDIES (280994)
Upon request
501(c)(3)
15,000 00
Program services
88 BIG BROS BIG SISTERS OF (202727)
Upon request
501(c)(3)
15,000 00
Program services
89 BIG BROTHERS BIG SISTERS (279448)
Upon request
501(c)(3)
5,00000
Program services
90 BIG BROTHERS BIG SISTERS (502627)
Upon request
501(c)(3)
15,000 00
Program services
91 BIG BROTHERS BIG SISTERS OF (512651)
Upon request
501(c)(3)
10,000 00
Program services
92 BIZFED INSTITUTE A SPONSORED (507730)
Upon request
501(c)(3)
12,500 00
Program services
93 BLACK PARENT INITIATIVE (283111)
Upon request
501(c)(3)
5,00000
Program services
94 BLIND INDS AND SVCS OF MD (514246)
Upon request
501(c)(3)
5,00000
Program services
95 BONNIE J ADDARIO LUNG CANCER (505232)
Upon request
501(c)(3)
50,000 00
Program services
96 BOULDER CMMTY HOSP FNDTN (517045)
Upon request
501(c)(3)
10,000 00
Program services
97 BOY SCOUTS OF AMERICA (261793)
Upon request
501(c)(3)
5,00000
Program services
98 BOYS & GIRLS CLUB (170615)
Upon request
501(c)(3)
170,000 00
Program services
99 BOYS & GIRLS CLUB OF (515963)
Upon request
501(c)(3)
65,000 00
Program services
100 BOYS & GIRLS CLUB OF ALBANY (514995)
Upon request
501(c)(3)
5,00000
Program services
101 BOYS & GIRLS CLUB OF SF (240820)
Upon request
501(c)(3)
10,000 00
Program services
102 BOYS AND GIRLS CLUBS (513999)
Upon request
501(c)(3)
5,00000
Program services
103 BRADLEY ANGLE HOUSE (514990)
Upon request
501(c)(3)
5,00000
Program services
104 BREAST CANCER CONNECTIONS (288346)
Upon request
501(c)(3)
10,000 00
Program services
105 BREAST CANCER EMERGENCY FUND (160185)
Upon request
501(c)(3)
20,000 00
Program services
106 BREAST CANCER EMERGENCY FUND (160185)
Upon request
501(c)(3)
45,000 00
Program services
107 BREAST CANCER RESRC CTR OF TX (515153)
Upon request
501(c)(3)
100,000 00
Program services
108 BREAST CANCER RESRC CTR OF TX (515153)
Upon request
501(c)(3)
100,000 00
Program services
109 BRIAN GRANT FOUNDATION (503300)
Upon request
501(c)(3)
25,000 00
Program services
110 BRIDGE BREAST NETWORK (163905)
Upon request
501(c)(3)
100,000 00
Program services
111 BRIDGE BREAST NETWORK (163905)
Upon request
501(c)(3)
100,000 00
Program services
112 BRIGHT BEGINNINGS INC (268699)
Upon request
501(c)(3)
10,000 00
Program services
113 BUILDING BRIDGES (515687)
Upon request
501(c)(3)
5,00000
Program services
114 BUILDING HOPE INC (510186)
Upon request
501(c)(3)
5,00000
Program services
115 CA HUGH OBRIAN YOUTH LEADERSHI (515943)
Upon request
501(c)(3)
5,00000
Program services
116 CA SHAKESPEARE THEATRE (164052)
Upon request
501(c)(3)
11,000 00
Program services
117 CA TRANSPLANT DONOR NETWORK (281015)
Upon request
501(c)(3)
6,00000
Program services
Page 3 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91-2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of noncash assistance
(h) Purpose of grant
or assistance
118 CA WOMENS CONFERENCE (516323)
Upon request
501(c)(3)
15,000 00
Program services
119 CALIFORNIA GROCERS ASSN (110691)
Upon request
501(c)(3)
25,990 00
Program services
120 CAMP FIRE USA (201725)
Upon request
501(c)(3)
5,00000
Program services
121 CAMP LAUREL FNDTN INC (514863)
Upon request
501(c)(3)
10,000 00
Program services
122 CAMP TO BELONG (513029)
Upon request
501(c)(3)
5,00000
Program services
123 CAMP TO BELONG NW (514997)
Upon request
501(c)(3)
5,00000
Program services
124 CAMPAIGN FOR COLLEGE OPPORTUNI (517248 Upon request
501(c)(3)
10,000 00
Program services
125 CANCER RESOURCE CENTER OF (249575)
Upon request
501(c)(3)
10,000 00
Program services
126 CANCER SUPPORT COMMUNITY (151807)
Upon request
501(c)(3)
25,000 00
Program services
127 CANDLELIGHTERS FOR CHILDREN (285842)
Upon request
501(c)(3)
5,00000
Program services
128 CANOGA OWENSMOUTH HISTORICAL S (51386
Upon request
501(c)(3)
5,00000
Program services
129 CAPITAL AREA FOOD BANK (115411)
Upon request
501(c)(3)
103,206 58
Program services
130 CAPO BEACH CALVARY (516277)
Upon request
501(c)(3)
10,000 00
Program services
131 CARE AND SHARE FOOD BANK (512722)
Upon request
501(c)(3)
7,94230
Program services
132 CARE CHEST (512097)
Upon request
501(c)(3)
5,00000
Program services
133 CAREER & RECOVERY RESOURCES IN (221114
Upon request
501(c)(3)
6,25000
Program services
134 CARSON TAHOE REGIONAL (281136)
Upon request
501(c)(3)
25,000 00
Program services
135 CASCADE AIDS PROJECT (139207)
Upon request
501(c)(3)
5,00000
Program services
136 CASTRO VALLEY EDUCATIONAL FNDT (515688)
Upon request
501(c)(3)
5,00000
Program services
137 CATHOLIC CHRTS OF THE EAST BAY (513340)
Upon request
501(c)(3)
5,00000
Program services
138 CENTER FOR ECOLITERACY (515443)
Upon request
501(c)(3)
49,901 95
Program services
139 CENTRAL AREA SENIOR CENTER (517415)
Upon request
501(c)(3)
5,00000
Program services
140 CGA EDUCATIONAL FNDTN (516573)
Upon request
501(c)(3)
19,500 00
Program services
141 CHALLENGERS BOYS & GIRLS CLUB (280007)
Upon request
501(c)(3)
5,00000
Program services
142 CHAMBERLAINS CHILDREN CENTER (500451)
Upon request
501(c)(3)
5,00000
Program services
143 CHEWELAH FOOD BANK (516324)
Upon request
501(c)(3)
10,000 00
Program services
144 CHICAGO LIGHTHOUSE FOR THE (510742)
Upon request
501(c)(3)
5,00000
Program services
145 CHILDREN FIRST FOR OREGON (514986)
Upon request
501(c)(3)
5,00000
Program services
146 CHILDRENS CANCER ASSOCIATION (267483)
Upon request
501(c)(3)
5,00000
Program services
147 CHILDRENS HEALTH FUND (515444)
Upon request
501(c)(3)
50,000 00
Program services
148 CHILDRENS HOSP & RESEARCH CTR (173645)
Upon request
501(c)(3)
117,600 00
Program services
149 CHILDRENS HOSP & RESEARCH CTR (173645)
Upon request
501(c)(3)
140,000 00
Program services
150 CHILDRENS HOSPITAL (156629)
Upon request
501(c)(3)
42,645 55
Program services
151 CHILDRENS HOSPITAL (171433)
Upon request
501(c)(3)
100,000 00
Program services
152 CHILDRENS HOSPITAL FOUNDATION (507972)
Upon request
501(c)(3)
5,00000
Program services
153 CHILDRENS HOSPITAL LA (515445)
Upon request
501(c)(3)
50,000 00
Program services
154 CHILDRENS MED CTR OF DALLAS (223924)
Upon request
501(c)(3)
162,209 00
Program services
155 CHIRICAHUA CMMTY HEALTH CTRS (515486)
Upon request
501(c)(3)
75,000 00
Program services
156 CHRIS DUDLEY FOUNDATION (508578)
Upon request
501(c)(3)
5,00000
Program services
Page 4 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of non cash assistance
( h) Purpose of grant
or assistance
157 CIRCLE OF HOPE THERAPEUTIC ( 289028)
Upon request
501(c)(3 )
6,00000
Program services
158 CITIZENS DEVELOPMENT CENTER ( 222019)
Upon request
501(c)(3 )
6,25000
Program services
159 CITIZENSHIP EDUCATION FUND INC ( 153591 )
Upon request
501(c)(3 )
10,000 00
Program services
160 CITY OF HOPE (177550)
Upon request
501(c)(3)
100,000 00
Program services
161 CITY OF HOPE (177550)
Upon request
501(c)(3 )
100,000 00
Program services
162 CITY OF HOPE (177550)
Upon request
501(c)(3)
100,000 00
Program services
163 CLACKAMAS CNTY PEACE OFFICERS ( 284511 )
Upon request
501(c)(3 )
6,00000
Program services
164 CLACKAMAS ROTARY (502753)
Upon request
501(c)(3 )
5,00000
Program services
165 CLACKAMAS VOLUNTEERS IN MEDICI (514987 )
Upon request
501(c)(3 )
5,00000
Program services
166 CLINIC BY THE BAY ( 501624 )
Upon request
501(c)(3 )
5,00000
Program services
167 CLINIC BY THE BAY ( 501624 )
Upon request
501(c)(3)
10,000 00
Program services
168 CMC FNDTN OF CENTRAL TX (230254)
Upon request
501(c)(3)
38,575 00
Program services
169 CMMTY RSRC FOR INDPNDNT LIVING (513338)
Upon request
501(c)(3)
15,000 00
Program services
170 COASTSIDE CHILD DEVELOPMNT CTR (512644)
Upon request
501(c)(3 )
5,00000
Program services
171 COLORADO SPRINGS AFFILIATE (170049)
Upon request
501(c)(3 )
35,000 00
Program services
172 COLORADO SPRINGS AFFILIATE (170049)
Upon request
501(c)(3)
40,000 00
Program services
173 COMMONWEALTH CLUB OF CA ( 205604)
Upon request
501(c)(3)
10,000 00
Program services
174 COMMUNITY BEYOND WALLS ( 513806 )
Upon request
501(c)(3)
5,600 00
Program services
175 COMMUNITY FOOD BANK OF FRESNO (500257)
Upon request
501(c)(3 )
25,000 00
Program services
176 COMMUNITY HEALTH PRTRSHIP INC (282205 )
Upon request
501(c)(3)
10,000 00
Program services
177 COMMUNITY HOSPITAL FNDTN (242902 )
Upon request
501(c)(3 )
25,000 00
Program services
