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Return of Private Foundation P Or Section 4947(A)(1) Nonexempt Charitable Trust Treated As a Private Foundation

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Return of Private Foundation P Or Section 4947(A)(1) Nonexempt Charitable Trust Treated As a Private Foundation OMB No 1545-0052 Form 990- Return of Private Foundation P or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation Department or the Treasury Note . The organization may be able to use a copy of this return to satisfy state 2003 Interna l Revenue Service I reporting requirements For calendar ear 2003, or tax ear beginning , 2003, and ending , G Check all that app ly Initial return Final return Amended return Address chan ge Name cha Name of organization Employer identification number Use the A Isslabel . National Association of Chain Dru g stores Foundation, Inc . 51-0144922 0thBfWISC, Number and street (or P O box number if mail is not delivered to street address) Room/suite B Telephone number (see instructions) pant or type. PO Box 1417-D49 (703) 549-3001 See Specific ary or town - State ZIP code C If exemption application is pending, check here 0" I Instructions. Al exdnd r id VA 22313 D 1 Foreign organizations, check here H Check type of organization X Section 501(c)(3) exempt private foundation 2 Foreign organizations meeting the 85% test, check DO. n Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation here and attach computation El E If private foundation status was terminated I Fair market value o a assets at end of year ~ Accounting method . Cash X Accrual (from Part fl, column c, line 16) I U U under section 507(b)(1)(A), check here Other (specify) F If the foundation is in a 60-month termination ~ $ 4,862,843 . (Part l, column d must be on cash basis) under section 507(b)(1)(B), check here Part l Analysis of Revenue and (a) Revenue and (b) Net investment (c) Adjusted net (d) Disbursements Expenses (The total of amounts in expenses per books income income for charitable columns b, c, and d may not neces- purposes sanly equal the amounts in column a ) (cash basis only) (see instructions) Contributions, gifts, grants, etc, received (atl sch) 5,280,5 11 . Ck 0' a d we foundn is not req to att Sch B 2 Distributions from split-interest trusts . 3 Interest on savings and temporary cash investments 12 . 12 . 12 . 4 Dividends and interest from securities 35,796 . 35,796 . 35,796 . 5a Gross rents ' b {ncotmenoal(loss) ) 6a Net gain/(loss) from sale of assets not on line 10 b Gross sales prices for all E assets on tine 6a 7 Capital gain net income (from Part IV, line 2) 8 Net short-term capital gain 9 Income modifications 10a Grass sales less I returns and allowances i o b Less. Cost of goods sold c Gross profit/(loss) (att sch) 11 Other income (attach schedule) See Line 11 Stmt 29,885 . 12 Total. Add lines 1 through 11 5, 346, 204 . 35,808 . 35,808' 1 3 Compensation of officers, directors, trustees, etc 1 9 8 , 805 . 14 Other employee salaries and wages 399, 564 . 975,882 . 15 Pension plans, employee benefits 239, 347 . Z r°n 16a Legal fees (attach schedule) 751, 283 . 751,283 . Z N' b Accounting fees (attach sch) 11 , 025 . 11,025 . c Other prof fees (attach sch) L-16c Stmt 265, 120 . 265,120 . C ) s r 17 Interest . _~ UY," ~JA ~pj ttach s .edule) 51, U00 . 51, 00U . Cn1~ , do (a ch schedule) and depletion , N v 20 Occupan 132, 911 . 1 T~,~v, I c ences, and meetings 345,727 . 345,727 . ~2~ P~P~4 ublications 345,785 . 345,785 . x o P 23 Other ex ~~ s (attach schedule) e 23 tint 110,892 . 110,893 . Oq Feo erati g and administrative 'expenses . d lines 13 through 23 2,851,459 . 2,856,715 . 25 Contributions, gifts, grants paid 1 , 191,258 . 1 , 186,000 . 26 Total expenses and disbursements . Add lines 24 and 25 4,042,717 . 4,042,715 . 27 Subtract line 26 from line 12: a Excess of revenue over expenses and disbursements 1,303,487 . b Net investment income (if negative, enter -0-) 35, 808 . C Adjusted net income (if negative, enter ~0~) 35 , 808 . BAA For Paperwork Reduction Act Notice, see the instructions . TEEA0301 08/18/03 Form 990-PF (2003), r r Form Q90-PF (2003) National Association of Chain Dru gstores Foundation, Inc 51-0144922 Page 2 Attached schedules and amounts in the description Beginning of year End of year Part il I Ba lance Sheets column should be for end-of-year amounts only (See instructions > (a) Book Value (b) Book Value (c) Fair Market Value 7 Cash - non-interest-bearing . 