Form
990
For the 2013 calendar year, or tax year beginning
C
Check if applicable:
Address change
Name change
Initial return
, 2013, and ending
THE SAFEWAY FOUNDATION
5918 STONERIDGE MALL ROAD
PLEASANTON, CA 94588
Terminated
Amended return
Application pending
2013
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
G Do not enter Social Security numbers on this form as it may be made public.
G Information about Form 990 and its instructions is at www.irs.gov/form990.
Department of the Treasury
Internal Revenue Service
A
B
OMB No. 1545-0047
F
D
Employer Identification Number
E
Telephone number
G
Gross receipts
91-2144510
(925) 467-3402
$
48,228,408.
X No
Yes
H(a) Is this a group return for subordinates?
Name and address of principal officer:
SAME AS C ABOVE
)H (insert no.)
Tax-exempt status
501(c) (
I
X 501(c)(3)
J
Website: G WWW.SAFEWAYFOUNDATION.ORG
Trust
K
Form of organization:
X Corporation
Association
OtherG
Part I
Summary
,
Open to Public
Inspection
4947(a)(1) or
H(b) Are all subordinates included?
If 'No,' attach a list. (see instructions)
527
H(c) Group exemption number
L Year of formation:
2001
M
G
State of legal domicile:
Yes
No
CA
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
1
Briefly describe the organization's mission or most significant activities:
2
3
4
5
6
7a
b
Check this box G
if the organization discontinued its operations or disposed of more than 25% of its net assets.
Number of voting members of the governing body (Part VI, line 1a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
10
Number of independent voting members of the governing body (Part VI, line 1b). . . . . . . . . . . . . . . . . . . . . . .
4
1
Total number of individuals employed in calendar year 2013 (Part V, line 2a) . . . . . . . . . . . . . . . . . . . . . . . . . .
5
0
Total number of volunteers (estimate if necessary). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
500
Total unrelated business revenue from Part VIII, column (C), line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7a
0.
Net unrelated business taxable income from Form 990-T, line 34. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7b
0.
Prior Year
Current Year
Contributions and grants (Part VIII, line 1h). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
48,221,634.
47,343,184.
Program service revenue (Part VIII, line 2g) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . . . . . . . . . . . . . . . . . . . .
1,307,583.
885,224.
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e). . . . . . . . . . . . . . . .
-115,138.
-56,626.
Total revenue ' add lines 8 through 11 (must equal Part VIII, column (A), line 12) . . . . .
49,414,079.
48,171,782.
Grants and similar amounts paid (Part IX, column (A), lines 1-3). . . . . . . . . . . . . . . . . . . . . .
48,065,327.
42,063,696.
Benefits paid to or for members (Part IX, column (A), line 4) . . . . . . . . . . . . . . . . . . . . . . . . .
Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10) . . . . .
8
9
10
11
12
13
14
15
16 a Professional fundraising fees (Part IX, column (A), line 11e). . . . . . . . . . . . . . . . . . . . . . . . . .
17
18
19
b Total fundraising expenses (Part IX, column (D), line 25) G
20
21
22
Part II
4,321,744.
Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e). . . . . . . . . . . . . . . . . . . . . . . . .
Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25). . . . . . . . . . . . .
Revenue less expenses. Subtract line 18 from line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total assets (Part X, line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3,309,424.
51,374,751.
-1,960,672.
5,384,188.
47,447,884.
723,898.
36,978,871.
13,204,863.
23,774,008.
32,069,503.
7,571,597.
24,497,906.
End of Year
Beginning of Current Year
Net assets or fund balances. Subtract line 21 from line 20. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and
complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign
Here
Paid
Preparer
Use Only
A
A
Signature of officer
Date
LARREE RENDA
CHAIRMAN
Type or print name and title.
Print/Type preparer's name
Firm's name
G
G
Preparer's signature
Date
Check
if
PTIN
self-employed
FONG, KO & ASSOCIATES LLP
1510 FASHION ISLAND BLVD STE 200
SAN MATEO, CA 94404-1596
20-4014608
(650) 286-9966
May the IRS discuss this return with the preparer shown above? (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Yes
No
Firm's address
BAA For Paperwork Reduction Act Notice, see the separate instructions.
Firm's EIN
G
Phone no.
TEEA0113L
11/08/13
Form 990 (2013)
THE SAFEWAY FOUNDATION
Statement of Program Service Accomplishments
Form 990 (2013)
Part III
1
2
3
4
91-2144510
Page 2
Check if Schedule O contains a response or note to any line in this Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Briefly describe the organization's mission:
X
SEE SCHEDULE O
Did the organization undertake any significant program services during the year which were not listed on the prior
Form 990 or 990-EZ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If 'Yes,' describe these new services on Schedule O.
Did the organization cease conducting, or make significant changes in how it conducts, any program services?. . . .
If 'Yes,' describe these changes on Schedule O.
Yes
X
No
Yes
X
No
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 and section 4947(a)(1) trusts are required to report the amount of grants and allocations to
others, the total expenses, and revenue, if any, for each program service reported.
) (Expenses $
9,231,939. including grants of $
9,231,939. ) (Revenue $
9,234,015. )
PROGRAMS THAT HELP PEOPLE WITH DISABILITIES
WITH 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
4 a (Code:
) (Expenses $
8,739,435. including grants of $
8,739,435. ) (Revenue $
8,890,603. )
PROSTATE CANCER RESEARCH
THE FOUNDATION HAS MADE A LONG-TERM COMMITMENT TO SUPPORT RESEARCH PROGRAMS AT
PREMIER CANCER RESEARCH CENTERS WHERE SCIENTISTS ARE DEVELOPING BETTER TREATMENTS FOR
PROSTATE CANCER AND SEEKING A CURE. OUR GOAL IS TO SUSTAIN OUR SUPPORT OF THESE
PROGRAMS UNTIL A CURE IS FOUND.
4 b (Code:
$
6,413,246. including grants of $
6,413,246. ) (Revenue $
6,541,746. )
BREAST CANCER RESEARCH
THE 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.
4 c (Code:
) (Expenses
SEE SCHEDULE O
$
17,679,076. ) (Revenue $
42,063,696.
4 d Other program services. (Describe in Schedule O.)
(Expenses
$
17,679,076. including grants of
4 e Total program service expenses
BAA
G
TEEA0102L
07/02/13
22,194,760. )
Form 990 (2013)
THE SAFEWAY FOUNDATION
Checklist of Required Schedules
91-2144510
Form 990 (2013)
Part IV
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If 'Yes,' complete
Schedule A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? . . . . . . . . . . . . . . . . . . . . .
2
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5
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. . . . . . .
6
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 I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 II . . . . . . . . . . . . . . . . . . . . . . . . .
7
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If 'Yes,'
complete Schedule D, Part III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
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.
11
a Did the organization report an amount for land, buildings and equipment in Part X, line 10? If 'Yes,' complete Schedule
D, Part VI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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, Part VIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e Did the organization report an amount for other liabilities in Part X, line 25? If 'Yes,' complete Schedule D, Part X. . . . . .
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 X. . . .
12 a Did the organization obtain separate, independent audited financial statements for the tax year? If 'Yes,' complete
Schedule D, Parts XI, and XII. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
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. . . . . . . . . . . . . . . . .
Is the organization a school described in section 170(b)(1)(A)(ii)? If 'Yes,' complete Schedule E . . . . . . . . . . . . . . . . . . . . . . .
14 a Did the organization maintain an office, employees, or agents outside of the United States?. . . . . . . . . . . . . . . . . . . . . . . . . . .
b 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 investments valued
at $100,000 or more? If 'Yes,' complete Schedule F, Parts I and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any
foreign organization? If 'Yes,' complete Schedule F, Parts II and IV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to
or for foreign individuals? If 'Yes,' complete Schedule F, Parts III and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX,
column (A), lines 6 and 11e? If 'Yes,' complete Schedule G, Part I (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
20 a Did the organization operate one or more hospital facilities? If 'Yes,' complete Schedule H . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b If 'Yes' to line 20a, did the organization attach a copy of its audited financial statements to this return? . . . . . . . . . . . . . . . .
BAA
TEEA0103L
11/08/13
Page 3
Yes
1
X
No
2
X
3
X
4
X
5
X
6
X
7
X
8
X
9
X
10
X
11 a
X
11 b
X
11 c
X
11 d
11 e
X
X
11 f
X
12a
X
13
14a
X
X
X
14b
X
15
X
16
X
17
X
12 b
18
19
20
20 b
X
X
X
Form 990 (2013)
THE SAFEWAY FOUNDATION
Checklist of Required Schedules (continued)
91-2144510
Form 990 (2013)
Part IV
Did the organization report more than $5,000 of grants or other assistance to any domestic organizations or
government on Part IX, column (A), line 1? If 'Yes,' complete Schedule I, Parts I and II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part
IX, column (A), line 2? If 'Yes,' complete Schedule I, Parts I and III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
24 a 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 25a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?. . . . . . . . . . . . . . . . . .
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year? . . . . . . . . . . . . . . . . .
25 a 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or
former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?
If so, complete Schedule L, Part II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27
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):
28
a A current or former officer, director, trustee, or key employee? If 'Yes,' complete Schedule L, Part IV . . . . . . . . . . . . . . . . . .
b A family member of a current or former officer, director, trustee, or key employee? If 'Yes,' complete
Schedule L, Part IV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c An 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29 Did the organization receive more than $25,000 in non-cash contributions? If 'Yes,' complete Schedule M. . . . . . . . . . . . . .
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation
contributions? If 'Yes,' complete Schedule M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did the organization liquidate, terminate, or dissolve and cease operations? If 'Yes,' complete Schedule N, Part I. . . . . . .
30
31
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If 'Yes,' complete
Schedule N, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections
301.7701-2 and 301.7701-3? If 'Yes,' complete Schedule R, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33
Was the organization related to any tax-exempt or taxable entity? If 'Yes,' complete Schedule R, Parts II, III, IV,
and V, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
35 a Did the organization have a controlled entity within the meaning of section 512(b)(13)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
34
b 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. . . . . . . . . . . . . . . . . . . . . . . . . .
36
37
38
BAA
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 . . . . . . . . . . . . . . . . . . . . . .
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19?
Note. All Form 990 filers are required to complete Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TEEA0104L
11/11/13
Page 4
Yes
21
No
X
22
X
23
X
24a
24b
X
24c
24d
25a
X
25b
X
26
X
27
X
28a
X
28b
X
28c
29
X
X
30
31
X
X
32
X
33
X
34
35a
X
X
35b
X
36
X
37
X
X
38
Form 990 (2013)
THE SAFEWAY FOUNDATION
Part V Statements Regarding Other IRS Filings and Tax Compliance
91-2144510
Form 990 (2013)
Page 5
Check if Schedule O contains a response or note to any line in this Part V. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 a Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. . . . . . . . . . . . . .
b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable . . . . . . . . . . .
1a
1b
c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming
(gambling) winnings to prize winners? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 a 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. . . . .
2a
0
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 1a and 2a is greater than 250, you may be required to e-file (see instructions)
3 a Did the organization have unrelated business gross income of $1,000 or more during the year?. . . . . . . . . . . . . . . . . . . . . . . .
b If 'Yes' has it filed a Form 990-T for this year? If 'No' to line 3b, provide an explanation in Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 a 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)?. . . . . . . . .
b If 'Yes,' enter the name of the foreign country: G
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5 a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . . . . . . . . . . . . . . . . .
