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

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

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CALIFORNIA PHYSICIANS' SERVICE FDN (DBA 94-2822302<br />

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}}<br />

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~<br />

FORM <strong>990</strong>-<strong>PF</strong> TAXES STATEMENT 5<br />

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}<br />

(A) (B) (C) (D)<br />

EXPENSES NET INVEST- ADJUSTED CHARITABLE<br />

DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES<br />

}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}<br />

EXCISE TAX<br />

TO FORM <strong>990</strong>-<strong>PF</strong>, PG 1, LN 18<br />

46,000.<br />

}}}}}}}}}}}}<br />

46,000.<br />

0.<br />

}}}}}}}}}}}}<br />

0.<br />

0.<br />

}}}}}}}}}}}}<br />

0.<br />

0.<br />

}}}}}}}}}}}<br />

0.<br />

~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~<br />

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~<br />

FORM <strong>990</strong>-<strong>PF</strong> OTHER EXPENSES STATEMENT 6<br />

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}<br />

(A) (B) (C) (D)<br />

EXPENSES NET INVEST- ADJUSTED CHARITABLE<br />

DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES<br />

}}}}}}}}}}} }}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}<br />

STAFF TRAINING 26,202. 0. 0. 24,627.<br />

OFFICE SUPPLIES AND EXPENSES 19,722. 0. 0. 19,423.<br />

CONTRACT STAFF<br />

TO FORM <strong>990</strong>-<strong>PF</strong>, PG 1, LN 23<br />

190,135.<br />

}}}}}}}}}}}<br />

236,059.<br />

0.<br />

}}}}}}}}}}}}<br />

0.<br />

0.<br />

}}}}}}}}}}}}<br />

0.<br />

192,648.<br />

}}}}}}}}}}}<br />

236,698.<br />

~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~<br />

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~<br />

FOOTNOTES STATEMENT 7<br />

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}<br />

FORM <strong>990</strong>-<strong>PF</strong>, PART I - CONTRIBUTIONS, GIFTS, GRANTS, ETC.,<br />

RECEIVED<br />

CONTRIBUTION OF STOCK (SEE SCHEDULE C)<br />

}}}}}}}}}}}}}<br />

TOTAL 24,864,623.<br />

~~~~~~~~~~~~~<br />

FORM <strong>990</strong>-<strong>PF</strong>, PART III - OTHER INCREASES AND DECREASES IN<br />

18<br />

STATEMENT(S) 5, 6, 7<br />

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

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