178 COMMUNITY TRANSITIONAL SCHOOL (167241)
Upon request
501(c)(3 )
5,00000
Program services
179 CONEJO VALLEY SENIOR CONCERNS ( 517596)
Upon request
501(c)(3)
5,00000
Program services
180 CONGRESSIONAL HUNGER CENTER ( 507568 )
Upon request
501(c)(3 )
10,000 00
Program services
181 CONTRA COSTA INTERFAITH ( 515689 )
Upon request
501(c)(3)
5,00000
Program services
182 CONTRA COSTA REG HEALTH FNDTN (515487)
Upon request
501(c)(3 )
83,201 00
Program services
183 COOK CHILDRENS HEALTH FNDTN ( 515488)
Upon request
501(c)(3 )
75,393 00
Program services
184 COOPER INSTITUTE (231423)
Upon request
501(c)(3)
100,000 00
Program services
185 CORNING CHRISTIAN ASSISTANCE (513807 )
Upon request
501(c)(3 )
5,60000
Program services
186 DALLAS COUNTY AFFILIATE (513079)
Upon request
501(c)(3)
75,000 00
Program services
187 DARLENE HOOLEY SCHOLARSHIP FOR (517757 Upon request
501(c)(3 )
25,000 00
Program services
188 DC CENTRAL KITCHEN (277862 )
Upon request
501(c)(3 )
5,00000
Program services
189 DECA INC (127879)
Upon request
501(c)(3 )
27,000 00
Program services
190 DELTA MEMORIAL HOSPITAL FNDTN ( 204061 )
Upon request
501(c)(3 )
10,000 00
Program services
191 DENVER POST PEDAL THE PLAINS B (514587 )
Upon request
501(c)(3 )
15,000 00
Program services
192 DEPAUL INDUSTRIES ( 516431)
Upon request
501(c)(3 )
5,00000
Program services
193 DESERT CANCER FNDTN OF AZ (517726)
Upon request
501(c)(3)
5,00000
Program services
194 DESERT EDGE MENTORIING SVCS (508570)
Upon request
501(c)(3 )
5,00000
Program services
195 DOERNBECHERS CHILDREN HOSPITAL (240769 Upon request
501 ( c)(3)
15,000 00
Program services
Page 5 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of non cash assistance
( h) Purpose of grant
or assistance
196 DOERNBECHERS CHILDREN HOSPITAL (240769 Upon request
501 (c)(3)
25, 000 00
Program services
197 DOWNTOWN WOMENS CTR ( 515584)
Upon request
501(c)(3 )
5,00000
Program services
198 DREAMCATCHERS EMPOWERMENT NETW ( 51
Upon request
501(c)(3)
5,00000
Program services
199 DRESS FOR SUCCESS OREGON ( 268761)
Upon request
501(c)(3 )
5,00000
Program services
200 EARLY LEARNING VENTURES (517538 )
Upon request
501(c)(3)
97,800 00
Program services
201 EAST BAY DEPOT FOR CREATIVE ( 508101 )
Upon request
501(c)(3)
5,00000
Program services
202 EAST BAY INNOVATIONS (511856)
Upon request
501(c)(3)
10,000 00
Program services
203 EAST BAY INNOVATIONS ( 511856)
Upon request
501(c)(3)
10,000 00
Program services
204 EASTER SEALS (158616)
Upon request
501(c)(3 )
5,00000
Program services
205 EASTER SEALS ( 158616)
Upon request
501(c)(3 )
5,00000
Program services
206 EASTER SEALS ( 158616)
Upon request
501(c)(3)
5,00000
Program services
207 EASTER SEALS ( 158616)
Upon request
501(c)(3)
10,000 00
Program services
208 EASTER SEALS (158616)
Upon request
501(c)(3 )
10,000 00
Program services
209 EASTER SEALS ( 158616)
Upon request
501(c)(3)
10,000 00
Program services
210 EASTER SEALS ( 158616)
Upon request
501(c)(3)
11,000 00
Program services
211 EASTER SEALS ( 158616)
Upon request
501(c)(3)
12,500 00
Program services
212 EASTER SEALS (158616)
Upon request
501(c)(3 )
18,500 00
Program services
213 EASTER SEALS ( 158616)
Upon request
501(c)(3 )
20,000 00
Program services
214 EASTER SEALS (158616)
Upon request
501(c)(3 )
35,000 00
Program services
215 EASTER SEALS ( 158616)
Upon request
501(c)(3 )
38,500 00
Program services
216 EASTER SEALS ( 158616)
Upon request
501(c)(3)
41,000 00
Program services
217 EASTER SEALS ( 158616)
Upon request
501(c)(3 )
47,000 00
Program services
218 EASTER SEALS ( 158616)
Upon request
501(c)(3 )
87,000 00
Program services
219 EASTER SEALS INC ( 219366)
Upon request
501(c)(3)
10,000 00
Program services
220 EASTER SEALS INC ( 219366 )
Upon request
501(c)(3 )
50,000 00
Program services
221 EASTER SEALS INC ( 219366 )
Upon request
501(c)(3 )
243,935 12
Program services
222 EASTER SEALS INC ( 219366 )
Upon request
501(c)(3 )
252,760 48
Program services
223 EASTER SEALS INC ( 219366 )
Upon request
501(c)(3 )
356,778 05
Program services
224 EASTER SEALS INC ( 219366)
Upon request
501(c)(3 )
394,298 46
Program services
225 EASTER SEALS INC ( 219366)
Upon request
501(c)(3 )
470,679 57
Program services
226 EASTER SEALS INC ( 219366 )
Upon request
501(c)(3 )
528,637 86
Program services
227 EASTER SEALS INC ( 219366 )
Upon request
501(c)(3 )
904,712 00
Program services
228 EASTER SEALS INC ( 219366 )
Upon request
501(c)(3 )
1,024,549 43
Program services
229 EASTER SEALS INC ( 219366 )
Upon request
501(c)(3 )
1,158,718 53
Program services
230 EASTER SEALS OF OREGON ( 163628 )
Upon request
501(c)(3 )
80,000 00
Program services
231 EASTSIDE BOYS & GRLS CLB OF LA ( 515489)
Upon request
501(c)(3)
50,000 00
Program services
232 EASTSIDE BOYS & GRLS CLB OF LA ( 515489 )
Upon request
501(c)(3)
50,000 00
Program services
233 EDEN I & R ( 151163)
Upon request
501(c)(3 )
5,00000
Program services
234 EDUCATION COALITION FOR (274770)
Upon request
501(c)(3 )
15,000 00
Program services
Page 6 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of non cash assistance
( h) Purpose of grant
or assistance
235 EMERGENCY SHELTER PROGRAM (173635)
Upon request
501(c)(3 )
5,00000
Program services
236 EMMANUEL MEDICAL CENTER ( 500922 )
Upon request
501(c)(3 )
20,000 00
Program services
237 ENLOE REGIONAL CANCER CTR (515414)
Upon request
501(c)(3 )
10,000 00
Program services
238 EPISCOPAL COMMUNITY SVC OF SF (172222 )
Upon request
501(c)(3 )
5,00000
Program services
239 EUGENE FAMILY YMCA (510712 )
Upon request
501(c)(3 )
5,00000
Program services
240 EVANS SCHILARS FOUNDATION (511814)
Upon request
501(c)(3)
40,000 00
Program services
241 EVERGREEN HEALTH FNDTN ( 511031)
Upon request
501(c)(3 )
13,899 15
Program services
242 EXCEED ENTERPRISES ( 508908)
Upon request
501(c)(3)
5,00000
Program services
243 EXCEPTIONAL NEEDS NETWORK ( 502941 )
Upon request
501(c)(3 )
5,00000
Program services
244 EXECUTIVE LEADERSHIP FNDTN (262357)
Upon request
501(c)(3 )
25,000 00
Program services
245 FAITH NETWORK OF THE EAST BAY (161432)
Upon request
501(c)(3 )
5,00000
Program services
246 FAMILY AID CATHOLIC EDUCATION ( 164956 )
Upon request
501(c)(3 )
5,00000
Program services
247 FAMILY BUILDING BLOCKS ( 211630)
Upon request
501(c)(3 )
5,00000
Program services
248 FAMILY LAW CASA OF KING CNTY (517723)
Upon request
501(c)(3 )
10,000 00
Program services
249 FAMILY SERVICE AGENCY OF (165833)
Upon request
501(c)(3)
5,00000
Program services
250 FAMILY SUPPORT SERVICES OF THE (242914)
Upon request
501(c)(3 )
7,50000
Program services
251 FAMILY UNIFICATION SERVICES (508569)
Upon request
501(c)(3)
5,00000
Program services
252 FAMILY YMCA OF BAKER CNTY ( 514992)
Upon request
501(c)(3 )
5,00000
Program services
253 FATHERS HEART STREET MINISTRY ( 212568 )
Upon request
501(c)(3 )
5,00000
Program services
254 FIGHT AGAINST OBESITY FNDTN (517247)
Upon request
501(c)(3 )
10,000 00
Program services
255 FIRST PLACE FOR YOUTH (516977)
Upon request
501(c)(3)
10,000 00
Program services
256 FISHER HOUSE FNDTN (270751 )
Upon request
501(c)(3 )
10,000 00
Program services
257 FISHER HOUSE FNDTN (270751)
Upon request
501(c)(3)
15,000 00
Program services
258 FISHING SCHOOL (214422)
Upon request
501(c)(3 )
5,00000
Program services
259 FND OF THE NATL INST OF HEALTH ( 513461)
Upon request
501(c)(3 )
78,633 00
Program services
260 FND OF THE NATL INST OF HEALTH ( 513461)
Upon request
501(c)(3 )
116,367 00
Program services
261 FND OF THE NATL INST OF HEALTH ( 513461 )
Upon request
501(c)(3 )
300,000 00
Program services
262 FOOD 4 FAMILIES FUND (517017)
Upon request
501(c)(3)
5,000 00
Program services
263 FOOD ALLERGY INITIATIVE CHICAG (517027)
Upon request
501(c)(3 )
10,000 00
Program services
264 FOOD BANK OF ALASKA ( 19588)
Upon request
501(c)(3 )
5,00000
Program services
265 FOOD BANK OF EL DORADO COUNTY ( 242916 )
Upon request
501(c)(3 )
5,00000
Program services
266 FOOD BANK OF EL DORADO COUNTY ( 242916 )
Upon request
501(c)(3 )
5,60000
Program services
267 FOOD FOR PEOPLE INC (208771)
Upon request
501(c)(3 )
10,000 00
Program services
268 FOOTHILL UNITY CENTER (504765)
Upon request
501(c)(3)
10,000 00
Program services
269 FOUNDATION FOR MONTEREY CNTY (507703)
Upon request
501(c)(3)
5,00000
Program services
