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Not sure if this is 100% accurate, but I heard that how it works is they donate the money first, get the tax write-off and then try to hit people up at the checkouts to refund all the money after the fact. That way they get the tax break for donating the money without actually being out of pocket. I don’t know what happens if people donate more than the amount they spent, but I think I can take a reasonable guess.
I think that’s what CVS got busted doing:
https://www.fastcompany.com/90820744/cvs-asks-for-donations-at-checkout-but-are-customers-being-guilted-into-paying-the-pharmacys-debts
“according to a lawsuit filed by a New Yorker, this money is allegedly being used to repay a $10 million commitment that the pharmacy chain has already made to the ADA, unbeknownst to customers. The suit accuses CVS of engaging in fraud and violating consumer protection laws in all 50 states. In essence, it argues, CVS is guilt-tripping customers in the checkout line to reimburse its own charitable donations.”