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 Northern Sierra Rural Health Non-profit, non-foundation 02/18/09 Promoting Rural Health Care Quality Through the Effective $198,231.00 Northern Sierra Rural Health Non-profit, non-foundation 02/27/09 Health Information Exchange $37,500.00 Northern Sierra Rural Health Non-profit, non-foundation 08/13/09 Health Information Exchange $37,500.00 Northern Sierra Rural Health Non-profit, non-foundation 08/13/09 Promoting Rural Health Care Quality Through the Effective $198,231.00 Northern Valley Indian Health, Inc. Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $40,000.00 Oak Valley District Hospital Non-profit, non-foundation 10/01/09 CHAIPI Phase II $10,000.00 Ocean Park Community Center Non-profit, non-foundation 08/13/09 2008 - 2010 Shelter Initiative $15,000.00 Open Door Community Health Centers Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $40,000.00 Operation Access Non-profit, non-foundation 04/30/09 2009 General Operating Support $20,000.00 Operation Care Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $5,000.00 Operation Samahan, Inc. Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $30,000.00 Operation USA Non-profit, non-foundation 05/14/09 Community Clinics Support Program - Northern California $50,000.00 Option House, Inc. Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $10,000.00 Orange County Rescue Mission Health Care Services, Inc. Non-profit, non-foundation 11/19/09 2009 Community Clinic Initiative $50,000.00 Pacific Business Group on Health Non-profit, non-foundation 04/15/09 The California Quality Collaborative: Improvement Support for Physician Groups in Lower- Performing $137,500.00 Pasadena Hospital Association, LTD Non-profit, non-foundation 10/29/09 CHAIPI Phase II $10,000.00 Peace & Joy Care Center Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $20,000.00 Peace Over Violence Non-profit, non-foundation 07/31/09 Building Healthy Teen Relationships $125,000.00 Peace Over Violence Non-profit, non-foundation 12/18/09 Building Healthy Teen Relationships $250,000.00 Petaluma Health Center Non-profit, non-foundation 12/02/09 2009 Community Clinic Initiative $40,000.00 Philanthropy Roundtable Non-profit, non-foundation 12/30/09 2009-2010 General Support $1,000.00 Pit River Health Service, I Non-profit, non-foundation 09/04/09 2009 Community Clinic Initiative $25,000.00 Placer Womens Center dba PEACE for Families Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $10,000.00 Planned Parenthood Golden Non-profit, non-foundation 09/04/09 2009 Community Clinic Initiative $30,000.00 Page 17 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 Planned Parenthood Los Angeles Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $30,000.00 Planned Parenthood Mar Monte, Inc. Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $30,000.00 Planned Parenthood Pasadena and San Gabriel Valley,Inc. Non-profit, non-foundation 10/01/09 2009 Community Clinic Initiative $25,000.00 Planned Parenthood Shasta Non-profit, non-foundation 11/19/09 2009 Community Clinic Initiative $30,000.00 Planned Parenthood of Orange and San Bernardino Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $30,000.00 Planned Parenthood of San Diego & Riverside Counties Non-profit, non-foundation 11/19/09 2009 Community Clinic Initiative $30,000.00 Planned Parenthood of Santa Barbara, Ventura and San Luis Obispo Counties, Non-profit, non-foundation 10/01/09 2009 Community Clinic Initiative $30,000.00 Plumas District Hospital Non-profit, non-foundation 10/01/09 CHAIPI Phase II $10,000.00 Plumas Rural Services, Inc. Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $10,000.00 Project HOPE - the People- To-People Health Foundation, Inc. Non-profit, non-foundation 06/11/09 Expanding Health Affairs' Focus on Medical Technology $112,500.00 Project HOPE - the People- To-People Health Foundation, Inc. Non-profit, non-foundation 08/13/09 Expanding Health Affairs' Focus on Medical Technology $112,500.00 Project Sanctuary, Inc. Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $5,000.00 Public Counsel Non-profit, non-foundation 01/13/09 Immigrant Rights for Domestic Violence Victims $30,000.00 Queenscare Family Clinics Non-profit, non-foundation 10/14/09 2009 Community Clinic Initiative $30,000.00 REDF Non-profit, non-foundation 12/30/09 General Operating Support $20,000.00 Rainbow Services, Ltd. Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $15,000.00 Ravenswood Family Health Center Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $40,000.00 Redding Rancheria Indian Health Clinic Government/tribal/public entity 09/18/09 2009 Community Clinic Initiative $50,000.00 Redwood Coast Medical Services, Inc. Non-profit, non-foundation 10/01/09 2009 Community Clinic Initiative $40,000.00 Redwood Community Health Non-profit, non-foundation 08/13/09 Health Information Exchange $37,500.00 Redwood Community Health Non-profit, non-foundation 01/13/09 Health Information Exchange $37,500.00 Redwood Community Health Non-profit, non-foundation 11/19/09 2009 Clinic Fiscal Health Initiative $62,500.00 Redwoods Rural Health Center, Inc. Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $35,000.00 Regents of the University of California (Berkeley) Non-profit, non-foundation 10/01/09 The California Healthcare- Associated Infection Prevention Initiative (CHAIPI) Program Evaluation $172,792.00 Page 18 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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Form 990-PF (2009) Part XVI-A Enter
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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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