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IRS Form 990-PF for 2009 - Blue Shield of California Foundation

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Schedule B (<strong>Form</strong> <strong>990</strong>, <strong>990</strong>-EZ, or <strong>990</strong>-<strong>PF</strong>) (<strong>2009</strong>) Page <strong>of</strong> <strong>of</strong> Part II<br />

Name <strong>of</strong> organization<br />

Employer identification number<br />

CALIFORNIA PHYSICIANS' SERVICE FDN<br />

(DBA BLUE SHIELD OF CALIFORNIA FDN) 94-2822302<br />

1 1<br />

Part II<br />

Noncash Property<br />

(see instructions)<br />

(a)<br />

No.<br />

from<br />

Part I<br />

1<br />

STOCK PORTFOLIO<br />

SEE ATTACHMENT C<br />

(b)<br />

Description <strong>of</strong> noncash property given<br />

(c)<br />

FMV (or estimate)<br />

(see instructions)<br />

(d)<br />

Date received<br />

$<br />

24,864,623. VARIOUS<br />

(a)<br />

No.<br />

from<br />

Part I<br />

(b)<br />

Description <strong>of</strong> noncash property given<br />

(c)<br />

FMV (or estimate)<br />

(see instructions)<br />

(d)<br />

Date received<br />

$<br />

(a)<br />

No.<br />

from<br />

Part I<br />

(b)<br />

Description <strong>of</strong> noncash property given<br />

(c)<br />

FMV (or estimate)<br />

(see instructions)<br />

(d)<br />

Date received<br />

$<br />

(a)<br />

No.<br />

from<br />

Part I<br />

(b)<br />

Description <strong>of</strong> noncash property given<br />

(c)<br />

FMV (or estimate)<br />

(see instructions)<br />

(d)<br />

Date received<br />

$<br />

(a)<br />

No.<br />

from<br />

Part I<br />

(b)<br />

Description <strong>of</strong> noncash property given<br />

(c)<br />

FMV (or estimate)<br />

(see instructions)<br />

(d)<br />

Date received<br />

$<br />

(a)<br />

No.<br />

from<br />

Part I<br />

(b)<br />

Description <strong>of</strong> noncash property given<br />

(c)<br />

FMV (or estimate)<br />

(see instructions)<br />

(d)<br />

Date received<br />

923453 02-01-10<br />

$<br />

Schedule B (<strong>Form</strong> <strong>990</strong>, <strong>990</strong>-EZ, or <strong>990</strong>-<strong>PF</strong>) (<strong>2009</strong>)<br />

16<br />

09011109 794095 155930.0 <strong>2009</strong>.04050 CALIFORNIA PHYSICIANS' SERV 15593001

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