270 FOX CHASE CANCER CENTER (30377)
Upon request
501(c)(3 )
60,000 00
Program services
271 FRAMELINE (502366)
Upon request
501(c)(3)
5,00000
Program services
272 FRANCISCAN CENTER (167146)
Upon request
501(c)(3 )
5,00000
Program services
273 FRED HUTCHINSON CANCER (211322)
Upon request
501(c)(3 )
47,024 23
Program services
Page 7 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
274 FRED HUTCHINSON CANCER RSRCH ( 162698)
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of noncash assistance
(f) Method of
valuation
(g) Description of non cash assistance
( h) Purpose of grant
or assistance
Upon request
501(c)(3 )
42,638 20
Program services
275 FRED HUTCHINSON CANCER RSRCH C (162698 Upon request
501 (c)(3)
25, 000 00
Program services
276 FRESH START RESTORATIVE HLTH ( 513246)
Upon request
501(c)(3)
5,00000
Program services
277 FRESH START SURGICAL GIFTS (513870)
Upon request
501(c)(3 )
15,000 00
Program services
278 FRIENDS OF BASEBALL (508907)
Upon request
501(c)(3 )
5,00000
Program services
279 FRIENDS OF THE CHILDREN (167228)
Upon request
501(c)(3 )
10,000 00
Program services
280 FRIENDS OF THE CHILDREN (167228)
Upon request
501(c)(3 )
10,000 00
Program services
281 GATES TENNIS CENTER ( 285894)
Upon request
501(c)(3 )
5,00000
Program services
282 GATEWAY CTR FOR DOMESTIC ( 514586)
Upon request
501(c)(3 )
5,00000
Program services
283 GEORGE MARKS CHILDRENS HOUSE ( 170599 )
Upon request
501(c)(3 )
10,000 00
Program services
284 GIRL SCOUTS HEART OF CNTRL CA (509494)
Upon request
501(c)(3 )
5,00000
Program services
285 GIRL SCOUTS OF GRTR CHICAGO (517238)
Upon request
501(c)(3 )
5,00000
Program services
286 GLADSTONE EDUCATION FNDTN (155340)
Upon request
501(c)(3 )
5,00000
Program services
287 GLOBAL DOWN SYNDROME FNDTN ( 515942 )
Upon request
501(c)(3 )
5,00000
Program services
288 GO GREEN INITIATIVE ASSN ( 512622 )
Upon request
501(c)(3)
10,000 00
Program services
289 GOMPERS CENTER INC ( 262046)
Upon request
501(c)(3 )
6,00000
Program services
290 GOODWILL SO CA (517321 )
Upon request
501(c)(3)
10,000 00
Program services
291 GORDON HOUSE CONSERVANCY (513788)
Upon request
501(c)(3)
5,00000
Program services
292 GRANDMOTHER PK INITIATIVE NFP (514998)
Upon request
501(c)(3)
25,000 00
Program services
293 GREATER WASHINGTON URBAN ( 200998)
Upon request
501(c)(3 )
15,000 00
Program services
294 GREATER WASHINGTON URBAN LG ( 289504)
Upon request
501(c)(3 )
10,000 00
Program services
295 GROWINGGREAT (512400)
Upon request
501(c)(3 )
5,00000
Program services
296 GW MOBILE MAMMOGRAPHY PROGRAM ( 5137
Upon request
501(c)(3)
50,000 00
Program services
297 HABITAT FOR HUMANITY ( 511180)
Upon request
501(c)(3)
10,705 13
Program services
298 HABITAT FOR HUMANITY (512647)
Upon request
501(c)(3 )
5,00000
Program services
299 HABITAT FOR HUMANITY OF (516189)
Upon request
501(c)(3 )
25,000 00
Program services
300 HAMAKUA HEALTH CENTER (281137)
Upon request
501(c)(3 )
20,000 00
Program services
301 HAPPY HATS FOR KIDS ( 502632)
Upon request
501(c)(3 )
10,000 00
Program services
302 HARRINGTON FAMILY FOUNDATION (508905)
Upon request
501(c)(3)
10,000 00
Program services
303 HARVEST NORTHWEST SOUTH ( 505828 )
Upon request
501(c)(3 )
5,00000
Program services
304 HAWAII CMMTY FNDTN (517245)
Upon request
501(c)(3 )
9,00000
Program services
305 HAZEL HAWKINS HOSP FND (167735)
Upon request
501(c)(3 )
5,00000
Program services
306 HEALTH TRUST (240841)
Upon request
501(c)(3)
5,00000
Program services
307 HEALTHY SCHOOLS CAMPAIGN ( 513922 )
Upon request
501(c)(3 )
10,000 00
Program services
308 HELPING HAND (517602)
Upon request
501(c)(3 )
5,00000
Program services
309 HILLCREST CONGREGATIONAL CHR (515691)
Upon request
501(c)(3 )
5,00000
Program services
310 HISPANAS ORGANIZED FOR (515586)
Upon request
501(c)(3 )
5,00000
Program services
311 HISPANIC COLLEGE FUND INC (513078)
Upon request
501(c)(3 )
10,000 00
Program services
312 HOLLENBECK POLICE BUS COUNCIL (517180)
Upon request
501(c)(3 )
10,000 00
Program services
Page 8 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of noncash assistance
(f) Method of
valuation
(g) Description of non cash assistance
( h) Purpose of grant
or assistance
313 HOOFPRINTS ON THE HEART (289698)
Upon request
501(c)(3)
5,00000
Program services
314 HOPE HEART INSTITUTE (511033)
Upon request
501(c)(3)
20,000 00
Program services
315 HOPE HEART INSTITUTE (511033)
Upon request
501(c)(3)
40,000 00
Program services
316 HOPE SERVICES (216230)
Upon request
501(c)(3)
10,000 00
Program services
317 HORIZONS FNDTN (517500)
Upon request
501(c)(3)
5,00000
Program services
318 HOSPICE (511178)
Upon request
501(c)(3)
19,721 04
Program services
319 HOUSING HOPE (516750)
Upon request
501(c)(3)
9,078 12
Program services
320 HOWARD UNIV ALUMNI CLUB (514250)
Upon request
501(c)(3)
5,00000
Program services
321 HUMAN RIGHTS CAMPAIGN FNDTN (157774)
Upon request
501(c)(3)
5,00000
Program services
322 HUMANE SOCIETY (171505)
Upon request
501(c)(3)
10,000 00
Program services
323 HUMANE SOCIETY FOR TACOMA & (159757)
Upon request
501(c)(3)
31,699 62
Program services
324 HUMBOLDT COMMUNITY BREAST (288347)
Upon request
501(c)(3)
10,000 00
Program services
325 IMAGINE COLORADO (249283)
Upon request
501(c)(3)
10,000 00
Program services
326 INCIGHT COMPANY (278336)
Upon request
501(c)(3)
10,000 00
Program services
327 INLAND IMAGING (512018)
Upon request
501(c)(3)
6,00000
Program services
328 INNER CITY LAW CENTER (514857)
Upon request
501(c)(3)
7,50000
Program services
329 INNOVATIVE SERVICES NW (154920)
Upon request
501(c)(3)
10,000 00
Program services
330 INTERFAITH FOOD MINISTRY (507193)
Upon request
501(c)(3)
5,60000
Program services
331 INTERFAITH WORKS INC (514252)
Upon request
501(c)(3)
5,00000
Program services
332 INTERTRIBAL FRIENDSHIP HOUSE (512930)
Upon request
501(c)(3)
5,00000
Program services
333 JACOBS & CUSHMAN SAN DIEGO (200365)
Upon request
501(c)(3)
5,00000
Program services
334 JACOBS HEART CHILDRENS CANCER (284063)
Upon request
501(c)(3)
8,00000
Program services
335 JEFFERSON AWARDS FOR PUBLIC (508098)
Upon request
501(c)(3)
35,000 00
Program services
336 JEWISH FAM SRVS OF SD (517597)
Upon request
501(c)(3)
10,000 00
Program services
337 JEWISH VOCATIONAL SERVICE (205291)
Upon request
501(c)(3)
10,000 00
Program services
338 JOHN MUIR FOUNDATION (515692)
Upon request
501(c)(3)
5,00000
Program services
339 JOHN MUIR HEALTH (515448)
Upon request
501(c)(3)
25,000 00
Program services
340 JOHNS HOPKINS SIDNEY KIMMEL (163191)
Upon request
501(c)(3)
500,000 00
Program services
341 JONSSON CANCER CENTER FNDTN (271125)
Upon request
501(c)(3)
350,000 00
Program services
342 JONSSON CANCER CENTER FNDTN (271125)
Upon request
501(c)(3)
500,000 00
Program services
343 JR ACHIEVEMENT OF NORTHERN CA (145094)
Upon request
501(c)(3)
20,000 00
Program services
344 JR LEAGUE OF MONTEREY CNTY INC (510037)
Upon request
501(c)(3)
5,00000
Program services
345 KATHI GOERTZEN FNDTN (517320)
Upon request
501(c)(3)
10,000 00
Program services
346 KEEGAN KLASSIC FNDTN (510717)
Upon request
501(c)(3)
5,00000
Program services
347 KELLEY CARES FNDTN (514253)
Upon request
501(c)(3)
5,00000
Program services
348 KENNEDY KRIEGER INSTITUTE (289032)
Upon request
501(c)(3)
5,00000
Program services
349 KEX KIDS FUND (512762)
Upon request
501(c)(3)
5,00000
Program services
350 KEX KIDS FUND (512762)
Upon request
501(c)(3)
5,00000
Program services
351 KIDS COOKING CORNER (514993)
Upon request
501(c)(3)
5,00000
Program services
Page 9 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
352 KIDS R FIRST (159708)
Upon request
501(c)(3)
5,00000
Program services
353 KLAASKIDS FOUNDATION (510009)
Upon request
501(c)(3)
10,000 00
Program services
354 KLAMATH BASIN RANGELAND TRUST (517003)
Upon request
501(c)(3)
5,00000
Program services
355 KURT WARNER FIRST THINGS FIRST (513405)
Upon request
501(c)(3)
100,000 00
Program services
356 LA NAACP (514860)
Upon request
501(c)(3)
10,000 00
Program services
357 LA RED SHIELD YTH & CMMTY CTR (517598)
Upon request
501(c)(3)
5,00000
Program services
358 LABC INSTITUTE (505209)
Upon request
501(c)(3)
10,000 00
Program services
359 LAKE CNTY LIBRARY DIST & (517604)
Upon request
501(c)(3)
5,00000
Program services
360 LARKIN STREET YOUTH SERV (200313)
