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

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Blue Shield of California Foundation 990PF- Part XV 3a-Paid during the year California Physicians' Service Fdn (dba Blue Shield of California Fdn) FEIN: 94-2822302 Attachment A Organization Legal Name Foundation Status of Organization Payment Date Project Title Payment Amount Asian Pacific Islander Legal Outreach Non-profit, non-foundation 02/18/09 Immigrant Rights for Domestic Violence Victims $30,000.00 Asian Women's Shelter Non-profit, non-foundation 12/18/09 Executive Transition and Sustainability Project $85,000.00 Asian Women's Shelter Non-profit, non-foundation 05/29/09 Executive Transition and Sustainability Project $85,000.00 Asian Women's Shelter Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $5,000.00 Association for Professionals in Infection Control and Non-profit, non-foundation 03/26/09 APIC Targeting Zero Program $63,600.00 Association for Professionals in Infection Control and Non-profit, non-foundation 10/01/09 APIC Targeting Zero Program $63,600.00 Association of Black Foundation Executives, Inc. Non-profit, non-foundation 12/18/09 2009-2010 General Support $20,000.00 Avenal Community Health Center Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $25,000.00 Axis Community Health, I Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $30,000.00 BAART Community Healthcare Non-profit, non-foundation 10/01/09 2009 Community Clinic Initiative $30,000.00 Barlow Foundation Non-profit, non-foundation 10/01/09 CHAIPI Phase II $10,000.00 Bay Area Blacks in Philanthropy Non-profit, non-foundation 12/18/09 2009-2010 General Support $3,000.00 Bay Area Blacks in Philanthropy Non-profit, non-foundation 01/30/09 2008-2009 General Support $3,000.00 Bay Area Legal Aid Non-profit, non-foundation 01/13/09 Immigrant Rights for Domestic Violence Victims $30,000.00 Beverly Community Hospital Non-profit, non-foundation 11/19/09 CHAIPI Phase II $22,500.00 Beverly Community Hospital Non-profit, non-foundation 11/19/09 CHAIPI Phase II $32,500.00 Bienvenidos Childrens' Center, Inc. Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $25,000.00 Big Sur Health Center Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $35,000.00 Blue Star Families, Inc. Non-profit, non-foundation 04/30/09 BSF Military Family Survey 2.0 $20,000.00 Blue Star Families, Inc. Non-profit, non-foundation 12/18/09 America Joins Forces with Military Families 2010 and Military Life Issues Survey $70,000.00 Borrego Community Health Foundation Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $40,000.00 Brookside Community Health Non-profit, non-foundation 10/29/09 2009 Community Clinic Initiative $40,000.00 CALIFORNIA PACIFIC MEDICAL CENTER FOUNDATION Non-profit, non-foundation 11/19/09 Bayview Child Health C t $25,000.00 CENTER FOR HEALTHCARE DECISIONS Non-profit, non-foundation 12/18/09 General Operating Support $20,000.00 Page 3 of 26 January 26, 2010 Data contained in this report was filtered on Payment Date between 01/01/09 and 12/31/09, Payment Status of 'Paid'.
Blue Shield of California Foundation 990PF- Part XV 3a-Paid during the year California Physicians' Service Fdn (dba Blue Shield of California Fdn) FEIN: 94-2822302 Attachment A Organization Legal Name Foundation Status of Organization Payment Date Project Title Payment Amount CORA - Community Overcoming Relationship Abuse Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $20,000.00 California Association of Non Non-profit, non-foundation 02/18/09 2008-2009 General Support $1,000.00 California Association of Non Non-profit, non-foundation 12/02/09 2009-2010 General Support $1,000.00 California Center for Public Health Advocacy Non-profit, non-foundation 12/30/09 Sponsorship of the "10th Anniversary Awards Luncheon" on March 3, $5,000.00 California Family Health Council, Inc. Non-profit, non-foundation 11/19/09 2009 Clinic Fiscal Health Initiative $37,500.00 California Health Care Safety Non-profit, non-foundation 10/14/09 Safe and Efficient Electronic Prescribing Practices for the Underserved and $500,000.00 California Health Care Safety Non-profit, non-foundation 04/15/09 Safe and Efficient Electronic Prescribing Practices for the Underserved and $500,000.00 California Institute for Health Non-profit, non-foundation 02/18/09 California Healthcare- Associated Infection Prevention Initiative $63,627.50 California Institute for Health Non-profit, non-foundation 08/13/09 California Healthcare- Associated Infection Prevention Initiative $63,627.50 California Institute for Health Non-profit, non-foundation 09/04/09 California Healthcare- Associated Infection Prevention Initiative $63,627.50 California Partnership to End Non-profit, non-foundation 01/13/09 Domestic Violence Coalition $207,500.00 California Partnership to End Non-profit, non-foundation 09/04/09 Domestic Violence Coalition $207,500.00 California Primary Care Association Non-profit, non-foundation 09/18/09 Strengthening the Voice of Community Clinics $150,000.00 California Primary Care Association Non-profit, non-foundation 03/26/09 Building Capacity of Community Clinics to Care for the Uninsured $125,000.00 California Rural Indian Health Non-profit, non-foundation 12/18/09 2009 Clinic Fiscal Health Initiative $60,000.00 California Rural Legal Assistance Foundation Non-profit, non-foundation 01/13/09 Immigrant Rights for Domestic Violence Victims $30,000.00 California School Health Centers Association Non-profit, non-foundation 03/12/09 School Health Centers Capacity Building Project $100,000.00 California School Health Centers Association Non-profit, non-foundation 09/04/09 School Health Centers Capacity Building Project $100,000.00 California Society of Thoracic Non-profit, non-foundation 01/13/09 Promoting Best Practices in Cardiac Surgery and Interventional Cardiology through a Quality Improvement Collaborative $57,500.00 California Society of Thoracic Non-profit, non-foundation 08/13/09 Promoting Best Practices in Cardiac Surgery and Interventional Cardiology through a Quality Improvement Collaborative $57,500.00 Page 4 of 26 January 26, 2010 Data contained in this report was filtered on Payment Date between 01/01/09 and 12/31/09, Payment Status of 'Paid'.
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November 9, 2010 California Physici
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TAX RETURN FILING INSTRUCTIONS FORM
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Form 990-PF (2009) Assets Liabiliti
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Form 990-PF (2009) Part VI CALIFORN
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Form 990-PF (2009) Part VII-B CALIF
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Form 990-PF (2009) Part X CALIFORNI
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CALIFORNIA PHYSICIANS' SERVICE FDN
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Schedule B (Form 990, 990-EZ, or 99
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Blue Shield of California Foundatio
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TAX RETURN FILING INSTRUCTIONS CALI
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IRS Form 990-PF for 2009 - Blue Shield of California Foundation

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