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?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 a 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
b If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts were
not tax deductible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d If 'Yes,' indicate the number of Forms 8282 filed during the year. . . . . . . . . . . . . . . . . . . . . . . . . .
7d
e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?. . . . . . . . . .
f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? . . . . . . . . . . . . .
g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899
as required?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a
Form 1098-C?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
9
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 Section 501(c)(12) organizations. Enter:
a Gross income from members or shareholders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
b Gross income from other sources (Do not net amounts due or paid to other sources
against amounts due or received from them.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
No
X
2b
3a
3b
X
4a
X
5a
5b
5c
X
X
6a
X
6b
7a
7b
X
X
7c
X
7e
7f
X
X
7g
7h
8
X
9a
9b
10 a
10 b
11 a
11 b
12 a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041? . . . . . . . . . . . . .
b If 'Yes,' enter the amount of tax-exempt interest received or accrued during the year. . . . . . . 12 b
13
Yes
17
0
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 O.
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. . . . . . . . . . . . . . . . . . . . . . . . . . 13 b
c Enter the amount of reserves on hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 c
14 a Did the organization receive any payments for indoor tanning services during the tax year?. . . . . . . . . . . . . . . . . . . . . . . . . . . .
b If 'Yes,' has it filed a Form 720 to report these payments? If 'No,' provide an explanation in Schedule O. . . . . . . . . . . . . . . .
BAA
TEEA0105L 07/02/13
12 a
13 a
X
14 a
14 b
Form 990 (2013)
Page 6
THE SAFEWAY FOUNDATION
91-2144510
Governance, Management and Disclosure For each 'Yes' response to lines 2 through 7b below, and for
a 'No' response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in
Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
Section A. Governing Body and Management
Form 990 (2013)
Part VI
1 a Enter the number of voting members of the governing body at the end of the tax year. . . . . .
1a
10
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 O.
b Enter the number of voting members included in line 1a, above, who are independent . . . . .
1b
1
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?. . . . . SEE
. . . . . . SCHEDULE
. . . . . . . . . . . . . .O
.................................................
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?. . . . . . . . . . . . . . . . . . . . . . .
Did the organization make any significant changes to its governing documents
3
4
since the prior Form 990 was filed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Did the organization become aware during the year of a significant diversion of the organization's assets? . . . . . . . . . . . . .
6 Did the organization have members or stockholders?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 a 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? . . SEE
. . . . . . SCHEDULE
. . . . . . . . . . . . . .O
............................................................
8
9
b Are any governance decisions of the organization reserved to (or subject to approval by) members,
SCH O
stockholders, or other persons other than the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SEE
..................
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by
the following:
a The governing body?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b Each committee with authority to act on behalf of the governing body?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 O. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
2
No
X
3
X
4
5
6
X
X
X
7a
X
7b
X
8a
8b
X
X
X
9
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
10 a Did the organization have local chapters, branches, or affiliates? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 a Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?. . . . . . . . . . . . . . . . . . . . . .
b Describe in Schedule O the process, if any, used by the organization to review this Form 990. SEE SCHEDULE O
12 a 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 Did the organization regularly and consistently monitor and enforce compliance with the policy? If 'Yes,' describe in
. . . . . . SCHEDULE
. . . . . . . . . . . . . .O
............................................................
Schedule O how this was done . . . . SEE
Did
the
organization
have
a
written
whistleblower
policy?
.
...........................................................
13
Did
the
organization
have
a
written
document
retention
and
destruction policy?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
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?
a The organization's CEO, Executive Director, or top management official. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b Other officers of key employees of the organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If 'Yes' to line 15a or 15b, describe the process in Schedule O. (See instructions.)
16 a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a
taxable entity during the year?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b 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 taken steps to safeguard the
organization's exempt status with respect to such arrangements?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Disclosure
List the states with which a copy of this Form 990 is required to be filed G
17
Yes
X
10 b
11 a
X
X
12 a
X
12 b
X
12 c
13
14
X
X
X
No
15 a
15 b
X
X
16 a
X
16 b
AK AZ CA HI IL MD NJ NM OR PA VA WA
Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public
inspection. Indicate how you make these available. Check all that apply.
Other (explain in Schedule O)
Own website
Another's website
X Upon request
18
19
20
10 a
Describe in Schedule O whether (and if so, how) the organization makes its governing documents, conflict of interest policy, and financial statements available to
the public during the tax year.
SEE SCHEDULE O
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
G SAFEWAY
BAA
INC. 5918 STONERIDGE MALL ROAD
PLEASANTON CA 94588-3229 (925) 467-3135
TEEA0106L 07/02/13
Form 990 (2013)
Page 7
THE SAFEWAY FOUNDATION
91-2144510
Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and
Independent Contractors
Form 990 (2013)
Check if Schedule O contains a response or note to any line in this Part VII. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1 a 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, and 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.
X Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
LARREE RENDA
CHAIRMAN
BRIAN DOWLING
VICE PRESIDENT
MIKE MINASI
DIRECTOR
JONATHAN MAYES
DIRECTOR
KELLY GRIFFITH
DIRECTOR
DAVID LEE
DIRECTOR
ROBERT BRADFORD
DIRECTOR
CHRISTY DUNCAN ANDERSON
EXECUTIVE DIREC
DENNIS J. DUNNE
CFO
ROBERT GORDON
SECRETARY
(B)
Average
hours per
week (list
any hours
for related
organizations
below
dotted
line)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(C)
Position (do not check more than
one box, unless person is both an
officer and a director/trustee)
(D)
Reportable
compensation from
the organization
(W-2/1099-MISC)
(E)
Reportable
compensation from
related organizations
(W-2/1099-MISC)
(F)
Estimated
amount of other
compensation
from the
organization
and related
organizations
X
X
0.
0.
0.
X
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
0.
0.
0.
X
0.
0.
0.
X
0.
0.
0.
X
(12)
(13)
(14)
BAA
TEEA0107L
07/08/13
Form 990 (2013)
Page 8
THE SAFEWAY FOUNDATION
91-2144510
Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
Form 990 (2013)
(B)
(A)
Name and title
Average
hours
per
week
(list any
hours
for
related
organiza
- tions
below
dotted
line)
(C)
Position
(do not check more than one
box, unless person is both an
officer and a director/trustee)
(D)
Reportable
compensation from
the organization
(W-2/1099-MISC)
(E)
(F)
Reportable
compensation from
related organizations
(W-2/1099-MISC)
Estimated
amount of other
compensation
from the
organization
and related
organizations
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
(25)
1 b Sub-total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
0.
0.
c Total from continuation sheets to Part VII, Section A . . . . . . . . . . . . . . . . . . . . . . . . G
0.
0.
d Total (add lines 1b and 1c). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
0.
0.
2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation
from the organization G
0
3
4
5
Did the organization list any former officer, director, or trustee, key employee, or highest compensated employee
on line 1a? If 'Yes,' complete Schedule J for such individual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from
the organization and related organizations greater than $150,000? If 'Yes' complete Schedule J for
such individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual
for services rendered to the organization? If 'Yes,' complete Schedule J for such person . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section B. Independent Contractors
1
(B)
Description of services
CORSER, INC 125 MATTERHORN DRIVE PARK CITY, UT 84098
MEDIA PRODUCTION
AQUA TERRA CULINARY INC 529 CENTRAL AVENUE #3 PACIFIC GROVE, CA 9395 CATERER
BLUEPRINT STUDIOS 1555 BANCROFT AVENUE SAN FRANCISCO, CA 94124
EVENT PLANNING
NTROPIC, LLC 1025 BATTERY ST SAN FRANCISCO, CA 94111
ADVERSITING
BAA
Yes
No
3
X
4
X
5
X
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
2
0.
0.
0.
Total number of independent contractors (including but not limited to those listed above) who received more than
$100,000 of compensation from the organization G 4
TEEA0108L 11/11/13
(C)
Compensation
1,749,850.
440,189.
606,886.
150,071.
Form 990 (2013)
THE SAFEWAY FOUNDATION
Part VIII Statement of Revenue
91-2144510
Form 990 (2013)
Page 9
Check if Schedule O contains a response or note to any line in this Part VIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(A)
Total revenue
1a
b
c
d
e
Federated campaigns . . . . . . . . .
Membership dues. . . . . . . . . . . . .
Fundraising events. . . . . . . . . . . .
Related organizations . . . . . . . . .
Government grants (contributions) . . . .
f All other contributions, gifts, grants, and
similar amounts not included above . . .
1a
1b
1c
1d
1e
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from tax
under sections
512-514
11,459,793.
942,059.
1 f 34,941,332.
g Noncash contributions included in lines 1a-1f: $
942,059.
h Total. Add lines 1a-1f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
Business Code
47,343,184.
2a
b
c
d
e
f All other program service revenue. . . .
g Total. Add lines 2a-2f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
4
5
Investment income (including dividends, interest and
other similar amounts) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
Income from investment of tax-exempt bond proceeds .. G
.
Royalties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
6a
b
c
d
Gross rents. . . . . . . . . .
Less: rental expenses
Rental income or (loss) . . .
Net rental income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . G
3
7 a Gross amount from sales of
assets other than inventory. .
(i) Real
(ii) Personal
(i) Securities
(ii) Other
885,224.
885,224.
-56,626.
-56,626.
b Less: cost or other basis
and sales expenses . . . . . .
c Gain or (loss). . . . . . . .
d Net gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
8 a Gross income from fundraising events
(not including. . $
11,459,793.
of contributions reported on line 1c).
See Part IV, line 18. . . . . . . . . . . . . . . . . a
b Less: direct expenses . . . . . . . . . . . . . . . b
56,626.
c Net income or (loss) from fundraising events . . . . . . . . . G
9 a Gross income from gaming activities.
See Part IV, line 19. . . . . . . . . . . . . . . . . a
b Less: direct expenses . . . . . . . . . . . . . . . b
c Net income or (loss) from gaming activities. . . . . . . . . . . G
10 a Gross sales of inventory, less returns
and allowances . . . . . . . . . . . . . . . . . . . . . a
b Less: cost of goods sold. . . . . . . . . . . . . b
c Net income or (loss) from sales of inventory . . . . . . . . . . G
Miscellaneous Revenue
BAA
Business Code
11 a
b
c
d All other revenue . . . . . . . . . . . . . . . . . . .
e Total. Add lines 11a-11d . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
12 Total revenue. See instructions . . . . . . . . . . . . . . . . . . . . . . G
48,171,782.
TEEA0109L
07/08/13
0.
0.
828,598.
Form 990 (2013)
THE SAFEWAY FOUNDATION
Statement of Functional Expenses
91-2144510
Form 990 (2013)
Part IX
Page 10
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).
Check if Schedule O contains a response or note to any line in this Part IX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(A)
(B)
(C)
(D)
Do not include amounts reported on lines
Total expenses
Management and
Fundraising
Program service
6b, 7b, 8b, 9b, and 10b of Part VIII.
expenses
general expenses
expenses
1 Grants and other assistance to governments
and organizations in the United States. See
Part IV, line 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . .
42,063,696.
42,063,696.
2 Grants and other assistance to individuals in
the United States. See Part IV, line 22 . . . . . .