2 Savings and temporary cash investments 2,590,303 . 3,805,738 . 3,805,738 . 3 Accounts receivable Less, allowance for doubtful accounts 01 4 Pledges receivable 111~ 411, 170 Less' allowance for doubtful accounts 01 188,600 . 411,170 . 411,170 .1 5 Grants receivable 6 Receivables due from officers, directors, trustees, and other disqualified persons (attach schedule) (see instructions) 7 Other notes and loans receivable (attach sch) 01 I Less, allowance for doubtful accounts s 8 Inventories for sale or use t 9 Prepaid expenses and deferred charges 23,111 . 0 . 0 . s 10a Investments - U S and state government obligations (attach schedule) L-10a Stmt 196,624 . 203,193 . 203,193 . b Investments - corporate stock (attach schedule) L-10b Stmt 244,153 . 442,742 . 442,742 . c Investments - corporate bonds (attach schedule) 11 Investments - land, buildings, and equipment : basis ----- -- ------ ------_--_ - -- - - -- - -_-_ _ _ _ _ J Less: accumulated depreciation (attach schedule) 12 Investments - mortgage loans 13 Investments - other (attach schedule) 14 Land, buildings, and equipment basis Less accumulated depreciation (attach schedule) 15 Other assets (describe 01 ) 16 Total assets (to be completed by all filers - see instructions Also, see age 1, item I) 3,242,791 . 4,862,843 . 4,862,843 . 17 Accounts payable and accrued expenses 120,653 . 340,118 . a 18 Grants payable 25 , 000 . 25,000 . b 19 Deferred revenue 169,185 . 177,000 . I 20 Loans from officers, directors, trustees, & other disqualified persons i 21 Mortgages and other notes payable (attach schedule) . i 22 Other liabilities (describe" ) e 23 Total liabilities (add lines 17 through 22) 314,838 .1 542, 118 . Organizations that follow SFAS 117, check here ~ U i and complete lines 24 through 26 and lines 30 and 31 . 4 N F 24 Unrestricted 37,953 . 3,859,614 . e u t n 25 Temporarily restricted 90,000 . 461,111 . l d 26 Permanently restricted i s B Organizations that do not follow SFAS 117, check here ~ 0 s a and complete lines 27 through 31 . e I t a 27 Capital stock, trust principal, or current funds s n 28 paid-in or capital surplus, or land, building, and equipment fund o e 29 Retained earnings, accumulated income, endowment, or other funds r s 30 Total net assets or fund balances (see instructions) 2,927,953 . 4,320,725 31 Total liabilities and net assets/fund balances (see instructions) F 3 .242,791 . 4,862,843 . Part III Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year's return) . 2,927,953 . 2 Enter amount from Part I, line 27a 1,303,487 . 3 Other increases not included inline 2(itemize) O-UnredllZed g_aln on - Investment 89,285 . 4 Add lines 1, 2, and 3 4,320 .725 . 5 Decreases not included in line 2 (itemize) 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 4,320,725 . BAA TEEA0302 08/15/03 Form 990-PF (2003) ;orm 990 ;"F (2003)" National Association of Chain Dru gstores Foundation, Inc 51-0144922 Page 3 Part IV Capital Gains and Losses for Tax on Investment Income )) How acquired (C) Date acquired (d) Date sold (a) List and describe the kind(s) of property sold (e g ,real estate, P - Purchase I (month, day, year) (month, day, year) 2-story brick warehouse, or common stock, 200 shares MLC Company) D - Donation '1a b c d e (e) Gross sales price (f) Depreciation allowed (g) Cost or other basis (h) Gain or (loss) (or allowable) plus expense of sale (e) plus (f) minus (g) a b c d e Complete only for assets showing gain in column (h and owned b the foundation on 12/31/69 (I) Gains (Column (h) (i) Fair Market Value (j) Adjusted basis (k) Excess of column (Q gain minus column (k), but not less as of 12/31/69 as of 12/31/69 over column 0), if any than -0-) or Losses (from column (h)) a b c d e I, 7 2 Capital gain net income or (net capital loss). If gain, also enter in Part line -~ If (loss), enter -0- in Part I, line 7 3 2 3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6). If gam, also enter in Part I, line 8, column (c) (see instructions) If (loss), enter -0- in Part I, line 8 ' Part V I Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income (For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.) If section 4940(d)(2) applies, leave this part blank. Was the organization liable for the section 4942 tax on the distributable amount of any year in the base period? Yes No If 'Yes,' the organization does not qualify under section 4940(e) .
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