Upon request
501(c)(3)
5,00000
Program services
361 LAS BEST (240792)
Upon request
501(c)(3)
14,000 00
Program services
362 LATINA BREAST CANCER AGENCY (213490)
Upon request
501(c)(3)
10,000 00
Program services
363 LATINAS CONTRA CANCER (162841)
Upon request
501(c)(3)
10,000 00
Program services
364 LATINO DIABETES ASSOC (514284)
Upon request
501(c)(3)
15,000 00
Program services
365 LEAD PROGRAM IN BUSINESS (284853)
Upon request
501(c)(3)
10,000 00
Program services
366 LEAGUE OF VOLUNTEERS (513813)
Upon request
501(c)(3)
5,60000
Program services
367 LEND A HAND FOUNDATION INC (206566)
Upon request
501(c)(3)
5,00000
Program services
368 LEUKEMIA & LYMPHOMA SOCIETY (177387)
Upon request
501(c)(3)
10,000 00
Program services
369 LEUKEMIA & LYMPHOMA SOCIETY (243622)
Upon request
501(c)(3)
93,734 97
Program services
370 LEUKEMIA AND LYMPHOMA SOCIETY (506290)
Upon request
501(c)(3)
5,00000
Program services
371 LIFE ELDERCARE INC (515693)
Upon request
501(c)(3)
5,00000
Program services
372 LINDA CREED EPSTEIN FNDTN (512734)
Upon request
501(c)(3)
60,000 00
Program services
373 LINDSAY WILDLIFE MUSEUM (203536)
Upon request
501(c)(3)
5,00000
Program services
374 LINKAGES INC (249422)
Upon request
501(c)(3)
5,00000
Program services
375 LITERACY CNCL OF NORTH VA INC (153489)
Upon request
501(c)(3)
10,000 00
Program services
376 LITTLE CITY FOUNDATION (90180)
Upon request
501(c)(3)
5,00000
Program services
377 LIVERMORE VALLEY WINEGROWERS (213121)
Upon request
501(c)(3)
5,00000
Program services
378 LIVINGSTON MEMORIAL VISITING (516275)
Upon request
501(c)(3)
5,00000
Program services
379 LOAVES & FISHES CENTERS INC (167841)
Upon request
501(c)(3)
5,00000
Program services
380 LOAVES & FISHES CENTERS INC (167841)
Upon request
501(c)(3)
5,00000
Program services
381 LOAVES & FISHES CONTRA COSTA (512398)
Upon request
501(c)(3)
5,00000
Program services
382 LOS ANGELES REGIONAL FOOD BANK (173295)
Upon request
501(c)(3)
30,000 00
Program services
383 LOS ANGELES YOUTH NETWORK (508112)
Upon request
501(c)(3)
5,00000
Program services
384 LOVE HOUSE KIDS PROGRAM (277870)
Upon request
501(c)(3)
5,00000
Program services
385 LOYOLA UNIVERSITY CHICAGO (512399)
Upon request
501(c)(3)
150,000 00
Program services
386 LUNG CANCER ALLIANCE (517004)
Upon request
501(c)(3)
25,000 00
Program services
387 LUNGEVITY FOUNDATION (513028)
Upon request
501(c)(3)
10,000 00
Program services
388 LYNN SAGE CANCER RESEARCH FNDT (210469 Upon request
501(c)(3)
50,000 00
Program services
389 LYNN SAGE CANCER RESEARCH FNDT (210469 Upon request
501(c)(3)
50,000 00
Program services
390 MAKE A WISH FNDTN OF (512648)
501(c)(3)
5,00000
Program services
Upon request
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of non cash assistance
( h) Purpose of grant
or assistance
Page 10 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of noncash assistance
(f) Method of
valuation
(g) Description of non cash assistance
( h) Purpose of grant
or assistance
391 MAKE A WISH FNDTN OF OREGON (211661)
Upon request
501(c)(3)
10,000 00
Program services
392 MAKE A WISH FOUNDATION (203118)
Upon request
501(c)(3)
12,841 19
Program services
393 MAKE IT BETTER FNDTN (516975)
Upon request
501(c)(3)
5,00000
Program services
394 MALAMA PONO HEALTH SERVICES (512645)
Upon request
501(c)(3)
5,00000
Program services
395 MAMMOTH MTN COMMUNITY FNDTN (513245)
Upon request
501(c)(3)
5,00000
Program services
396 MANNA FOOD CENTER INC (514256)
Upon request
501(c)(3)
5,00000
Program services
397 MARCH OF DIMES (167233)
Upon request
501(c)(3)
10,000 00
Program services
398 MARCH OF DIMES FNDTN (515944)
Upon request
501(c)(3)
10,000 00
Program services
399 MARICOPA HEALTH FNDTN (516124)
Upon request
501(c)(3)
20,000 00
Program services
400 MARICOPA HEALTH FNDTN (516124)
Upon request
501(c)(3)
50,000 00
Program services
401 MARION POLK FOOD SHARE (178118)
Upon request
501(c)(3)
5,00000
Program services
402 MARRIOTT BRIDGES FNDTN (517539)
Upon request
501(c)(3)
22,000 00
Program services
403 MARY BRIDGE CHILDRENS HOSPITAL (156627)
Upon request
501(c)(3)
78,445 00
Program services
404 MAYVIEW COMMUNITY HEALTH CTR (500921)
Upon request
501(c)(3)
5,00000
Program services
405 MD ANDERSON (180880)
Upon request
501(c)(3)
96,021 00
Program services
406 MD ANDERSON (180880)
Upon request
501(c)(3)
203,979 00
Program services
407 MDA (279693)
Upon request
501(c)(3)
334,136 93
Program services
408 MDA (279693)
Upon request
501(c)(3)
343,581 32
Program services
409 MDA (279693)
Upon request
501(c)(3)
453,620 34
Program services
410 MDA (279693)
Upon request
501(c)(3)
471,981 23
Program services
411 MDA (279693)
Upon request
501(c)(3)
553,159 37
Program services
412 MDA (279693)
Upon request
501(c)(3)
626,365 77
Program services
413 MDA (279693)
Upon request
501(c)(3)
1,123,471 48
Program services
414 MDA (279693)
Upon request
501(c)(3)
1,221,582 16
Program services
415 MDA (279693)
Upon request
501(c)(3)
1,498,538 80
Program services
416 MEALS ON WHEELS (173088)
Upon request
501(c)(3)
25,000 00
Program services
417 MEMORIAL FOUNDATION (162707)
Upon request
501(c)(3)
75,785 00
Program services
418 MEMORIAL MED CTR FNDTN (514864)
Upon request
501(c)(3)
10,000 00
Program services
419 MENTAL HEALTH SYSTEMS (166850)
Upon request
501(c)(3)
5,00000
Program services
420 MENTORING & PARTNERSHIP FOR (514282)
Upon request
501(c)(3)
5,00000
Program services
421 MERCY FOUNDATION (515412)
Upon request
501(c)(3)
10,000 00
Program services
422 MERCY FOUNDATION NORTH (281138)
Upon request
501(c)(3)
15,000 00
Program services
423 METHODIST HOSPITAL FNDTN (505211)
Upon request
501(c)(3)
5,00000
Program services
424 MEXICAN AMER OPPORTUNITY FNDTN (517322
Upon request
501(c)(3)
5,00000
Program services
425 MILITARY ASST MISSION (517600)
Upon request
501(c)(3)
5,00000
Program services
426 MILLS PENINSULA HOSPITAL (281139)
Upon request
501(c)(3)
25,000 00
Program services
427 MISERICORDIA (505265)
Upon request
501(c)(3)
5,00000
Program services
428 MONTEBELLO COMMERCE YMCA (279445)
Upon request
501(c)(3)
25,000 00
Program services
Page 11 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of noncash assistance
(f) Method of
valuation
(g) Description of noncash assistance
(h) Purpose of grant
or assistance
429 MONTGOMERY CNTY ASSOC FOR (517746)
Upon request
501(c)(3 )
5,00000
Program services
430 MONTGOMERY COUNTY ( 262605 )
Upon request
501(c)(3)
5,00000
Program services
431 MOSAIC PROJECT (511257)
Upon request
501(c)(3 )
5,00000
Program services
432 MT HOOD KIWANIS CAMP ( 107068)
Upon request
501(c)(3 )
10,000 00
Program services
433 MULTICULTURAL ALLIANCE FOR ( 516012 )
Upon request
501(c)(3 )
5,00000
Program services
434 MULTIPLE SCLEROSIS FNDTN INC (514445)
Upon request
501(c)(3 )
10,000 00
Program services
435 MUSEUM OF CHILDRENS ART (286016)
Upon request
501(c)(3 )
5,00000
Program services
436 MUSEUM OF THE AFRICAN DIASPORA (248576)
Upon request
501(c)(3)
5,00000
Program services
437 N E MEDICAL SERVICES (515700)
Upon request
501(c)(3 )
36,000 00
Program services
438 N TEXAS AFFILIATE OF SUSAN G (281807)
Upon request
501(c)(3 )
15,000 00
Program services
439 N WASCO CNTY SCHOOL DIST 21 ( 514994 )
Upon request
501(c)(3 )
5,00000
Program services
440 NATIONAL AIDS MEMORIAL GROVE ( 511409 )
Upon request
501(c)(3 )
10,000 00
Program services
441 NATIONAL KIDNEY FND ( 513080 )
Upon request
501(c)(3 )
10,000 00
Program services
442 NATIONAL MS SOCIETY ( 511182)
Upon request
501(c)(3 )
12,841 19
Program services
443 NATIVIDAD MEDICAL FOUNDATION ( 168660)
Upon request
501(c)(3 )
5,00000
Program services
444 NATL FNDTN FOR ACQUIRING (514257)
Upon request
501(c)(3 )
5,00000
Program services
445 NATUREBRIDGE (514240)
Upon request
501(c)(3)
10,000 00
Program services
446 NETWORK FOR TEACHING (507348)
Upon request
501(c)(3)
10,000 00
Program services
447 NEUROLOGIC MUSIC THERAPY ( 516830)
Upon request
501(c)(3 )
5,00000
Program services
448 NEVADA HEALTH CENTERS INC (204062)
Upon request
501(c)(3 )
250,000 00
Program services
449 NEW DAY FOR CHILDREN ( 508321 )
Upon request
501(c)(3 )
5,00000
Program services
450 NEW HORIZONS ( 139633 )
Upon request
501(c)(3 )
15,000 00
Program services
451 NEW LIFE CHRISTIAN FOOD MNSTRY ( 513991 )