3 Grants and other assistance to governments,
organizations, and individuals outside the
United States. See Part IV, lines 15 and 16. .
4 Benefits paid to or for members . . . . . . . . . . . .
5 Compensation of current officers, directors,
trustees, and key employees . . . . . . . . . . . . . . .
0.
0.
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.
0.
0.
7 Other salaries and wages . . . . . . . . . . . . . . . . . .
8 Pension plan accruals and contributions
(include section 401(k) and 403(b) employer
contributions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9 Other employee benefits . . . . . . . . . . . . . . . . . . .
10 Payroll taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 Fees for services (non-employees):
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 amt exceeds 10% of line 25, column
26,284.
26,284.
(A) amount, list line 11g expenses on Schedule O) . . . . .
12 Advertising and promotion. . . . . . . . . . . . . . . . . .
13 Office expenses . . . . . . . . . . . . . . . . . . . . . . . . . . .
14 Information technology. . . . . . . . . . . . . . . . . . . . .
15 Royalties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16 Occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17 Travel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18 Payments of travel or entertainment
expenses for any federal, state, or local
public officials. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19 Conferences, conventions, and meetings. . . .
20 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21 Payments to affiliates. . . . . . . . . . . . . . . . . . . . . .
22 Depreciation, depletion, and amortization . . .
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 O.) . . . . . . . . . . . . . . . . .
a
b
c
d
25
26
CONTRACT LABOR
OTHER ADMINSTRATIVE EXPENSE
FACILITY RENTAL
PRINTING AND PUBLICATIONS
e All other expenses. . . . . . . . . . . . . . . . . . . . . . . . .
Total functional expenses. Add lines 1 through 24e. . . .
BAA
Joint costs. Complete this line only if
the organization reported in column (B)
joint costs from a combined educational
campaign and fundraising solicitation.
if following
Check here G
SOP 98-2 (ASC 958-720). . . . . . . . . . . . . . . . . . .
3,546,326.
1,036,160.
561,842.
165,603.
47,973.
47,447,884.
TEEA0110L 11/08/13
1,036,160.
42,063,696.
1,062,444.
0.
0.
3,546,326.
561,842.
165,603.
47,973.
4,321,744.
Form 990 (2013)
THE SAFEWAY FOUNDATION
Balance Sheet
91-2144510
Form 990 (2013)
Part X
Cash ' non-interest-bearing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Savings and temporary cash investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pledges and grants receivable, net. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
A
S
S
E
T
S
Check if Schedule O contains a response or note to any line in this Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2
3
4
7
8
9
L
I
A
B
I
L
I
T
I
E
S
23
24
Total assets. Add lines 1 through 15 (must equal line 34). . . . . . . . . . . . . . . . . . . . . . .
Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Grants payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Deferred revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Escrow or custodial account liability. Complete Part IV of Schedule D. . . . . . . . . . .
Loans and other payables to current and former officers, directors, trustees,
key employees, highest compensated employees, and disqualified persons.
Complete Part II of Schedule L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Secured mortgages and notes payable to unrelated third parties . . . . . . . . . . . . . . . .
Unsecured notes and loans payable to unrelated third parties. . . . . . . . . . . . . . . . . . .
26
Total liabilities. Add lines 17 through 25. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25
N
E
T
A
S
S
E
T
S
O
R
F
U
N
D
B
A
L
A
N
C
E
S
BAA
(A)
Beginning of year
18,106,279.
2,100,689.
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.
27
28
29
Organizations that follow SFAS 117 (ASC 958), check here G
X and complete
lines 27 through 29, and lines 33 and 34.
Unrestricted net assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporarily restricted net assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Permanently restricted net assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30
31
32
33
34
Capital stock or trust principal, or current funds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Paid-in or capital surplus, or land, building, or equipment fund. . . . . . . . . . . . . . . . . .
Retained earnings, endowment, accumulated income, or other funds. . . . . . . . . . . .
Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total liabilities and net assets/fund balances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
07/08/13
4
10,057,648.
4,501,714.
6
7
8
9
16,645,698.
126,205.
36,978,871.
1,794,890.
11,409,973.
10 c
11
12
13
14
15
16
17
18
19
20
21
17,503,826.
6,315.
32,069,503.
1,803,741.
5,767,856.
22
23
24
25
13,204,863. 26
7,571,597.
21,875,157. 27
1,898,851. 28
22,082,573.
2,415,333.
30
31
32
33
34
24,497,906.
32,069,503.
29
Organizations that do not follow SFAS 117 (ASC 958), check here G
and complete lines 30 through 34.
TEEA0111L
1
2
3
(B)
End of year
5
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. . . . . .
Notes and loans receivable, net. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Inventories for sale or use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Prepaid expenses and deferred charges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10 a Land, buildings, and equipment: cost or other basis.
Complete Part VI of Schedule D . . . . . . . . . . . . . . . . . . . 10 a
b Less: accumulated depreciation. . . . . . . . . . . . . . . . . . . . 10 b
11 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15 Other assets. See Part IV, line 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
17
18
19
20
21
22
Page 11
23,774,008.
36,978,871.
Form 990 (2013)
THE SAFEWAY FOUNDATION
Reconciliation of Net Assets
91-2144510
Form 990 (2013)
Part XI
Check if Schedule O contains a response or note to any line in this Part XI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2
3
Total revenue (must equal Part VIII, column (A), line 12). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6
7
8
Net unrealized gains (losses) on investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Investment expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
Total expenses (must equal Part IX, column (A), line 25). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)). . . . . . . . . . . . . . . . . .
9
Other changes in net assets or fund balances (explain in Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33,
column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
Page 12
Part XII Financial Statements and Reporting
1
2
3
4
5
6
7
8
48,171,782.
47,447,884.
723,898.
23,774,008.
9
0.
10
24,497,906.
Check if Schedule O contains a response or note to any line in this Part XII. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Accounting method used to prepare the Form 990:
1
Cash
X Accrual
If the organization changed its method of accounting from a prior year or checked 'Other,' explain
in Schedule O.
2 a Were the organization's financial statements compiled or reviewed by an independent accountant? . . . . . . . . . . . . . . . . . . . .
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:
X
Separate basis
Consolidated basis
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:
Consolidated basis
Both consolidated and separate basis
X Separate basis
c 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 O.
3 a 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 OMB Circular A-133?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 O and describe any steps taken to undergo such audits. . . . . . . . . . . . . . . . . . . . . . . . . . . .
BAA
TEEA0112L
07/08/13
Yes
Other
2a
X
2b
X
2c
X
3a
No
X
3b
Form 990 (2013)
SCHEDULE A
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Name of the organization
Public Charity Status and Public Support
OMB No. 1545-0047
2013
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
G Attach to Form 990 or Form 990-EZ.
G Information about Schedule A (Form 990 or 990-EZ) and its instructions is
at www.irs.gov/form990.
Open to Public
Inspection
Employer identification number
THE SAFEWAY FOUNDATION
91-2144510
Part I Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
A church, convention of churches or association of churches described in section 170(b)(1)(A)(i).
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)
3
4
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
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.)
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
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.)
5
6
7
8
X An organization that normally receives: (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts
9
10
11
e
f
g
from activities related to its exempt functions ' subject to certain exceptions, and (2) no more than 33-1/3% 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.)
An organization organized and operated exclusively to test for public safety. See section 509(a)(4).
An organization organized and operated exclusively for the benefit of, to perform the functions of, or 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 11e through 11h.
Type I
Type II
Type III ' Functionally integrated
Type III ' Non-functionally integrated
a
b
c
d
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 is a Type I, Type II or Type 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)
(ii)
h
A person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii)
below, the governing body of the supported organization?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
A family member of a person described in (i) above? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(iii) A 35% controlled entity of a person described in (i) or (ii) above?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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))
(v) Did you notify
(iv) Is the
the organization in
organization in
column (i) listed in column (i) of your
support?
your governing
document?
Yes
No
Yes
No
(vi) Is the
organization in
column (i)
organized in the
U.S.?
Yes
11 g (i)
Yes
No
11 g (ii)
11 g (iii)
(vii) Amount of monetary
support
No
(A)
(B)
(C)
(D)
(E)
Total
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
TEEA0401L
06/28/13
Schedule A (Form 990 or 990-EZ) 2013
THE SAFEWAY FOUNDATION
91-2144510
Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
Schedule A (Form 990 or 990-EZ) 2013
Page 2
(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) G
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
5
Total. Add lines 1 through 3. . .
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 . . . . . . . . . . . . . . . . . . .
Section B. Total Support
Calendar year (or fiscal year
beginning in) G
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
Amounts from line 4 . . . . . . . . . .
7
Gross income from interest,
dividends, payments received
on securities loans, rents,
royalties and income from
similar sources . . . . . . . . . . . . . . .
Net income from unrelated
business activities, whether or
not the business is regularly
carried on. . . . . . . . . . . . . . . . . . . .
Other income. Do not include
gain or loss from the sale of
capital assets (Explain in
Part IV.) . . . . . . . . . . . . . . . . . . . . .
8
9
10
11
Total support. Add lines 7
through 10 . . . . . . . . . . . . . . . . . . .
Gross receipts from related activities, etc (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
13
12
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)). . . . . . . . . . . . . . . . . . . . . . . . . . .
14
Public support percentage from 2012 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
G
14
%
%
15
16 a 33-1/3% support test ' 2013. If the organization did not check the box on line 13, and the line 14 is 33-1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
b 33-1/3% support test ' 2012. 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
17 a 10%-facts-and-circumstances test ' 2013. 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. . . . . . . . . .
18
b 10%-facts-and-circumstances test ' 2012. 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. . . . . . . . . . . . . .
BAA
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . .
G
G
G
Schedule A (Form 990 or 990-EZ) 2013
TEEA0402L
06/28/13
THE SAFEWAY FOUNDATION
Support Schedule for Organizations Described in Section 509(a)(2)
91-2144510
Schedule A (Form 990 or 990-EZ) 2013
Part III
(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
Calendar year (or fiscal yr beginning in) G
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 . . .
7 a Amounts included on lines 1,
2, and 3 received from
disqualified persons. . . . . . . . . . .
b Amounts included on lines 2
and 3 received from other than
disqualified persons that
exceed the greater of $5,000 or
1% of the amount on line 13
for the year . . . . . . . . . . . . . . . . . .
(a) 2009
Section B. Total Support
Calendar year (or fiscal yr beginning in) G
9 Amounts from line 6 . . . . . . . . . .
10 a Gross income from interest,
dividends, payments received
on securities loans, rents,
royalties and income from
similar sources . . . . . . . . . . . . . . .
b Unrelated business taxable
income (less section 511
taxes) from businesses
acquired after June 30, 1975 . .
c Add lines 10a and 10b . . . . . . . .
11 Net income from unrelated business
activities not included in line 10b,
whether or not the business is
regularly carried on. . . . . . . . . . . . . . .
12 Other income. Do not include
gain or loss from the sale of
capital assets (Explain in
Part IV.) . . . . . . . . . . . . . . . . . . . . .
13 Total Support. (Add Ins 9,10c, 11 and 12.)
(c) 2011
(b) 2010
55165979.
53516413.
52028752.
(e) 2013
48221634.
(f) Total
48171782.
257104560.
0.
0.