Upon request
501(c)(3 )
5,00000
Program services
452 NNEBA ( 509011 )
Upon request
501(c)(3)
5,00000
Program services
453 NO PLACE FOR HATE ( 515694)
Upon request
501(c)(3)
5,00000
Program services
454 NORTH COUNTY HEALTH SERVICES ( 513868)
Upon request
501(c)(3 )
7,50000
Program services
455 NORTH HELPLINE ( 513838)
Upon request
501(c)(3 )
5,60000
Program services
456 NORTH STATE FOOD BANK (507192)
Upon request
501(c)(3 )
5,60000
Program services
457 NORTHERN CA COMPASSION NETWK ( 512654 )
Upon request
501(c)(3)
5,00000
Program services
458 NORTHERN IL FOOD BANK ( 516498)
Upon request
501(c)(3 )
11,000 00
Program services
459 NORTHWEST CENTER (510708)
Upon request
501(c)(3 )
5,00000
Program services
460 NORTHWEST CENTER FNDTN (510708)
Upon request
501(c)(3 )
12,500 00
Program services
461 NORTHWEST FILM CENTER (514531)
Upon request
501(c)(3 )
10,000 00
Program services
462 NORTHWEST HARVEST ( 205553)
Upon request
501(c)(3 )
5,00000
Program services
463 NRD SEATTLE (516751)
Upon request
501(c)(3 )
9,078 12
Program services
464 NV CMMTY LEARNING CTR INC (517495)
Upon request
501(c)(3 )
7,86800
Program services
465 OAKLAND MILITARY INSTITUTE (281840)
Upon request
501(c)(3)
25,000 00
Program services
466 OAKLAND MILITARY INSTITUTE ( 281840)
Upon request
501(c)(3 )
25,000 00
Program services
467 OAKLAND SCHOOL FOR THE ARTS (508797)
Upon request
501(c)(3 )
10,000 00
Program services
Page 12 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of non cash assistance
( h) Purpose of grant
or assistance
468 OHANA KOMPUTER (209523)
Upon request
501(c)(3)
5,00000
Program services
469 OKIZU FOUNDATION (165320)
Upon request
501(c)(3)
5,00000
Program services
470 OLIVE CREST HOMES (160353)
Upon request
501(c)(3)
15,000 00
Program services
471 OLNEY HELP INC (517749)
Upon request
501(c)(3)
5,00000
Program services
472 ONEGENERATION (513480)
Upon request
501(c)(3)
10,000 00
Program services
473 OPERATION WARM INC (514260)
Upon request
501(c)(3)
5,00000
Program services
474 ORAL LEE BROWN FND (279877)
Upon request
501(c)(3)
10,000 00
Program services
475 OREGON CITY SCHOOLS FOUNDATION (51378
Upon request
501(c)(3)
5,00000
Program services
476 OREGON FOOD BANK (128487)
Upon request
501(c)(3)
25,000 00
Program services
477 OREGON FOOD BANK (128487)
Upon request
501(c)(3)
97,500 00
Program services
478 OREGON LEA OF MINORITY VOTERS (284868)
Upon request
501(c)(3)
5,00000
Program services
479 OREGON SCHOOL ACTIVITIES ASSN (511908)
Upon request
501(c)(3)
25,000 00
Program services
480 OREGON TRADESWOMEN INC (512929)
Upon request
501(c)(3)
5,00000
Program services
481 OUT OF EGYPT (513817)
Upon request
501(c)(3)
5,60000
Program services
482 OUTSIDE IN (247636)
Upon request
501(c)(3)
10,000 00
Program services
483 OVARIAN CANCER ALLIANCE OF AZ (517186)
Upon request
501(c)(3)
5,000 00
Program services
484 PACIFIC CANCER FOUNDATION (281140)
Upon request
501(c)(3)
20,000 00
Program services
485 PADRES CONTRA EL CANCER (516191)
Upon request
501(c)(3)
25,000 00
Program services
486 PALO ALTO MEDICAL FNDTN (507608)
Upon request
501(c)(3)
20,000 00
Program services
487 PALO ALTO MEDICAL FNDTN (515446)
Upon request
501(c)(3)
60,417 55
Program services
488 PAPA OLA LOKAHI (515969)
Upon request
501(c)(3)
10,000 00
Program services
489 PARCA AKA PEN ASSOC FOR (515696)
Upon request
501(c)(3)
5,00000
Program services
490 PARCA AKA PEN ASSOC FOR (515696)
Upon request
501(c)(3)
50,000 00
Program services
491 PARKINSONS RESOURCES OF OR (512925)
Upon request
501(c)(3)
5,00000
Program services
492 PARROTT CREEK CHILD AND FAMILY (210642)
Upon request
501(c)(3)
5,000 00
Program services
493 PARTNERS FOR A HUNGER FREE OR (510715)
Upon request
501(c)(3)
10,000 00
Program services
494 PARTNERSHIP FOR LA SCHOOLS (513095)
Upon request
501(c)(3)
25,000 00
Program services
495 PASADENA YOUTH CENTER (509984)
Upon request
501(c)(3)
10,000 00
Program services
496 PAT BROWN INST OF PUBLIC AFFRS (515797)
Upon request
501(c)(3)
5,00000
Program services
497 PAWS (240718)
Upon request
501(c)(3)
5,00000
Program services
498 PEAR (278341)
Upon request
501(c)(3)
5,00000
Program services
499 PEARL BUCK (211666)
Upon request
501(c)(3)
5,000 00
Program services
500 PEDIACTRIC INTERIM CARE CENTER (511179)
Upon request
501(c)(3)
10,705 13
Program services
501 PEDIATRIC ADOLESCENT DIABETES (512585)
Upon request
501(c)(3)
5,00000
Program services
502 PEDIATRIC THERAPY NETWORK (514865)
Upon request
501(c)(3)
5,00000
Program services
503 PEGASUS PROJECT (177191)
Upon request
501(c)(3)
14,73939
Program services
504 PEGASUS PROJECT (177191)
Upon request
501(c)(3)
25,98803
Program services
505 PEGASUS RIDING ACADEMY (516403)
Upon request
501(c)(3)
7,00000
Program services
506 PENINSULA VOLUNTEERS INC (240846)
Upon request
501(c)(3)
5,00000
Program services
Page 13 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
(c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of noncash assistance
(h) Purpose of grant
or assistance
507 PHOENIX RESCUE MISSION (509150 )
Upon request
501(c)(3 )
6,00000
Program services
508 POLICE ACTIVITIES LEAGUE (163627)
Upon request
501(c)(3 )
73,000 00
Program services
509 PORTLAND PARKS FOUNDATION ( 509149 )
Upon request
501(c)(3)
10,000 00
Program services
510 PORTLAND RESCUE MISSION ( 512926)
Upon request
501(c)(3 )
10,000 00
Program services
511 PORTLAND ROSE FESTIVAL FNDTN (514532)
Upon request
501(c)(3)
5,00000
Program services
512 PORTLAND SCHOOLS FND (512928)
Upon request
501(c)(3 )
10,000 00
Program services
513 PORTLAND SCHOOLS FND (512928)
Upon request
501(c)(3 )
10,000 00
Program services
514 POS ALTERNATIVE RECREATION (515697)
Upon request
501(c)(3 )
5,00000
Program services
515 POSITIVE NETWORK ALLIANCE (285572)
Upon request
501(c)(3 )
5,33500
Program services
516 PREGNANT MARE RESCUE ( 514651 )
Upon request
501(c)(3 )
5,00000
Program services
517 PRESIDENT AND FELLOWS OF (516572)
Upon request
501(c)(3)
5,00000
Program services
518 PROJECT ANGEL FOOD ( 502636 )
Upon request
501(c)(3 )
5,00000
Program services
519 PROJECT CUDDLE ( 514538)
Upon request
501(c)(3)
15,000 00
Program services
520 PROJECT MANA (170944 )
Upon request
501(c)(3)
5,60000
Program services
521 PROJECT MEND A HOUSE INC (514261)
Upon request
501(c)(3)
5,00000
Program services
522 PROJECT NIGHT NIGHT (212582 )
Upon request
501(c)(3 )
5,00000
Program services
523 PROJECT OPEN HAND (156017)
Upon request
501(c)(3)
10,000 00
Program services
524 PROJECT OPEN HAND (156017)
Upon request
501(c)(3 )
15,000 00
Program services
525 PROJECT OPEN HAND (156017)
Upon request
501(c)(3)
20,000 00
Program services
526 PROJECT SISTER FAMILY SRVCS ( 503805 )
Upon request
501(c)(3 )
10,000 00
Program services
527 PROSTATE CANCER FOUNDATION (172419)
Upon request
501(c)(3 )
27,194 08
Program services
528 PROSTATE CANCER FOUNDATION (172419)
Upon request
501(c)(3)
371,868 49
Program services
529 PROSTATE CANCER FOUNDATION (172419)
Upon request
501(c)(3)
412,103 01
Program services
530 PROSTATE CANCER FOUNDATION (172419)
Upon request
501(c)(3 )
509,470 05
Program services
531 PROSTATE CANCER FOUNDATION (172419)
Upon request
501(c)(3)
645,891 95
Program services
532 PROSTATE CANCER FOUNDATION (172419)
Upon request
501(c)(3 )
654,746 14
Program services
533 PROSTATE CANCER FOUNDATION (172419)
Upon request
501(c)(3)
661,306 83
Program services
534 PROSTATE CANCER FOUNDATION (172419)
Upon request
501(c)(3 )
1,342,788 54
Program services
535 PROSTATE CANCER FOUNDATION (172419)
Upon request
501(c)(3)
1,579,304 91
Program services
536 PROSTATE CANCER FOUNDATION (172419)
Upon request
501(c)(3 )
1,639,576 64
Program services
537 PROVIDENCE ALASKA FNDTN ( 516195 )
Upon request
501(c)(3)
250,000 00
Program services
538 PROVIDENCE ALASKA FOUNDATION ( 162695)
Upon request
501(c)(3)
19,835 93
Program services
539 PROVIDENCE HEALTH CARE FNDTN E (517758)
Upon request
501(c)(3)
174,366 00
Program services
540 PROVIDENCE MEDICAL FOUNDATION (513792)
Upon request
501(c)(3)
500,000 00
Program services
541 PROVIDENCE PORTLAND MED FNDTN (513792)
Upon request
501(c)(3 )
478,272 00
Program services
542 PROVIDENCE ST PATRICK HOSPITAL (517759)
Upon request
501(c)(3 )
10,000 00
Program services
543 PUBLIC COUNSEL (203387)
Upon request