55165979.
53516413.
52028752.
48221634.
48171782.
0.
257104560.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
0.
257104560.
(a) 2009
(b) 2010
55165979.
53516413.
61,447.
61,447.
(c) 2011
52028752.
(d) 2012
(e) 2013
(f) Total
48221634.
48171782.
257104560.
1,251.
305,695. 1,307,583.
589,454.
2,265,430.
1,251.
305,695. 1,307,583.
589,454.
0.
2,265,430.
0.
55227426.
53517664.
52334447.
49529217.
48761236.
0.
259369990.
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage
15
16
(d) 2012
0.
c Add lines 7a and 7b . . . . . . . . . .
8 Public support (Subtract line
7c from line 6.). . . . . . . . . . . . . . .
14
Page 3
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)). . . . . . . . . . . . . . . . . . . . . . . . . . .
Public support percentage from 2012 Schedule A, Part III, line 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section D. Computation of Investment Income Percentage
15
16
G
99.13 %
99.19 %
17 Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . 17
0.87
18 Investment income percentage from 2012 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
0.81
19 a 33-1/3% support tests ' 2013. 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 . . . . . . . . . . . G
b 33-1/3% support tests ' 2012. 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 . . . . G
20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions . . . . . . . . . . . . G
BAA
TEEA0403L
06/28/13
%
%
X
Schedule A (Form 990 or 990-EZ) 2013
THE SAFEWAY FOUNDATION
91-2144510
Supplemental Information. 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).
Schedule A (Form 990 or 990-EZ) 2013
Part IV
Page 4
Schedule A (Form 990 or 990-EZ) 2013
BAA
TEEA0404L
06/28/13
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
Supplemental Financial Statements
OMB No. 1545-0047
G Complete if the organization answered 'Yes,' to Form 990,
Part IV, lines 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
G Attach to Form 990.
G Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
2013
Open to Public
Inspection
Employer identification number
THE SAFEWAY FOUNDATION
91-2144510
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.
Part I
Complete if the organization answered 'Yes' to Form 990, Part IV, line 6.
1
Total number at end of year. . . . . . . . . . . . . . . . .
(a) Donor advised funds
(b) Funds and other accounts
2
3
4
Aggregate contributions to (during year). . . . . .
Aggregate grants from (during year) . . . . . . . . .
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?. . . . . . . . . . . . . . . . . . . . . . . . . . .
6
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?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part II
1
2
Conservation Easements.
Complete if the organization answered 'Yes' to Form 990, Part IV, line 7.
Yes
No
Yes
No
Purpose(s) of conservation easements held by the organization (check all that apply).
Preservation of land for public use (e.g., recreation or education)
Protection of natural habitat
Preservation of open space
Preservation of an historically important land area
Preservation of a certified historic structure
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 Tax 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
2d
structure listed in the National Register. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year G
4 Number of states where property subject to conservation easement is located G
5
6
7
8
9
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations,
and enforcement of the conservation easements it holds?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
G
Yes
No
Yes
No
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
G$
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)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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.
Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered 'Yes' to Form 990, Part IV, line 8.
1 a 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.
2
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:
(i) Revenues included in Form 990, Part VIII, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $
(ii) Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $
b Assets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G $
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990.
TEEA3301L
10/02/13
Schedule D (Form 990) 2013
Page 2
THE SAFEWAY FOUNDATION
91-2144510
Part III Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
Schedule D (Form 990) 2013
3
4
5
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):
Public exhibition
Loan or exchange programs
a
d
Scholarly research
Other
b
e
Preservation for future generations
c
Provide a description of the organization's collections and explain how they further the organization's exempt purpose in
Part XIII.
During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets
to be sold to raise funds rather than to be maintained as part of the organization's collection?. . . . . . . . . . . . . . . . . . . .
Yes
No
Yes
No
Part IV 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.
1 a 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:
Amount
c Beginning balance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
d Additions during the year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
e Distributions during the year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
f Ending balance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
2 a Did the organization include an amount on Form 990, Part X, line 21? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
b If 'Yes,' explain the arrangement in Part XIII. Check here if the explantion has been provided in Part XIII. . . . . . . . . . . . . . . . . . . . . . .
Part V
No
Endowment Funds. Complete if the organization answered 'Yes' to Form 990, Part IV, line 10.
1 a Beginning of year balance. . . . . .
b Contributions. . . . . . . . . . . . . . . . . .
(a) Current year
(b) Prior year
(c) Two years back
(d) Three years back
(e) Four years back
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 Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
%
a Board designated or quasi-endowment G
%
Permanent
endowment
G
b
%
c Temporarily restricted endowment G
The percentages in lines 2a, 2b, and 2c should equal 100%.
3 a Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:
(i) unrelated organizations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a(i)
(ii) related organizations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3a(ii)
b If 'Yes' to 3a(ii), are the related organizations listed as required on Schedule R?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b
4 Describe in Part XIII the intended uses of the organization's endowment funds.
Yes
No
Part VI Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property
1 a Land. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b Buildings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c Leasehold improvements. . . . . . . . . . . . . . . . . . . .
d Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(a) Cost or other basis
(investment)
(b) Cost or other
basis (other)
(c) Accumulated
depreciation
(d) Book value
e Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).) . . . . . . . . . . . . . . . . . . . G
0.
Schedule D (Form 990) 2013
BAA
TEEA3302L
10/02/13
Page 3
THE SAFEWAY FOUNDATION
91-2144510
Part VII Investments ' Other Securities.
N/A
Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
Schedule D (Form 990) 2013
(a) Description of security or category (including name of security)
(1) Financial derivatives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(2) Closely-held equity interests. . . . . . . . . . . . . . . . . . . . . . . . . .
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(3) Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
.. G
N/A
Part VIII Investments ' Program Related.
Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
Total. (Column (b) must equal Form 990, Part X, column (B) line 12.)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(a) Description of investment type
(b) Book value
(c) Method of valuation: Cost or end-of-year market value
(10)
Total. (Column (b) must equal Form 990, Part X, column (B) line 13.) . .
Part IX
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
G
Other Assets.
N/A
Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description
(b) Book value
G
Other Liabilities.
Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25
Total. (Column (b) must equal Form 990, Part X, column (B), line 15.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part X
(a) Description of liability
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(b) Book value
Total. (Column (b) must equal Form 990, Part X, column (B) line 25.). . . . . . G
2. Liability for uncertain tax positions. 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Schedule D (Form 990) 2013
Page 4
THE SAFEWAY FOUNDATION
91-2144510
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.
Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
48,171,782.
Schedule D (Form 990) 2013
Part XI
2
3
4
5
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c Recoveries of prior year grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2a
2b
2c
2d
e Add lines 2a through 2d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Subtract line 2e from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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
2e
3
48,171,782.
c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.). . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4c
5
48,171,782.
Total expenses and losses per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2a
b Prior year adjustments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2b
c Other losses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2c
d Other (Describe in Part XIII.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2d
1
47,447,884.
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return.
Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1
2
e Add lines 2a through 2d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Subtract line 2e from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Amounts included on Form 990, Part IX, line 25, 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
c Add lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.). . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4
Part XIII Supplemental Information.
2e
3
4c
5
47,447,884.
47,447,884.
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b 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.
BAA
Schedule D (Form 990) 2013
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10/02/13
SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Name of the organization
Supplemental Information Regarding
Fundraising or Gaming Activities
OMB No. 1545-0047
Complete if the organization answered 'Yes' to Form 990, Part IV, lines 17, 18,
or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
G Attach to Form 990 or Form 990-EZ. G See separate instructions.
G Information about Schedule G (Form 990 or 990-EZ) and its instructions is
at www.irs.gov/form990.
2013
Open to Public
Inspection
Employer identification number
THE SAFEWAY FOUNDATION
91-2144510
Fundraising Activities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1 Indicate whether the organization raised funds through any of the following activities. Check all that apply.
Mail solicitations
Solicitation of non-government grants
a
e
Part I
b
Internet and email solicitations
d
In-person solicitations
c
f
g
Phone solicitations
Solicitation of government grants
Special fundraising events
2 a 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 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)
1
(ii) Activity
(iii) Did fundraiser
have custody or control
of contributions?
Yes
(iv) Gross receipts
from activity
No
(v) Amount paid to
(or retained by)
fundraiser listed in
column (i)
Yes
X No
(vi) Amount paid to
(or retained by)
organization
2
3
4
5
6
7
8
9
10
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
3 List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration
or licensing.
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
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06/26/13
0.
Schedule G (Form 990 or 990-EZ) 2013
Page 2
THE SAFEWAY FOUNDATION
91-2144510
Part II 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.
Schedule G (Form 990 or 990-EZ) 2013
(a) Event #1
OTHERS
R
E
V
E
N
U
E
E
X
P
E
N
S
E
S
(c) Other events
(event type)
(total number)
GALA
(event type)
D
I
R
E
C
T
(b) Event #2
(d) Total events
(add column (a)
through column (c))
1
1
Gross receipts. . . . . . . . . . . . . . . . . . . . . . . . .
5,971,732.
3,546,099.
1,941,962.
11,459,793.
2
Less: Charitable contributions. . . . . . . . . . .
5,971,732.
3,546,099.
1,941,962.
11,459,793.
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. . . . . . . . . . . . . . . . . .
56,626.
56,626.
56,626.
-56,626.
Part III 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.
10
11
E
X
P
E
N
S
E
S
9
(b) Pull tabs/Instant
bingo/progressive
bingo
(a) Bingo
R
E
V
E
N
U
E
D
I
R
E
C
T
Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
Net income summary. Subtract line 10 from line 3, column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
(c) Other gaming
1
Gross revenue. . . . . . . . . . . . . . . . . . . . . . . . .
2
Cash prizes. . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
Noncash prizes . . . . . . . . . . . . . . . . . . . . . . . .
4
Rent/facility costs. . . . . . . . . . . . . . . . . . . . . .
5
Other direct expenses. . . . . . . . . . . . . . . . . .
6
Volunteer labor . . . . . . . . . . . . . . . . . . . . . . . .
7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
8
Net gaming income summary. Subtract line 7 from line 1, column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
Yes
No
%
Yes
No
%
Yes
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:
10 a Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year?. . . . . . . . . . . . .
b If 'Yes,' explain:
BAA
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(d) Total gaming
(add column (a)
through column (c))
Yes
No
Yes
No
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013 THE SAFEWAY FOUNDATION
91-2144510
11 Does the organization operate gaming activities with nonmembers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
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?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
Yes
Indicate the percentage of gaming activity operated in:
a The organization's facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 a
b An outside facility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 b
14 Enter the name and address of the person who prepares the organization's gaming/special events books and records:
13
Page 3
No
No
%
%
Name G
Address G
15 a Does the organization have a contact with a third party from whom the organization receives gaming revenue?. . . . . . . .
and the amount
b If 'Yes,' enter the amount of gaming revenue received by the organizationG $
of gaming revenue retained by the third party G $
.
c If 'Yes,' enter name and address of the third party:
Yes
No
Name G
Address G
Gaming manager information:
16
Name G
Gaming manager compensation G
$
Description of services provided G
Director/officer
17
Employee
Independent contractor
Mandatory distributions
a Is the organization required under state law to make charitable distributions from the gaming proceeds to retain the
state gaming license?
b Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in the
organization's own exempt activities during the tax year G $
Part IV
BAA
Yes
No
Supplemental Information. 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 provide any additional
information (see instructions).