501(c)(3 )
25,000 00
Program services
544 PUBLIC COUNSEL (203387)
Upon request
501(c)(3 )
75,000 00
Program services
545 PUENTE LEARNING CENTER ( 503026 )
Upon request
501(c)(3 )
10,000 00
Program services
Page 14 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of non cash assistance
( h) Purpose of grant
or assistance
546 PUGET SOUND AFF OF SUSAN G (511366)
Upon request
501(c)(3)
80,000 00
Program services
547 PUGET SOUND RESTORATION FUND (285097)
Upon request
501(c)(3)
14,066 18
Program services
548 PUJOLS FAMILY FOUNDATION (514528)
Upon request
501(c)(3)
40,000 00
Program services
549 QUANTUM LEAP (283087)
Upon request
501(c)(3)
70,731 00
Program services
550 QUANTUM LEAP (283087)
Upon request
501(c)(3)
250,000 00
Program services
551 QUANTUM LEAP (283087)
Upon request
501(c)(3)
279,269 00
Program services
552 QUANTUM LEAP (510815)
Upon request
501(c)(3)
300,000 00
Program services
553 RAINBOW PUSH COALITION (137486)
Upon request
501(c)(3)
15,000 00
Program services
554 RAISING A READER SAN FRANCISCO (512643)
Upon request
501(c)(3)
5,00000
Program services
555 RAPE ABUSE & INCEST NATL NTWK (513097)
Upon request
501(c)(3)
10,000 00
Program services
556 RAPID CITY POLICE DEPT (510695)
Upon request
501(c)(3)
5,00000
Program services
557 RC DEN BC ACCRUAL BAL TO CORP
Upon request
501(c)(3)
45,551 00
Program services
558 RC FUNDS TO CORP BREAST CANCER
Upon request
501(c)(3)
126,952 41
Program services
559 REACHING THE WORLD (510191)
Upon request
501(c)(3)
5,00000
Program services
560 REAP INC (514530)
Upon request
501(c)(3)
5,00000
Program services
561 REBUILDING TOGETHER
Upon request
501(c)(3)
25,000 00
Program services
562 REBUILDING TOGETHER
Upon request
501(c)(3)
25,000 00
Program services
563 REBUILDING TOGETHER
Upon request
501(c)(3)
25,000 00
Program services
564 REBUILDING TOGETHER
Upon request
501(c)(3)
25,000 00
Program services
565 REBUILDING TOGETHER
Upon request
501(c)(3)
25,000 00
Program services
566 REBUILDING TOGETHER
Upon request
501(c)(3)
25,000 00
Program services
567 REBUILDING TOGETHER
Upon request
501(c)(3)
25,000 00
Program services
568 REBUILDING TOGETHER
Upon request
501(c)(3)
25,000 00
Program services
569 REBUILDING TOGETHER
Upon request
501(c)(3)
25,000 00
Program services
570 REBUILDING TOGETHER (275882)
Upon request
501(c)(3)
225,000 00
Program services
571 REDF (174815)
Upon request
501(c)(3)
10,000 00
Program services
572 REFLEX SYMPATHETIC DYSTROPHY (516018)
Upon request
501(c)(3)
5,00000
Program services
573 RELIEF NURSERY (211657)
Upon request
501(c)(3)
5,00000
Program services
574 RESTORATION COMMUNITY (503647)
Upon request
501(c)(3)
10,000 00
Program services
575 RICHMOND DISTRICT YMCA (506899)
Upon request
501(c)(3)
5,00000
Program services
576 RIO HONDO COLLEGE FNDTN (514285)
Upon request
501(c)(3)
10,000 00
Program services
577 RIORDAN PGRMS AT UCLA ANDERSON (513479 Upon request
501(c)(3)
5,00000
Program services
578 RONALD MCDONALD HOUSE OF SF (517729)
Upon request
501(c)(3)
5,00000
Program services
579 ROOSEVELT BOOSTERS TRAC (516415)
Upon request
501(c)(3)
20,000 00
Program services
580 ROOSEVELT BOOSTERS TRAC (516415)
Upon request
501(c)(3)
20,000 00
Program services
581 ROSE THE (163904)
Upon request
501(c)(3)
225,000 00
Program services
582 ROSE THE (163904)
Upon request
501(c)(3)
228,394 00
Program services
583 ROSEMARY CHILDRENS SERVICES (511102)
Upon request
501(c)(3)
5,00000
Program services
584 ROSIE THE RIVETER TRUST (513994)
Upon request
501(c)(3)
5,00000
Program services
Page 15 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
(c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of non cash assistance
( h) Purpose of grant
or assistance
585 S BAY CHILDRENS HLTH CTR ASSOC (516276)
Upon request
501(c)(3)
5,00000
Program services
586 S LANE MENTAL HEALTH SERV INC (514996)
Upon request
501(c)(3)
5,00000
Program services
587 SACRED HEART COMMUNITY SVC (209524)
Upon request
501(c)(3)
10,000 00
Program services
588 SACRED HEART FOOD BANK (513819)
Upon request
501(c)(3)
5,60000
Program services
589 SAFEWAY INC (25232)
Upon request
501(c)(3)
57,000 00
Program services
590 SAFEWAY INC (25232)
Upon request
501(c)(3)
60,000 00
Program services
591 SALVATION ARMY (263047)
Upon request
501(c)(3)
5,00000
Program services
592 SALVATION ARMY CASCADE DIV (514529)
Upon request
501(c)(3)
7,80000
Program services
593 SALVATION ARMY CASCADE DIV (514529)
Upon request
501(c)(3)
10,000 00
Program services
594 SALVATION ARMY LODI (506770)
Upon request
501(c)(3)
5,60000
Program services
595 SALVATION ARMY SUSANVILLE (513821)
Upon request
501(c)(3)
5,60000
Program services
596 SAN DIEGO NATURAL HISTORY MUSE (513867)
Upon request
501(c)(3)
5,00000
Program services
597 SAN FRANCISCO FOOD BANK (211856)
Upon request
501(c)(3)
10,000 00
Program services
598 SAN FRANCISCO ZOOLOGICAL SCTY (512870)
Upon request
501(c)(3)
5,00000
Program services
599 SAN JUAN MEDICAL FNDTN INC (514486)
Upon request
501(c)(3)
15,000 00
Program services
600 SAN JUAN MEDICAL FNDTN INC (514486)
Upon request
501(c)(3)
15,000 00
Program services
601 SAN MATEO CNTY HISTORICAL ASSN (260380)
Upon request
501(c)(3)
5,50000
Program services
602 SANTA ROSA SCOTTISH RITE (513337)
Upon request
501(c)(3)
5,00000
Program services
603 SAVE THE FAMILY (202565)
Upon request
501(c)(3)
5,00000
Program services
604 SCAN OF NORTHERN VIRGINIA (281763)
Upon request
501(c)(3)
5,00000
Program services
605 SCHOOL HOUSE SUPPLIES (143320)
Upon request
501(c)(3)
5,00000
Program services
606 SCHWAB REHABILITATION HOSPITAL (505637)
Upon request
501(c)(3)
10,000 00
Program services
607 SD MARTIN LUTHER KING JR FND (514286)
Upon request
501(c)(3)
5,00000
Program services
608 SEATTLE CANCER CARE ALLIANCE (244269)
Upon request
501(c)(3)
900,000 00
Program services
609 SEATTLE CHILDRENS HOSP FNDTN (515491)
Upon request
501(c)(3)
87,784 00
Program services
610 SEATTLE CHILDRENS HOSP FNDTN (515491)
Upon request
501(c)(3)
105,788 22
Program services
611 SEATTLE GOODWILL (278678)
Upon request
501(c)(3)
12,500 00
Program services
612 SECOND OPINION (513317)
Upon request
501(c)(3)
5,00000
Program services
613 SEEC CORP (517753)
Upon request
501(c)(3)
5,00000
Program services
614 SENIORS FIRST (507707)
Upon request
501(c)(3)
7,50000
Program services
615 SENTINELS OF FREEDOM (502646)
Upon request
501(c)(3)
5,00000
Program services
616 SERVICES FOR BRAIN INJURY (515698)
Upon request
501(c)(3)
5,00000
Program services
617 SEVEN STARS FNDTN INC (517497)
Upon request
501(c)(3)
10,000 00
Program services
618 SF CMMTY CLINIC CONSORTIUM (513334)
Upon request
501(c)(3)
5,00000
Program services
619 SF GENERAL HOSPITAL FNDTN (515490)
Upon request
501(c)(3)
45,916 00
Program services
620 SHANES INSPIRATION (514861)
Upon request
501(c)(3)
5,00000
Program services
621 SHANTI (163063)
Upon request
501(c)(3)
15,500 00
Program services
622 SHARE (163480)
Upon request
501(c)(3)
5,00000
Program services
623 SHOES THAT FIT (280992)
Upon request
501(c)(3)
10,000 00
Program services
Page 16 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of noncash assistance
(f) Method of
valuation
(g) Description of noncash assistance
(h) Purpose of grant
or assistance
624 SHRINERS HOSP FOR CHILDREN (206533)
Upon request
501(c)(3)
9,74621
Program services
625 SIMONS NET FISHING MINISTRY (515761)
Upon request
501(c)(3)
10,00000
Program services
626 SISTERS OF THE ROAD INC (514988)
Upon request
501(c)(3)
5,00000
Program services
627 SKANNER FOUNDATION (280419)
Upon request
501(c)(3)
15,000 00
Program services
628 SOCRATES OPPORTUNITY SCHLRSHP (512200) Upon request
501(c)(3)
5,00000
Program services
629 SOCRATES OPPORTUNITY SCHLRSHP (512200) Upon request
501(c)(3)
10,000 00
Program services
630 SOME INC (517754)
Upon request
501(c)(3)
5,00000
Program services
631 SOUTHERN CA LEADERSHIP NETWK (278241)
Upon request
501(c)(3)
10,000 00
Program services
632 SPARROW CLUBS USA (273479)
Upon request
501(c)(3)
5,00000
Program services
633 SPARROW CLUBS USA (273479)
Upon request
501(c)(3)
5,00000
Program services
634 SPECIAL OLYMPICS (219360)
Upon request
501(c)(3)
6,80080
Program services
635 SPECIAL OLYMPICS COLORADO (505801)
Upon request
501(c)(3)
5,00000
Program services
636 SPECIAL OLYMPICS INC (276329)