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Schedule G (Form 990 or 990-EZ) 2013
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
SCHEDULE I
(Form 990)
Department of the Treasury
Internal Revenue Service
Name of the organization
2
2013
Complete if the organization answered 'Yes' to Form 990, Part IV, line 21 or 22.
G Attach to Form 990.
G Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
Open to Public
Inspection
Employer identification number
91-2144510
THE SAFEWAY FOUNDATION
Part I General Information on Grants and Assistance
1
OMB No. 1545-0047
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.
SEE PART IV
X Yes
No
Part II 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.
1
(a) Name and address of organization
or government
(1) SEE ATTACHMENT
SEE ATTACHMENT
SEE ATTACHMENT, CA 94588
(2)
(b) EIN
99-9999999
(c) IRC section
if applicable
(d) Amount of cash grant
47,261,007.
(e) Amount of non-cash
assistance
0.
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
PROGRAM
SERVICES
(3)
(4)
(5)
(6)
(7)
(8)
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
434
3 Enter total number of other organizations listed in the line 1 table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
0
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990.
TEEA3901L 07/12/13
Schedule I (Form 990) (2013)
2
Page 2
THE SAFEWAY FOUNDATION
91-2144510
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.
Schedule I (Form 990) (2013)
Part III
(a) Type of grant or assistance
(b) Number 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
1
2
3
4
5
6
7
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
PART I, LINE 2 - PROCEDURES FOR MONITORING USE OF GRANTS FUNDS IN U.S.
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:
BAA
Schedule I (Form 990) (2013)
TEEA3902L
07/12/13
2013
SCHEDULE I, PART IV - SUPPLEMENTAL INFORMATION
CLIENT SAFEWAYF
THE SAFEWAY FOUNDATION
PAGE 3
91-2144510
PART I, LINE 2 - PROCEDURES FOR MONITORING USE OF GRANTS FUNDS IN U.S. (CONTINUED)
ALL REQUESTS MUST BE MADE IN WRITING ON THE APPLICANT’S 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 ORGANIZATION’S 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 M
(Form 990)
Department of the Treasury
Internal Revenue Service
Noncash Contributions
THE SAFEWAY FOUNDATION
Part I Types of Property
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
2013
G Complete if the organizations answered 'Yes' on Form 990, Part IV, lines 29 or 30.
G Attach to Form 990.
G Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.
Name of the organization
1
2
3
4
5
6
7
8
9
10
11
12
OMB No. 1545-0047
Open To Public
Inspection
Employer identification number
91-2144510
(a)
Check if
applicable
(b)
Number of
contributions or
items contributed
Art ' Works of art . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Art ' Historical treasures . . . . . . . . . . . . . . . . . . . . . .
Art ' Fractional interests. . . . . . . . . . . . . . . . . . . . . . .
Books and publications. . . . . . . . . . . . . . . . . . . . . . . . .
Clothing and household goods. . . . . . . . . . . . . . . . . .
Cars and other vehicles . . . . . . . . . . . . . . . . . . . . . . . .
Boats and planes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Intellectual property. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Securities ' Publicly traded . . . . . . . . . . . . . . . . . . . .
Securities ' Closely held stock. . . . . . . . . . . . . . . . .
Securities ' Partnership, LLC, or trust interests .
Securities ' Miscellaneous. . . . . . . . . . . . . . . . . . . . .
(c)
(d)
Noncash contribution
Method of determining
amounts reported
noncash contribution amounts
on Form 990,
Part VIII, line 1g
Qualified conservation contribution '
Historic structures . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Qualified conservation contribution ' Other . . . . .
Real estate ' Residential . . . . . . . . . . . . . . . . . . . . . .
Real estate ' Commercial. . . . . . . . . . . . . . . . . . . . . .
Real estate ' Other. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Collectibles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Food inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Drugs and medical supplies . . . . . . . . . . . . . . . . . . . .
Taxidermy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Historical artifacts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Scientific specimens . . . . . . . . . . . . . . . . . . . . . . . . . . .
Archeological artifacts. . . . . . . . . . . . . . . . . . . . . . . . . .
). . . .
Other G ( ADMINISTRATIVE
). . . .
Other G (
). . . .
Other G (
). . . .
OtherG (
942,059. ACTUAL COST
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
30a 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?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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?. . . . .
32a Does the organization hire or use third parties or related organizations to solicit, process, or sell
noncash contributions?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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.
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990.
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Yes
No
30 a
X
31
X
32 a
X
Schedule M (Form 990) 2013
Page 2
THE SAFEWAY FOUNDATION
91-2144510
Part II Supplemental Information. 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.
Schedule M (Form 990) 2013
BAA
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Schedule M (Form 990) 2013
SCHEDULE O
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Name of the organization
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
G Attach to Form 990 or 990-EZ.
G Information about Schedule O (Form 990 or 990-EZ) and its instructions is
at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Employer identification number
91-2144510
THE SAFEWAY FOUNDATION
FORM 990, PART III, LINE 1 - ORGANIZATION 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.
FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES DESCRIPTION
MUSCULAR DYSTROPHY ASSOCIATION
THE FOUNDATION WORKS WITH MUSCULAR DYSTROPHY ASSOCIATION (MDA),WHICH IS DEDICATED TO
CURING MUSCULAR DYSTROPHY, ALS AND REALTED NEUROMUSCULAR DISEASES. OUR GOAL IS TO
SUSTAIN OUR SUPPORT OF THESE PROGRAMS FOR BETTER TREAMENTS AND CURE.
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.
EMPLOYEE GIVING
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
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Schedule O (Form 990 or 990-EZ) 2013
Schedule O (Form 990 or 990-EZ) 2013
Name of the organization
Employer identification number
Page 2
91-2144510
THE SAFEWAY FOUNDATION
FORM 990, PART VI, LINE 2 - BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS, DIRECTORS, ETC.
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 OFFICER
BRIAN DOWLING, VICE PRESIDENT PUBLIC AFFAIRS
MIKE MINASI, PRESIDENT, MARKETING
KELLY GRIFFITH, EVP, RETIAL OPERATIONS
DAVID LEE, PRESIDENT, GENERAL MANAGER NON PERISHABLES
JONATHAN MAYES,SVP, GOVERNMENT AFFAIRS AND PUBLIC AFFAIRS
DENNIS J. DUNNE, VP, CORPORATE ACCOUNTING
ROBERT BRADFORD, N/A
CHRISTY DUNCAN ANDERSON, DIRECTOR, COMMUNITY RELATIONS
ROBERT GORDON, SVP, GENERAL COUNSEL
FORM 990, PART VI, LINE 7A - HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY
THE MEMBERS ELECT THE MEMBERS OF THE GOVERNING BODY (BUT NOT IF THE PERSONS ON THE
GOVERNING BODY ARE THE ORGANIZATION’S ONLY MEMBERS) OR THEIR DELEGATES.
FORM 990, PART VI, LINE 7B - 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 ORGANIZATION’S ONLY MEMBERS) OR THEIR DELEGATES.
FORM 990, PART VI, LINE 11B - 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 12C - EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS
THE POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED BY GOVERNING BODY EACH YEAR.
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Schedule O (Form 990 or 990-EZ) 2013
Schedule O (Form 990 or 990-EZ) 2013
Name of the organization
Employer identification number
Page 2
91-2144510
THE SAFEWAY FOUNDATION
FORM 990, PART VI, LINE 19 - OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE
GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
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Schedule O (Form 990 or 990-EZ) 2013
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
OMB No. 1545-0047
Related Organizations and Unrelated Partnerships
2013
G Complete if the organization answered 'Yes' on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
G Attach to Form 990. G See separate instructions.
G Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.
Open to Public
Inspection
Name of the organization
Employer identification number
THE SAFEWAY FOUNDATION
Part I
91-2144510
Identification of Disregarded Entities Complete if the organization answered 'Yes' on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(1)
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
(2)
(3)
Part II Identification of Related Tax-Exempt Organizations Complete if the organization answered 'Yes' on 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
(1)
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Sec 512(b)(13)
controlled entity?
Yes
No
(2)
(3)
(4)
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Schedule R (Form 990) 2013
Page 2
THE SAFEWAY FOUNDATION
91-2144510
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered 'Yes' on Form 990, Part IV, line 34
because it had one or more related organizations treated as a partnership during the tax year.
Schedule R (Form 990) 2013
Part III
(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
512-514)
(f)
Share of total
income
(g)
Share of
end-of-year
assets
(1)
(h)
(i)
DisproporCode V-UBI
tionate
amount in box
allocations? 20 of Schedule
K-1 (Form
1065)
Yes
No
(j)
General or
managing
partner?
Yes
(k)
Percentage
ownership
No
(2)
(3)
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered 'Yes' on 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
(1)
(2)
SAFEWAY INC.
5918 STONERIDGE MALL ROAD
PLEASANTON, CA 94588
94-2144510
(b)
Primary activity
RETAIL
SALES
(c)
Legal domicile
(state or foreign
country)
(d)
Direct
controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
CA
N/A
C CORP
(f)
Share of
total income
(g)
Share of end-ofyear assets
0.
(h)
Percentage
ownership
0.
(i)
Sec 512(b)(13)
controlled entity?
Yes
No
X
(3)
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Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
THE SAFEWAY FOUNDATION
91-2144510
Page 3
Part V Transactions With Related Organizations Complete if the organization answered 'Yes' on Form 990, Part IV, line 34, 35b, or 36.
1
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
Yes
No
a
b
c
d
e
Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gift, grant, or capital contribution from related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Loans or loan guarantees to or for related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Loans or loan guarantees by related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a
1b
1c
1d
1e
X
X
X
X
X
f
g
h
i
j
Dividends from related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sale of assets to related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Purchase of assets from related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Exchange of assets with related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
1g
1h
1i
1j
X
X
X
X
X
k Lease of facilities, equipment, or other assets from related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
m Performance of services or membership or fundraising solicitations by related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
1l
1m
1n
1o
X
X
X
X
X
p Reimbursement paid to related organization(s) for expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
q Reimbursement paid by related organization(s) for expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
1q
X
X
r Other transfer of cash or property to related organization(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
X
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
X
2 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)
(b)
(c)
(d)
Name of related organization
Transaction
Amount involved
Method of determining
type (a-s)
amount involved
(1)
(2)
(3)
(4)
(5)
(6)
BAA
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Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Part VI
THE SAFEWAY FOUNDATION
91-2144510
Page 4
Unrelated Organizations Taxable as a Partnership Complete if the organization answered 'Yes' on 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
(1)
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
(e)
Predominant Are all partners
income
section
(related, unre501(c)(3)
lated, excluded organizations?
from tax under
section 512-514) Yes
No
(f)
Share of
total income
(g)
Share of
end-of-year
assets
(h)
(i)
DisproporCode V-UBI
tionate
amount in box
allocations? 20 of Schedule
K-1
Form (1065)
Yes
No
(j)
(k)
General or Percentage
managing ownership
partner?
Yes
No
(2)
(3)
(4)
(5)
(6)
(7)
(8)
BAA
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Schedule R (Form 990) 2013
THE SAFEWAY FOUNDATION
91-2144510
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Schedule R (Form 990) 2013
Part VII
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06/27/13
Page 5
Schedule R (Form 990) 2013
Form
8868
(Rev January 2014)
Application for Extension of Time To File an
Exempt Organization Return
OMB No. 1545-1709
GFile a separate application for each return.