Upon request
501(c)(3)
81,311 71
Program services
637 SPECIAL OLYMPICS INC (276329)
Upon request
501(c)(3)
84,253 48
Program services
638 SPECIAL OLYMPICS INC (276329)
Upon request
501(c)(3)
118,926 02
Program services
639 SPECIAL OLYMPICS INC (276329)
Upon request
501(c)(3)
131,432 82
Program services
640 SPECIAL OLYMPICS INC (276329)
Upon request
501(c)(3)
156,893 19
Program services
641 SPECIAL OLYMPICS INC (276329)
Upon request
501(c)(3)
176,212 62
Program services
642 SPECIAL OLYMPICS INC (276329)
Upon request
501(c)(3)
301,570 67
Program services
643 SPECIAL OLYMPICS INC (276329)
Upon request
501(c)(3)
341,516 48
Program services
644 SPECIAL OLYMPICS INC (276329)
Upon request
501(c)(3)
386,239 51
Program services
645 ST ANNS INFNT & MTRNTY HOME (214390)
Upon request
501(c)(3)
7,50000
Program services
646 ST BARNABAS SENIOR SERVICES (504309)
Upon request
501(c)(3)
5,00000
Program services
647 ST COLETTAS OF IL (517553)
Upon request
501(c)(3)
5,00000
Program services
648 ST ELIZABETHS DAY HOME (282667)
Upon request
501(c)(3)
5,00000
Program services
649 ST FRANCIS LIVING ROOM (506285)
Upon request
501(c)(3)
5,00000
Program services
650 ST JOSEPHS MEDICAL CTR (513318)
Upon request
501(c)(3)
250,000 00
Program services
651 ST MARYS COLLEGE OF CA (516549)
Upon request
501(c)(3)
10,000 00
Program services
652 ST MARYS CTR (517006)
Upon request
501(c)(3)
5,00000
Program services
653 ST MARYS REGIONAL (172420)
Upon request
501(c)(3)
15,000 00
Program services
654 ST VINCENT DE PAUL (511260)
Upon request
501(c)(3)
5,000 00
Program services
655 ST VINCENT DE PAUL REDMOND CON (512923)
Upon request
501(c)(3)
5,00000
Program services
656 ST VINCENT DE PAUL SOC OF SF (276256)
Upon request
501(c)(3)
5,00000
Program services
657 ST VINCENT HOSPITAL (274303)
Upon request
501(c)(3)
10,000 00
Program services
658 STAND FOR FAM FREE OF VIOLENCE (513992)
Upon request
501(c)(3)
5,00000
Program services
659 STAND UP TO CANCER (514000)
Upon request
501(c)(3)
145,617 00
Program services
660 STAND UP TO CANCER (514000)
Upon request
501(c)(3)
150,000 00
Program services
661 STAND UP TO CANCER (514000)
Upon request
501(c)(3)
164,659 00
Program services
662 STAND UP TO CANCER (514000)
Upon request
501(c)(3)
172,871 00
Program services
Page 17 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of non cash assistance
( h) Purpose of grant
or assistance
663 STAND UP TO CANCER (514000)
Upon request
501(c)(3)
178,861 00
Program services
664 STAND UP TO CANCER (514000)
Upon request
501(c)(3)
286,314 00
Program services
665 STAND UP TO CANCER (514000)
Upon request
501(c)(3)
431,931 00
Program services
666 STAND UP TO CANCER (514000)
Upon request
501(c)(3)
3,333,609 00
Program services
667 STEPHEN J WAMPLER FNDTN (515968)
Upon request
501(c)(3)
10,000 00
Program services
668 SUMMIT BANK FOUNDATION (134826)
Upon request
501(c)(3)
5,00000
Program services
669 SUMMIT BANK FOUNDATION (134826)
Upon request
501(c)(3)
5,00000
Program services
670 SUNBURST PROJECTS (515699)
Upon request
501(c)(3)
5,00000
Program services
671 SUNFLOWER BAKERY (517540)
Upon request
501(c)(3)
10,000 00
Program services
672 SUNRISE CMMTY OUTREACH CTR INC (514859)
Upon request
501(c)(3)
5,00000
Program services
673 SUNSHINE DIVISION (167237)
Upon request
501(c)(3)
10,000 00
Program services
674 SUNSHINE PHYSCL CHALLENGED (178066)
Upon request
501(c)(3)
5,00000
Program services
675 SUPPORTERS OF DOELGER SR CTRS (513342)
Upon request
501(c)(3)
5,00000
Program services
676 SUS G KOMEN BREAST CANCER FND (512921)
Upon request
501(c)(3)
20,000 00
Program services
677 SUSAN G KOMEN BREAST CANCER (165611)
Upon request
501(c)(3)
50,000 00
Program services
678 SUSAN G KOMEN BREAST CANCER (175331)
Upon request
501(c)(3)
10,000 00
Program services
679 SUSAN G KOMEN BREAST CNCR FND (144902)
Upon request
501(c)(3)
15,000 00
Program services
680 SUSAN G KOMEN FOR THE CURE (263484)
Upon request
501(c)(3)
70,000 00
Program services
681 SUSAN G KOMEN FOR THE CURE (506765)
Upon request
501(c)(3)
30,000 00
Program services
682 SUSAN G KOMEN FOR THE CURE (511366)
Upon request
501(c)(3)
10,000 00
Program services
683 SUSAN G KOMEN FOR THE CURE (517603)
Upon request
501(c)(3)
25,000 00
Program services
684 SUSAN G KOMEN FOR THE CURE HOU (222232) Upon request
501(c)(3)
20,000 00
Program services
685 SUSAN G KOMEN FOUNDATION (163536)
Upon request
501(c)(3)
26,000 00
Program services
686 SUSAN G KOMEN FOUNDATION (171253)
Upon request
501(c)(3)
235,000 00
Program services
687 SUSAN G KOMEN FOUNDATION (171253)
Upon request
501(c)(3)
235,000 00
Program services
688 SUSAN G KOMEN GREATER FT WORTH (51292
Upon request
501(c)(3)
15,000 00
Program services
689 SUSAN G KOMEN NORTHERN NV (148232)
Upon request
501(c)(3)
7,00000
Program services
690 SUTTER PACIFIC WOMENS HLTH CTR (512656)
Upon request
501(c)(3)
30,000 00
Program services
691 SW AUTISM RESEARCH & RES CTR (516831)
Upon request
501(c)(3)
5,00000
Program services
692 SWEDISH HEALTH SERVICES (514650)
Upon request
501(c)(3)
70,000 00
Program services
693 SWEDISH HEALTH SERVICES (514650)
Upon request
501(c)(3)
100,000 00
Program services
694 SWEDISH MEDICAL CENTER (176866)
Upon request
501(c)(3)
70,000 00
Program services
695 SWEDISH MEDICAL CENTER (176866)
Upon request
501(c)(3)
100,000 00
Program services
696 SWEET HOME ECONOMIC DVLPMNT GR (51380 Upon request
501(c)(3)
5,00000
Program services
697 TAHOE FOREST HEALTH SYS FNDTN (516102)
Upon request
501(c)(3)
10,000 00
Program services
698 TAKE WINGS FOUNDATION (241107)
Upon request
501(c)(3)
5,00000
Program services
699 TAYLOR FAMILY FOUNDATION (156675)
Upon request
501(c)(3)
5,00000
Program services
700 TEEN ESTEEM (512661)
Upon request
501(c)(3)
10,000 00
Program services
701 TEEN PROJECT INC (516192)
Upon request
501(c)(3)
5,00000
Program services
Page 18 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91-2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of non cash assistance
( h) Purpose of grant
or assistance
702 TEXANA CENTER (231623)
Upon request
501(c)(3 )
6,25000
Program services
703 TEXAS CHILDRENS HOSPITAL ( 189401 )
Upon request
501(c)(3 )
25,000 00
Program services
704 TEXAS CHILDRENS HOSPITAL ( 189401 )
Upon request
501(c)(3 )
124,935 00
Program services
705 THE CANBY CENTER (517409)
Upon request
501(c)(3 )
5,00000
Program services
706 THE LINKS FNDTN INC ( 516125 )
Upon request
501(c)(3 )
50,000 00
Program services
707 THINK LINK DISC CTR (178136)
Upon request
501(c)(3 )
5,00000
Program services
708 THREE RIVERS COMM HOSP ( 516619)
Upon request
501(c)(3 )
5,00000
Program services
709 THROUGH KYLES EYES ( 504059)
Upon request
501(c)(3)
10,000 00
Program services
710 TOPPENISH MURAL SOCIETY ( 151699)
Upon request
501(c)(3 )
5,00000
Program services
711 TOUCH OF UNDERSTANDING (282749 )
Upon request
501(c)(3)
10,000 00
Program services
712 TOURNAMENT GOLF FOUNDATION INC (108791
Upon request
501 (c)(3)
75, 000 00
Program services
713 TOWARD MAXIMUM INDEPENDENCE (517498)
Upon request
501(c)(3)
5,00000
Program services
714 TRANSITIONAL YOUTH ( 516978)
Upon request
501(c)(3 )
10,000 00
Program services
715 TRI CITY CANCER CENTER ( 156644 )
Upon request
501(c)(3)
15,000 00
Program services
716 TRI CITY HEALTH CENTER (515447)
Upon request
501(c)(3)
54,567 50
Program services
717 TRUCKEE COMMUNITY CHRISTMAS ( 513826 )
Upon request
501(c)(3)
5,60000
Program services
718 TUCSON CHILDRENS MUSEUM (507143 )
Upon request
501(c)(3 )
20,000 00
Program services
719 TUCSON CONQUISTADORES FNDTN (515560 )
Upon request
501(c)(3 )
25,000 00
Program services
720 TURNING WHEELS FOR KIDS (513993 )
Upon request
501(c)(3 )
5,00000
Program services
721 TWIN LAKES FOOD BANK (513827)
Upon request
501(c)(3 )
5,60000
Program services
722 UC DAVIS ( 513460)
Upon request
501(c)(3)
300,000 00
Program services
723 UC DAVIS CANCER CENTER (512573)
Upon request
501(c)(3 )
128,000 00
Program services
724 UC SAN DIEGO MOORES CANCER CTR (505234
Upon request
501 (c)(3)
350 ,000 00
Program services
725 UC SAN DIEGO MOORES CANCER CTR (505234
Upon request
501 ( c)(3)
500 , 000 00
Program services
726 UCI ( 511928 )
Upon request
501(c)(3 )
300,000 00
Program services
727 UCSF ( 513458)
Upon request
501(c)(3)
450,000 00
Program services
728 UCSF BREAST CARE CENTER ( 511968)
Upon request
501(c)(3)
112,696 00
Program services
729 UCSF BREAST CARE CENTER ( 511968)
Upon request
501(c)(3 )
150,000 00
Program services
730 UCSF BREAST CARE CENTER ( 511968)
Upon request
501(c)(3)
200,000 00
Program services
731 UCSF BREAST CARE CENTER ( 511968)
Upon request
501(c)(3 )
337,304 00
Program services
732 UCSF BREAST CARE CTR ( 513459)
Upon request
501(c)(3)
137,500 00
Program services
733 UCSF FOUNDATION ( 201984)
Upon request
501(c)(3 )
75,000 00
Program services
734 UCSF MEDICAL CENTER (501304 )
Upon request
501(c)(3)
30,000 00
Program services
735 UCSF PROGRAM MGMT (513457)
Upon request
501(c)(3 )
113,315 00
Program services
736 UCSF PROGRAM MGMT (513457)
Upon request
501(c)(3 )
1,246,685 00
Program services
737 UNION GOSPEL MISSION ( 156633 )
Upon request
501(c)(3 )
12,791 63
Program services
738 UNITED CEREBRAL PALSY ( 513026 )
Upon request
501(c)(3 )
10,000 00
Program services
739 UNITED NEGRO COLLEGE FUND INC ( 165838 )
Upon request
501(c)(3 )
10,000 00
Program services
740 UNITED NEGRO COLLEGE FUND INC ( 165838 )
Upon request
501(c)(3 )
25,000 00
Program services
Page 19 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of noncash assistance
(f) Method of
valuation
(g) Description of noncash assistance
(h) Purpose of grant
or assistance
741 UNITED WAY OF FRESNO CNTY ( 514866)
Upon request
501(c)(3 )
5,00000
Program services
742 UNIV CORP AT MONTEREY BAY (516955 )
Upon request
501(c)(3 )
50,000 00
Program services
743 UNIV OF CO HOSPTIAL FNDTN (517756)
Upon request
501(c)(3 )
25,000 00
Program services
744 UNIV OF HOUSTON ( 515492 )
Upon request
501(c)(3 )
79,878 00
Program services
745 UNIV OF PA SCHOOL OF MEDICINE ( 511926 )
Upon request
501(c)(3 )
48,114 00
Program services
746 UNIV OF PA SCHOOL OF MEDICINE ( 511926)
Upon request
501(c)(3 )
51,886 00
Program services
747 UNIV OF PORTLAND ATHLETICS (511815)
Upon request
501(c)(3 )
10,000 00
Program services
748 UNIVERSITY OF SAN FRANCISCO ( 208245)
Upon request
501(c)(3)
10,000 00
Program services
749 UP ON TOP ( 206580 )
Upon request
501(c)(3 )
5,00000
Program services
750 US WAR VETS PTSD FNDTN (517601)
Upon request
501(c)(3)
5,00000
Program services
751 USC NORRIS COMPREHENSIVE (245070)
Upon request
501(c)(3 )
92,792 00
Program services
752 USC NORRIS COMPREHENSIVE (245070)
Upon request
501(c)(3)
100,000 00
Program services
753 UW FNDTN UW MEDICINE (517030)
Upon request
501(c)(3)
34,129 83
Program services
754 VAIL VETERANS FNDTN (517494)
Upon request
501(c)(3)
25,000 00
Program services
755 VAIL VETERANS FNDTN (517494)
Upon request
501(c)(3 )
25,000 00
Program services
756 VALLEY CARE CHARITABLE FNDTN (214153)
Upon request
501(c)(3 )
25,000 00
Program services
757 VALLEY CENTER OF THE DEAF (177937)
Upon request
501(c)(3 )
5,00000
Program services
758 VANGUARD CANCER FOUNDATION ( 509989 )
Upon request
501(c)(3 )
10,000 00
Program services
759 VECTOR REHABILITATION INC (512650 )
Upon request
501(c)(3 )
10,000 00
Program services
760 VICA RESEARCH FNDTN (514487)
Upon request
501(c)(3)
7,50000
Program services
761 VILLAGE OF HOPE LAS VEGAS (515701)
Upon request
501(c)(3 )
25,000 00
Program services
762 VIRGINIA GARCIA MEMORIAL FNDTN ( 283118 )
Upon request
501(c)(3 )
100,000 00
Program services
763 VMLC CHARITIES ( 516979)
Upon request
501(c)(3 )
10,000 00
Program services
764 VOCATIONAL VISIONS (516187)
Upon request
501(c)(3)
15,000 00
Program services
765 WALK TO FIGHT BREAST CANCER ( 510196 )
Upon request
501(c)(3 )
5,00000
Program services
766 WARDROBE FOR OPPORTUNITY (173746)
Upon request
501(c)(3 )
5,00000
Program services
767 WAVERLY CHILDRENS HOME ( 163624)
Upon request
501(c)(3 )
140,000 00
Program services
768 WE CARE SERVICES FOR CHILDREN ( 165835)
Upon request
501(c)(3 )
5,00000
Program services
769 WELLNESS PLACE ( 176868 )
Upon request
501(c)(3 )
20,000 00
Program services
770 WEST VALLEY BOYS & GIRLS CLUB (502393 )
Upon request
501(c)(3 )
10,000 00
Program services
771 WESTSIDE HEALTH AUTHORITY ( 515493 )
Upon request
501(c)(3 )
75,000 00
Program services
772 WHITMAN WALKER HEALTH (510197)
Upon request
501(c)(3 )
10,000 00
Program services
773 WOMEN AT WORK (172861)
Upon request
501(c)(3)
7,50000
Program services
774 WOMEN WHO CARE MINISTRIES (241967)
Upon request
501(c)(3 )
5,00000
Program services
775 WOMENCARE ( 513989)
Upon request
501(c)(3 )
10,000 00
Program services
776 WOMENS BREAST CANCER RES CTR (517499)
Upon request
501(c)(3 )
5,00000
Program services
777 WOMENS CANCER AWARENESS GRP (501747)
Upon request
501(c)(3 )
12,600 00
Program services
778 WOMENS CANCER RESOURCE CTR (281143)
Upon request
501(c)(3)
10,000 00
Program services
779 WOUNDED WARRIOR PROJECT ( 511590 )
Upon request
501(c)(3 )
7,21235
Program services
Page 20 of 21
THE SAFEWAY FOUNDATION
Form 990
2012
FEIN : 91 -2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the U nited States.
1(a) Name of organizations or
government
(b) EIN
( c) IRC section if
applicable
(d) Amount of
cash grant
(e) Amont of non cash assistance
( f) Method of
valuation
(g) Description of noncash assistance
(h) Purpose of grant
or assistance
780 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
23,652 08
Program services
781 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
31,911 64
Program services
782 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
42,443 48
Program services
783 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
49,103 89
Program services
784 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
63,470 85
Program services
785 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
68,468 63
Program services
786 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
78,765 55
Program services
787 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
82,670 34
Program services
788 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
86,424 12
Program services
789 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
102,299 21
Program services
790 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
136,930 72
Program services
791 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
147,029 96
Program services
792 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
190,182 92
Program services
793 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
205,304 77
Program services
794 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
213,805 40
Program services
795 WOUNDED WARRIOR PROJECT (511590)
Upon request
501(c)(3)
255,026 74
Program services
796 WYAKIN WARRIOR FNDTN (517493)
Upon request
501(c)(3)
5,00000
Program services
797 YAKIMA VALLEY MEMORIAL HOSP (211050)
Upon request
501(c)(3)
79,923 00
Program services
798 YAVAPAI REGIONAL MED CTR FNDTN (513536)
Upon request
501(c)(3)
50,000 00
Program services
799 YAVAPAI REGIONAL MED CTR FNDTN (513536)
Upon request
501(c)(3)
50,000 00
Program services
800 YMCA OF METRO LA (515587)
Upon request
501(c)(3)
5,00000
Program services
801 YMCA OF METRO LA (517724)
Upon request
501(c)(3)
25,000 00
Program services
802 YMCA OF METROPOLITAN CHICAGO (96815)
Upon request
501(c)(3)
7,00000
Program services
803 YOLO CNTY CHILDRENS ALLIANCE (173153)
Upon request
501(c)(3)
5,00000
Program services
804 YOUNG ENTREPRENEURS BUS PROG (512924)
Upon request
501(c)(3)
5,00000
Program services
805 YOUNG IMAGINATIONS (512084)
Upon request
501(c)(3)
5,00000
Program services
806 YOUTH EMPLOYMENT PARTNERSHIP (212585)
Upon request
501(c)(3)
5,00000
Program services
807 YOUTH LEADERSHIP INST (515977)
Upon request
501(c)(3)
5,00000
Program services
808 YOUTH SCIENCE INST (515978)
Upon request
501(c)(3)
5,00000
Program services
809 YOUTH VILLAGES CHRISTIECARE (513535)
Upon request
501(c)(3)
5,00000
Program services
810 YWCA OF GREATER PORTLAND (268712)
Upon request
501(c)(3)
5,00000
Program services
811 YWCA OF GREATER PORTLAND (268712)
Upon request
501(c)(3)
5,00000
Program services
812 YWCA OF KAUAI (512641)
Upon request
501(c)(3)
5,00000
Program services
813 YWCA PASADENA FOOTHILL VALLEY (152374)
Upon request
501(c)(3)
5,00000
Program services
814 ZERO BREAST CANCER (249577)
Upon request
501(c)(3)
15,000 00
Program services
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