Department of the Treasury
Internal Revenue Service
GInformation about Form 8868 and its instructions is at www.irs.gov/form8868.
? If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G X
? If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II (on page 2 of this form).
Do not complete Part II unless you have already been granted an automatic 3-month extention on a previously filed Form 8868.
Electronic filing (e-file). You can electronically file Form 8868 if you need a 3-month automatic extension of time to file (6 months for a
corporation required to file Form 990-T), or an additional (not automatic) 3-month extension of time. You can electronically file Form 8868 to
request an extension of time to file any of the forms listed in Part I or Part II with the exception of Form 8870, Information Return for Transfers
Associated With Certain Personal Benefit Contracts, which must be sent to the IRS in paper format (see instructions). For more details on the
electronic filing of this form, visit www.irs.gov/efile and click on e-file for Charities & Nonprofits.
Part I
Automatic 3-Month Extension of Time. Only submit original (no copies needed).
A corporation required to file Form 990-T and requesting an automatic 6-month extension ' check this box and complete Part I only. . . . . G
All other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file
income tax returns.
Enter filer's identifying number, see instructions
Type or
print
Name of exempt organization or other filer, see instructions.
Employer identification number (EIN) or
THE SAFEWAY FOUNDATION
91-2144510
Number, street, and room or suite number. If a P.O. box, see instructions.
File by the
due date for
filing your
return. See
instructions.
Social security number (SSN)
5918 STONERIDGE MALL ROAD
City, town or post office, state, and ZIP code. For a foreign address, see instructions.
PLEASANTON, CA 94588
Enter the Return code for the return that this application is for (file a separate application for each return). . . . . . . . . . . . . . . . . . . . . . . . . . .
01
Application
Is For
Return
Code
Return
Code
Form 990 or Form 990-EZ
01
Form 990-BL
Form 4720 (individual)
Form 990-PF
02
03
04
Form 990-T (section 401(a) or 408(a) trust)
Form 990-T (trust other than above)
? The books are in the care of G
?
?
1
2
05
06
Application
Is For
Form 990-T (corporation)
07
Form 1041-A
Form 4720 (other than individual)
Form 5227
08
09
10
Form 6069
Form 8870
11
12
SAFEWAY INC.
Fax No. G
(925) 467-3135
If the organization does not have an office or place of business in the United States, check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN)
. If this is for the whole group,
check this box. . . . . . G
. If it is for part of the group, check this box . . . G
and attach a list with the names and EINs of all members
Telephone No. G
the extension is for.
I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time
until
, 20 14 , to file the exempt organization return for the organization named above.
8/15
The extension is for the organization's return for:
G
G
X calendar year 20 13 or
tax year beginning
, 20
, and ending
If the tax year entered in line 1 is for less than 12 months, check reason:
Change in accounting period
, 20
Initial return
.
Final return
3 a If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated
tax payments made. Include any prior year overpayment allowed as a credit . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by using
EFTPS (Electronic Federal Tax Payment System). See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
0.
3b $
0.
$
0.
3a
3c
Caution. If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-EO and Form 8879-EO for
payment instructions.
BAA For Privacy Act and Paperwork Reduction Act Notice, see instructions.
FIFZ0501L 12/31/13
Form 8868 (Rev 1-2014)
2013
CLIENT SAFEWAYF
FEDERAL WORKSHEETS
PAGE 1
THE SAFEWAY FOUNDATION
91-2144510
FORM 990, PART III, LINE 4E
PROGRAM SERVICES TOTALS
PROGRAM
SERVICES
TOTAL
TOTAL EXPENSES
GRANTS
REVENUE
FORM 990
42,063,696.
0.
46,861,124.
SOURCE
42,063,696. PART IX, LINE 25, COL. B
42,063,696. PART IX, LINES 1-3, COL. B
0. PART VIII, LINE 2, COL. A
FORM 990, PART IX, LINE 11G
OTHER FEES FOR SERVICES
(A)
BROKERAGE FEES
TOTAL
TOTAL $
26,284.
26,284. $
(B)
PROGRAM
SERVICES
(C)
MANAGEMENT
& GENERAL
0. $
26,284.
26,284. $
(D)
FUNDRAISING
0.
FORM 990, PART IX, LINE 24E
OTHER EXPENSES
(A)
EQUIPMENT RENTAL
SUPPLIES
TOTAL
TOTAL $
9,360.
38,613.
47,973. $
(B)
PROGRAM
SERVICES
(C)
MANAGEMENT
& GENERAL
0. $
(D)
FUNDRAISING
0. $
9,360.
38,613.
47,973.
THE SAFEWAY FOUNDATION
Form 990
2013
FEIN : 91-2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the United States.
1(a) Name of organizations or government
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
A SILVER LINING FOUNDATION
ACCESS CMMTY HEALTH NET
AFRICAN AMERICAN
AIDS WALK SAN FRANCISCO
AKA EDU ADVANCEMENT FNDTN INC
ALA COSTA CENTERS
ALAMEDA CNCL BOY SCTS OF AMER
ALAMEDA COUNTY CMNTY FOOD BANK
ALASKA SPECIAL OLYMPICS
ALEARN
ALL HANDS RAISED
ALTERNATIVE FAMILY SERVICES
ALZHEIMERS ASSN CALIFORNIA
ALZHEIMERS ASSOCIATION
AMERICAN DIABETES ASSOC
AMERICAN RED CROSS
AMERICAN RED CROSS DALLAS AREA
AMERICAN RED CROSS OF CNTRL TX
ANIXTER CENTER
ANN & ROBERT H LURIE CHILDRENS
ARC THRIFT STORES
ARIZONA BRAINFOOD
ARIZONA HUMANE SOCIETY
ARTHRITIS FOUNDATION
ASHLEYCAN PEDIATRIC CANCER
ASIAN & PACIFIC ISLANDER
ASIAN PACIFIC FUND
ASSISTANCE LEAGUE OF SALEM
ASSISTANCE LEAGUE OF SAN JOSE
ASSOCIATION OF AZ FOOD BANKS
ASU FOUNDATION
AUGUSTA MILITARY ACADEMY
AUSTIN AFFILIATE OF SUSAN G
AUSTIN MAYORS COMMITTEE FOR
AUTISM SPEAKS INC
AUTISM SPEAKS PACIFIC NW
BAGSPEAK INC
BALLARD BOYS AND GIRLS CLUB
BAY AREA CRISIS NURSERY
BAY CLINIC INC
BAYLOR HLTH CARE SYSTEM FNDTN
(b) EIN
(c) IRC section if
applicable
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
(d) Amount of
cash grant
10,468.31
15,000.00
5,000.00
10,000.00
25,000.00
5,000.00
5,000.00
25,000.00
25,568.85
6,000.00
15,000.00
10,000.00
5,000.00
9,000.00
5,000.00
142,950.26
97,102.66
26,087.86
5,000.00
89,058.00
15,500.00
5,000.00
80,401.00
15,000.00
10,000.00
5,000.00
10,000.00
5,000.00
5,000.00
5,000.00
50,000.00
10,000.00
15,000.00
6,250.00
75,000.00
5,000.00
5,000.00
8,005.60
12,500.00
5,000.00
100,000.00
(e) Amont of non-cash
assistance
(f) Method of
valuation
(g) Description of
non-cash assistance
(h) Purpose of
grant or
assistance
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
1 of 11
THE SAFEWAY FOUNDATION
Form 990
2013
FEIN : 91-2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the United States.
1(a) Name of organizations or government
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
BERKELEY FOOD & HOUSING PROJEC
BERKELEY REPERTORY THEATRE
BEST BUDDIES
BIG BROS BIG SISTERS BAY AREA
BIG BROTHERS BIG SISTERS
BISBEE ROTARY CHARITIES
BLACK HILLS AREA CMMTY FNDTN
BLUE RIDGE AREA FOOD BANK
BONNIE J ADDARIO LUNG CANCER
BOULDER CMMTY HOSP FNDTN
BOUNDARY COMMUNITY HOSPITAL
BOY SCOUTS OF AMERICA
BOYS & GIRLS CL OF FARMINGTON
BREAST CANCER CONNECTIONS
BREAST CANCER DETECTION CTR
BREAST CANCER EMERGENCY FUND
BRIAN GRANT FOUNDATION
BRING ME A BOOK FOUNDATION
CA SHAKESPEARE THEATRE
CA TRANSPLANT DONOR NETWORK
CAMP FIRE USA
CAMP KOREY
CAMP LAUREL FNDTN INC
CANCER CARE INC
CANCER LIFELINE
CANCER RESOURCE CENTER OF
CANCER SUPPORT COMMUNITY
CAPITAL AREA FOOD BANK
CAREER AND RECOVERY RESOURCES
CARSON TAHOE REGIONAL
CENTRAL WA HOSPITAL HOMECARE S
CHALLENGERS BOYS & GIRLS CLUB
CHICAGO WHITE SOX CHARITIES
CHICANO LATINO YOUTH
CHILD ABUSE PREVENTION
CHILDRENS CENTER
CHILDRENS HEALTH FUND
CHILDRENS HOSP & RESEARCH CTR
CHILDRENS HOSPITAL
CHILDRENS MEDICAL FNDTN OF TX
CHINESE CMMTY HEALTH RESOURCE
(b) EIN
(c) IRC section if
applicable
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
(d) Amount of
cash grant
5,000.00
5,000.00
20,000.00
15,000.00
43,459.73
5,000.00
5,000.00
6,618.95
50,000.00
10,000.00
5,500.00
20,200.00
156,985.58
10,000.00
80,000.00
65,000.00
25,000.00
5,000.00
9,000.00
6,000.00
55,000.00
31,919.45
10,000.00
25,000.00
7,500.00
10,000.00
25,000.00
73,162.38
6,250.00
10,000.00
15,516.87
5,000.00
10,000.00
15,000.00
5,000.00
10,000.00
50,000.00
250,000.00
100,000.00
189,431.47
64,332.00
(e) Amont of non-cash
assistance
(f) Method of
valuation
(g) Description of
non-cash assistance
(h) Purpose of
grant or
assistance
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
2 of 11
THE SAFEWAY FOUNDATION
Form 990
2013
FEIN : 91-2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the United States.
1(a) Name of organizations or government
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
CITIZENS DEVELOPMENT CENTER
CLACKAMAS CNTY SHERIFFS OFFICE
CLINIC BY THE BAY
CMC FNDTN OF CENTRAL TX
CMMTY COUNCIL OF GRTR DALLAS
CO INST OF DEV PEDIATRICS INC
COLLEGE SUCCESS FOUNDATION
COLORADO SPRINGS AFFILIATE
COMMONWEALTH CLUB OF CA
COMMUNITY FOOD BANK
COMMUNITY HEALTH PRTRSHIP INC
COMMUNITY HOSPITAL FNDTN
COMMUNITY PARTNERS FBO FARMER
COMMUNITY SENIORSERV INC
COMPANIONS FOR HEROES
CONGRESSIONAL HUNGER CENTER
CONTRA COSTA REG HEALTH FNDTN
CONVALESCENT AID SOCIETY
COOK CHILDRENS HEALTH FNDTN
CORNERSTONE SERVICES INC
COUNTRYSIDE ASSN FOR PEOPLE
CROHNS & COLITIS FNDTN OF AMER
CROSSROADS MINISTRY
CTR FOR COMMUNITY COUNSELING
CYSTIC FIBROSIS FOUNDATION
DALLAS COUNTY AFFILIATE
DELTA MEMORIAL HOSPITAL FNDTN
DENVER POST PEDAL THE PLAINS B
DISABILITY RIGHTS ADVOCATES
DOERNBECHERS CHILDREN HOSPITAL
DREAMCATCHERS EMPOWERMENT NETW
EARLE BAUM CTR OF THE BLIND IN
EAST BAY INNOVATIONS
EASTER SEALS INC
EDEN I & R
EMERGENCY SHELTER PROGRAM
ENLOE REGIONAL CANCER CTR
ENTERTAINMENT IND FNDTN
EXECUTIVE LEADERSHIP FNDTN
FAMILY BUILDING BLOCKS
FAMILY UNIFICATION SERVICES
(b) EIN
(c) IRC section if
applicable
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
(d) Amount of
cash grant
6,250.00
6,000.00
10,000.00
35,742.22
10,000.00
5,000.00
10,000.00
18,000.00
10,000.00
13,600.00
10,000.00
25,000.00
5,000.00
5,000.00
10,000.00
10,000.00
96,056.00
5,000.00
47,212.61
5,000.00
5,000.00
5,000.00
5,324.00
5,000.00
20,000.00
75,000.00
10,000.00
15,000.00
5,000.00
45,000.00
10,000.00
5,000.00
10,000.00
6,957,638.97
5,000.00
5,000.00
10,000.00
1,300,000.00
25,000.00
5,000.00
5,000.00
(e) Amont of non-cash
assistance
(f) Method of
valuation
(g) Description of
non-cash assistance
(h) Purpose of
grant or
assistance
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
3 of 11
THE SAFEWAY FOUNDATION
Form 990
2013
FEIN : 91-2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the United States.
1(a) Name of organizations or government
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
FANS ACROSS AMERICA
FIND FOOD BANK
FIREFIGHTERS QUEST FOR BURN
FIRST PLACE FOR YOUTH
FIT KIDS FOUNDATION
FLAGSTAFF MEDICAL CENTER
FND OF THE NATL INST OF HEALTH
FNDTN FOR PRIVATE ENTRPRS EDU
FOOD FOR FAMILIES FUND
FOOD SHARE VENTURA
FOOTHILL UNITY CENTER
FOUNDATION FOR MONTEREY CNTY
FRAMELINE
FRED HUTCHINSON CANCER RSRCH C
FREE ARTS OF ARIZONA
FRESH START SURGICAL GIFTS
FRIENDS OF THE CHILDREN
FULL CIRCLE OF LAKE CNTY INC
GARYS PLACE FOR KIDS
GOODWILL IND OF THE CHESAPEAKE
GOODWILL INDUSTRIES
GREATER BAY AREA MAKE A WISH
GREATER SEATTLE CARES
GREATER WASHINGTON URBAN
GRTR CHICAGO FOOD DEPOSITORY
GW MOBILE MAMMOGRAPHY PROGRAM
HABITAT FOR HUMANITY
HAPPY HATS FOR KIDS
HARRINGTON FAMILY FOUNDATION
HATCH CHILE SALES
HAWAII CMMTY FNDTN
HEAL THE BAY
HEALTH WORKS FOR N VA
HEALTHCARE TR OF MAMMOTH LAKES
HEARTS WITH A MISSION
HISPANAS ORGANIZED FOR
HORSES HELP
HOSP CMMTE FOR THE LIVERMORE
HOSPICE FRIENDS
HOSPICE OF SPOKANE
HOUSEWARES CHARITY FNDTN
(b) EIN
(c) IRC section if
applicable
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
(d) Amount of
cash grant
5,000.00
14,000.00
5,000.00
10,000.00
5,000.00
31,768.00
650,000.00
10,000.00
5,000.00
5,600.00
10,000.00
5,000.00
5,000.00
52,232.48
5,000.00
15,000.00
5,000.00
35,000.00
5,000.00
10,000.00
15,000.00
10,000.00
5,000.00
20,000.00
10,000.00
50,000.00
51,500.00
10,000.00
25,000.00
26,372.00
9,000.00
5,000.00
70,000.00
11,129.00
5,000.00
10,000.00
6,000.00
25,000.00
5,568.71
18,536.18
5,000.00
(e) Amont of non-cash
assistance
(f) Method of
valuation
(g) Description of
non-cash assistance
(h) Purpose of
grant or
assistance
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
4 of 11
THE SAFEWAY FOUNDATION
Form 990
2013
FEIN : 91-2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the United States.
1(a) Name of organizations or government
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
HOUSING HOPE
HOYT FOUNDATION INC
HUMANE SOCIETY
HUMBOLDT COMMUNITY BREAST
IMUA FAMILY SERVICES
INCIGHT COMPANY
INNER CITY LAW CENTER
INNOVATIVE SERVICES NW
INTL COUNCIL OF SHOPPING CTRS
ITALIAN AMERICAN MUSEUM OF
JACOBS & CUSHMAN SAN DIEGO
JDRF
JDRF INLAND NW BRANCH
JEFFERSON AWARDS FOR PUBLIC
JEWISH COMMUNITY CENTER OF SAN
JEWISH FAMILY SVCS OF
JOHN MUIR HEALTH
JOHNS HOPKINS SIDNEY KIMMEL
JONSSON CANCER CENTER FNDTN
JOSEPHS JOURNEY
JR ACHIEVEMENT OF NORTHERN CA
JUMPSTART SEATTLE
JVS CHICAGO
KENNEDY KRIEGER INSTITUTE
KEX KIDS FUND
KITCHEN ON THE STREET INC
KOHL CHILDRENS MUSEUM
KRISTI YAMAGUCHIS ALWAYS
KURT WARNER FIRST THINGS FIRST
LA CLINICA DE LA RAZA INC
LATINA BREAST CANCER AGENCY
LATINAS CONTRA CANCER
LEAGUE OF VOLUNTEERS
LEND A HAND FOUNDATION INC
LEUKEMIA & LYMPHOMA SOCIETY
LIFELONG AIDS ALLIANCE
LIGHTHOUSE FOR THE BLIND
LINCOLN CHILD CENTER
LINKAGES OF ARIZONA
LITERACY CNCL OF NORTH VA INC
LITTLE PEOPLE OF AMERICA
(b) EIN
(c) IRC section if
applicable
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
(d) Amount of
cash grant
17,942.99
10,000.00
10,000.00
10,000.00
5,000.00
25,000.00
7,500.00
10,000.00
7,000.00
5,000.00
14,000.00
6,684.00
15,960.59
35,000.00
5,000.00
5,000.00
25,000.00
514,841.00
450,000.00
5,142.00
20,000.00
5,000.00
5,000.00
5,000.00
10,000.00
5,000.00
50,000.00
10,000.00
50,000.00
67,127.00
10,000.00
10,000.00
5,600.00
5,000.00
97,641.13
5,000.00
5,000.00
11,500.00
5,000.00
5,000.00
5,000.00
(e) Amont of non-cash
assistance
(f) Method of
valuation
(g) Description of
non-cash assistance
(h) Purpose of
grant or
assistance
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
5 of 11
THE SAFEWAY FOUNDATION
Form 990
2013
FEIN : 91-2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the United States.
1(a) Name of organizations or government
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
LIVERMORE VALLEY WINEGROWERS
LOAVES & FISHES CONTRA COSTA
LODI CANCER KIDS INC
LOS ANGELES GAY AND LESBIAN
LOS ANGELES REGIONAL FOOD BANK
LOS ANGELES REGIONAL FOOD BANK
LOWER VALLEY HOSPICE
LUNG CANCER ALLIANCE
LUNGEVITY FOUNDATION
LYNN SAGE CANCER RESEARCH FNDT
M D ANDERSON CANCER CENTER
MAITRI
MAITRI COMPASSIONATE CARE
MAKE A WISH FNDTN OF OREGON
MAKE A WISH FOUNDATION
MAKE A WISH FOUNDATION OF IL
MARCH OF DIMES FNDTN
MARRIOTT FOUNDATION FOR PEOPLE
MARYLAND FOOD BANK
MAXFUND INC
MAYVIEW COMMUNITY HEALTH CTR
MCKEE MEDICAL CTR FNDTN
MEALS ON WHEELS
MEMORIAL FOUNDATION
MEND
MENTAL HEALTH FOR CHILDREN INC
MENTORING & PARTNERSHIP FOR
MERCY FOUNDATION NORTH
MERCY HOME FOR BOYS AND GIRLS
MERITUS COLLEGE FUND
METHODIST HOSPITAL FNDTN
MIDNIGHT MISSION
MILLS PENINSULA HOSPITAL
MISERICORDIA HOME
MONTANA BREAST & CERVICAL
MUSCULAR DYSTROPHY ASSOC
N BAY CANCER ALLIANCE
N E MEDICAL SERVICES
N TEXAS AFFILIATE OF SUSAN G
NATIONAL AIDS MEMORIAL GROVE
NATIVIDAD MEDICAL FOUNDATION
(b) EIN
(c) IRC section if
applicable
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
(d) Amount of
cash grant
10,000.00
5,000.00
5,000.00
5,000.00
8,400.00
10,000.00
19,466.68
10,000.00
5,000.00
118,000.00
300,000.00
5,000.00
5,000.00
10,000.00
54,985.88
6,000.00
10,000.00
9,500.00
26,916.45
5,827.00
5,000.00
5,000.00
35,000.00
22,949.74
5,000.00
5,000.00
5,000.00
15,000.00
10,000.00
7,500.00
5,000.00
30,000.00
25,300.00
5,000.00
9,126.00
5,125,393.59
10,160.00
60,000.00
15,000.00
10,000.00
5,000.00
(e) Amont of non-cash
assistance
(f) Method of
valuation
(g) Description of
non-cash assistance
(h) Purpose of
grant or
assistance
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
6 of 11
THE SAFEWAY FOUNDATION
Form 990
2013
FEIN : 91-2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the United States.
1(a) Name of organizations or government
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
NATUREBRIDGE
NEEDIEST KIDS
NETWORK FOR TEACHING
NEVADA HEALTH CENTERS INC
NEW CHILDRENS MUSEUM
NEW DAY FOR CHILDREN
NEW HORIZONS
NORTH COUNTY HEALTH SERVICES
NORTHERN CA COMPASSION NETWK
NORTHERN IL FOOD BANK
NORTHWEST CENTER
NORTHWEST FILM CENTER
NORTHWEST HARVEST
NORTHWEST KIDNEY CENTERS
NRD SEATTLE PETTY OFFICERS ASS
NSHMBA
OAKLAND SCHOOL FOR THE ARTS
OHSU KNIGHT CANCER INSTITUTE
OLIVE CREST
OMEGA PSI PHI SIGMA IOTA
OMF
OR CHILDRENS FNDTN
ORANGE CNTY MENTORS FOR YOUTH
OREGON FOOD BANK
OREGON SCHOOL ACTIVITIES ASSN
OREGON SYMPHONY ASSN
OUR MILITARY KIDS
PACIFIC CANCER FOUNDATION
PALISADES MALIBU YMCA
PALO ALTO MEDICAL FNDTN
PALO ALTO MEDICAL FNDTN
PAPA OLA LOKAHI
PARA LOS NINOS
PARTNERS FOR A HUNGER FREE OR
PARTNERSHIP FOR LA SCHOOLS
PASADENA YOUTH CENTER
PAWS
PEDIATRIC ADOLESCENT DIABETES
PEOPLE FOR PEOPLE
PHOENIX RESCUE MISSION
PIH HEALTH FNDTN
(b) EIN
(c) IRC section if
applicable
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
(d) Amount of
cash grant
10,000.00
5,000.00
5,000.00
300,000.00
15,000.00
5,000.00
10,000.00
7,500.00
5,000.00
8,080.00
10,000.00
10,000.00
164,454.96
6,000.00
17,942.99
5,000.00
10,000.00
10,000.00
7,500.00
5,000.00
10,000.00
5,000.00
5,000.00
90,000.00
25,000.00
5,000.00
10,000.00
20,000.00
10,000.00
20,000.00
83,331.00
10,000.00
10,000.00
15,000.00
15,000.00
10,000.00
5,000.00
5,000.00
10,000.00
6,000.00
74,929.00
(e) Amont of non-cash
assistance
(f) Method of
valuation
(g) Description of
non-cash assistance
(h) Purpose of
grant or
assistance
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
7 of 11
THE SAFEWAY FOUNDATION
Form 990
2013
FEIN : 91-2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the United States.
1(a) Name of organizations or government
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
PLEASANTON PARTNERSHIPS IN EDU
POSITIVE IMPACT FOR KIDS
POSITIVE NETWORK ALLIANCE
PRIDE INDUSTRIES
PROJECT ANGEL FOOD
PROJECT NIGHT NIGHT
PROJECT OPEN HAND
PROJECT SISTER FAMILY SRVCS
PROSTATE CANCER FOUNDATION
PROVIDENCE GENERAL FNDTN
PROVIDENCE LITTLE COMPANY OF
PRS INC
PUBLIC COUNSEL
PUENTE LEARNING CENTER
PUJOLS FAMILY FOUNDATION
QUAD EXPRESS PRINTING INC
QUANTUM LEAP
REBUILDING TOGETHER
RELIEF NURSERY
RESCUE MISSION
RONALD MCDONALD HOUSE
RONALD MCDONALD HSE CHARITIES
ROSE THE
RSDSA
S CO DEV DISABILITIES SVCS INC
SACRED HEART COMMUNITY SVC
SAFEWAY INC
SALVATION ARMY
SAN FRANCISCO COMMUNITY CLINIC
SAN FRANCISCO FOOD BANK
SAN FRANCISCO PRIDE PARADE
SAN FRANCISCO ZOOLOGICAL SCTY
SANDRA J WING
SAVE THE BILL BUTLER & JULIUS
SCAN OF NORTHERN VIRGINIA
SCHOOLS OUT WASHINGTON
SCHWAB REHABILITATION HOSPITAL
SEATTLE CHILDRENS HOSP FNDTN
SEATTLE CHILDRENS RESEARCH INS
SEATTLE GOODWILL INDS
SECOND HARVEST FOOD BANK OF
(b) EIN
(c) IRC section if
applicable
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
(d) Amount of
cash grant
7,500.00
5,000.00
5,335.00
9,000.00
5,000.00
5,000.00
20,000.00
5,000.00
6,200,000.00
50,000.00
85,630.00
5,000.00
75,000.00
5,000.00
15,000.00
70,298.24
881,250.00
225,000.00
5,000.00
45,799.08
10,002.47
10,000.00
79,777.00
25,000.00
5,000.00
10,000.00
123,338.00
9,500.00
5,000.00
10,000.00
16,000.00
5,000.00
5,000.00
10,000.00
5,000.00
10,000.00
10,000.00
80,843.04
99,999.00
10,000.00
34,000.00
(e) Amont of non-cash
assistance
(f) Method of
valuation
(g) Description of
non-cash assistance
(h) Purpose of
grant or
assistance
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
8 of 11
THE SAFEWAY FOUNDATION
Form 990
2013
FEIN : 91-2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the United States.
1(a) Name of organizations or government
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
SECOND OPINION
SENIOR GLEANERS INC
SENIOR SERVICES
SENTINELS OF FREEDOM
SF AIDS FNDTN
SF BAY AREA AFF OF THE SUSAN G
SHANTI
SHEPHERDS GATE
SHOES THAT FIT
SHRINERS HOSP FOR CHILDREN
SIFF
SIGHTLIFE
SILICON VALLEY INDEPENDENT
SILVERTON AREA CMMTY AID INC
SISTERS OF THE ROAD INC
SKAGIT VALLEY HOSP BREAST INST
SNOHOMISH CNTY CASA VGAL PROG
SOUTHERN CA LEADERSHIP NETWK
SPARROW CLUBS USA
SPECIAL KIDS SPECIAL FAMILIES
SPECIAL OLYMPICS INC
SPECTRUM COMMUNITY SERVICES
ST ELIZABETHS DAY HOME
ST MARYS COLLEGE OF CA
ST MARYS FOOD BANK ALLIANCE
ST VINCENT DE PAUL SOC OF SF
STAND UP TO CANCER
SUMMIT BANK FOUNDATION
SUNFLOWER BAKERY
SUNSHINE DIVISION
SUPERIOR CATERING BY M&M
SUSAN G KOMEN BREAST CANCER
SUSAN G KOMEN FOR THE CURE
SUSAN G KOMEN FOUNDATION
SUSAN G KOMEN GREATER FT WORTH
SUSAN G KOMEN N NV AFFILIATE
SUTTER PACIFIC MEDICAL FNDTN
SWEET HOME ECONOMIC DVLPMNT GR
SWEETWATER SCHOOL
SWORDS TO PLOWSHARES
TACOMA GOODWILL
(b) EIN
(c) IRC section if
applicable
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
(d) Amount of
cash grant
5,000.00
7,500.00
5,000.00
16,000.00
10,000.00
50,000.00
15,500.00
10,000.00
10,000.00
17,050.75
25,000.00
30,000.00
5,000.00
7,000.00
5,000.00
63,779.00
10,000.00
11,500.00
8,120.00
5,000.00
2,200,182.99
5,000.00
5,000.00
10,000.00
18,500.00
54,194.63
2,568,069.00
5,000.00
7,500.00
19,000.00
8,130.00
60,000.00
40,000.00
114,500.00
15,000.00
7,000.00
10,000.00
5,000.00
5,049.00
20,000.00
5,000.00
(e) Amont of non-cash
assistance
(f) Method of
valuation
(g) Description of
non-cash assistance
(h) Purpose of
grant or
assistance
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
9 of 11
THE SAFEWAY FOUNDATION
Form 990
2013
FEIN : 91-2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the United States.
1(a) Name of organizations or government
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
TAHOE FOREST HEALTH SYS FNDTN
TARGET HOPE
TAYLOR FAMILY FOUNDATION
TEACH FOR AMERICA BAY AREA
TELACU EDUCATION FOUNDATION
TEXANA CENTER
TEXAS CHILDRENS HOSPITAL
THERASURF
THREE SQUARE FOOD BANK
TLC THE TREATMENT AND LEARNING
TOUCH OF UNDERSTANDING
TREE MUSKETEERS
TREVOR PROJECT
TRI CITIES CHAPLAINCY
TRI VALLEY SOCKS
U OF CA BERKELEY SCH OF PUBLIC
UC DAVIS
UC DAVIS CANCER CENTER
UC SAN DIEGO MOORES CANCER CTR
UCI
UCSF
UCSF BREAST CARE CENTER
UCSF FOUNDATION
UCSF MEDICAL CENTER
UCSF PROGRAM MGMT
UMBRELLA FOR LIFE
UMOM NEW DAY CENTERS INC
UMPQUA CMMTY DEV CORP
UNITED NEGRO COLLEGE FUND INC
UNITED PHX FIRE FIGHTERS ASSN
UNITED RESEARCH & EDU FNDTN
UNIV OF CO HOSPTIAL FNDTN
UNIVERSITY OF SAN FRANCISCO
UPWARDLY GLOBAL
US BANK
US SOCCER FEDERATION FNDTN
USC NORRIS COMPREHENSIVE
UW FNDTN UW MEDICINE
VAIL VETERANS FNDTN
VALLEY MONTESSORI SCHOOL
VANGUARD CANCER FOUNDATION
(b) EIN
(c) IRC section if
applicable
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
(d) Amount of
cash grant
10,000.00
5,000.00
5,000.00
12,000.00
10,000.00
6,250.00
86,184.24
17,000.00
5,600.00
5,000.00
10,000.00
5,000.00
5,000.00
9,810.01
7,500.00
70,965.00
267,000.00
128,000.00
450,000.00
267,000.00
405,000.00
1,075,000.00
3,000,000.00
30,000.00
1,224,000.00
26,300.00
5,000.00
5,000.00
30,500.00
250,000.00
26,250.00
25,000.00
10,000.00
5,000.00
6,690.00
100,000.00
60,000.00
75,000.00
25,000.00
5,000.00
7,500.00
(e) Amont of non-cash
assistance
(f) Method of
valuation
(g) Description of
non-cash assistance
(h) Purpose of
grant or
assistance
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
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THE SAFEWAY FOUNDATION
Form 990
2013
FEIN : 91-2144510
Schedule I Grants and Other Assistance to Organizations and Governments in the United States.
1(a) Name of organizations or government
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VERNONIA EDUCATION FNDTN
VETERANS UPWARD BOUND
VISITING NURSES FOUNDATION
VOLUNTEERS OF AMERICA
VOLUNTEERS OF AMERICA OF IL
WALLA WALLA COMMUNITY HOSPICE
WALNUT CREEK LIBRARY FNDTN
WALTER AND CONNIE PAYTON FNDTN
WARREN FUTURE BUSINESS LEADERS
WELD FOOD BANK
WEST VALLEY BOYS & GIRLS CLUB
WESTSIDE HEALTH AUTHORITY
WHITMAN WALKER HEALTH
WILDLAND FIREFIGHTER FNDTN
WOMENCARE
WOMENS CANCER RESOURCE CTR
WOMENS INITIATIVE FOR SELF
YAKIMA VALLEY MEMORIAL HOSP
YMCA OF METROPOLITAN CHICAGO
YWCA
YWCA EVANSTON NORTH SHORE
YWCA OF GREATER PORTLAND
YWCA OF WALLA WALLA
ZERO BREAST CANCER
(b) EIN
(c) IRC section if
applicable
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
Upon request
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
501(c)(3)
(d) Amount of
cash grant
10,000.00
10,000.00
5,540.03
16,800.00
10,000.00
10,905.07
5,000.00
5,000.00
5,000.00
5,324.00
10,000.00
75,000.00
5,000.00
10,000.00
10,000.00
10,000.00
10,000.00
71,120.00
7,000.00
29,004.95
5,000.00
5,000.00
6,414.96
15,000.00
(e) Amont of non-cash
assistance
(f) Method of
valuation
(g) Description of
non-cash assistance
(h) Purpose of
grant or
assistance
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
Program services
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