IRS Form 990-PF for 2009 - Blue Shield of California Foundation
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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<strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> Cali<strong>for</strong>nia <strong>Foundation</strong><br />
<strong>990</strong><strong>PF</strong>- Part XV 3a-Paid during the year<br />
Cali<strong>for</strong>nia Physicians' Service Fdn<br />
(dba <strong>Blue</strong> <strong>Shield</strong> <strong>of</strong> Cali<strong>for</strong>nia Fdn)<br />
FEIN: 94-2822302<br />
Attachment A<br />
Organization Legal Name<br />
<strong>Foundation</strong> Status <strong>of</strong><br />
Organization<br />
Payment Date<br />
Project Title<br />
Payment Amount<br />
Vietnamese Community <strong>of</strong><br />
Orange County, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/18/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$35,000.00<br />
Visionaries, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
12/18/09<br />
General Operating Support<br />
$20,000.00<br />
Vista Community Clinic<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/18/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$60,000.00<br />
WEAVE, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$20,000.00<br />
WOMEN ORGANIZED TO<br />
RESPOND TO LIFE<br />
THREATENING DISEASE<br />
Non-pr<strong>of</strong>it, non-foundation<br />
12/18/09<br />
General Operating Support<br />
$20,000.00<br />
Walnut Avenue Women's<br />
Center<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$5,000.00<br />
Warner Mountain Indian<br />
Health Project<br />
Government/tribal/public<br />
entity<br />
11/19/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$25,000.00<br />
Washington Hospital<br />
Healthcare Systems<br />
Government/tribal/public<br />
entity<br />
02/18/09<br />
CHAIPI Phase II<br />
$22,500.00<br />
Washington Hospital<br />
Healthcare Systems<br />
Government/tribal/public<br />
entity<br />
10/01/09<br />
CHAIPI Phase II<br />
$32,500.00<br />
Washoe Tribe <strong>of</strong> Nevada<br />
and<br />
Government/tribal/public<br />
entity<br />
11/19/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$35,000.00<br />
Watts Healthcare<br />
Corporation<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/01/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$40,000.00<br />
West Contra Costa<br />
Healthcare District<br />
Non-pr<strong>of</strong>it, non-foundation<br />
12/02/09<br />
CHAIPI Phase II<br />
$10,000.00<br />
West County Health<br />
Centers,<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/18/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$40,000.00<br />
West Oakland Health<br />
C il<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/18/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$40,000.00<br />
Western Sierra Medical<br />
Clinic,<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/18/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$25,000.00<br />
Westside Family Health<br />
Center<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/18/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$50,000.00<br />
Westside Neighborhood<br />
Clinic<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/04/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$25,000.00<br />
Wild Iris<br />
Non-pr<strong>of</strong>it, non-foundation<br />
08/13/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$20,000.00<br />
Wilmington Community<br />
Free<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/18/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$25,000.00<br />
Winters Healthcare<br />
<strong>Foundation</strong>, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/04/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$35,000.00<br />
WomanHaven, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$15,000.00<br />
Women Organized to Make<br />
Abuse Non Existent Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
08/13/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$5,000.00<br />
Women Organized to Make<br />
Abuse Non Existent Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
12/18/09<br />
Planning <strong>for</strong> an Online<br />
Domestic Violence<br />
In<strong>for</strong>mation Center<br />
$110,975.00<br />
Women's & Children's<br />
Crisis<br />
Non-pr<strong>of</strong>it, non-foundation<br />
08/13/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$10,000.00<br />
Women's Center High<br />
Desert, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$5,000.00<br />
Women's Center <strong>of</strong> San<br />
Joaquin County<br />
Non-pr<strong>of</strong>it, non-foundation<br />
08/13/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$15,000.00<br />
Women's Clinic<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/01/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$50,000.00<br />
Page 25 <strong>of</strong> 26<br />
January 26, 2010<br />
Data contained in this report was filtered on Payment Date between 01/01/09 and 12/31/09, Payment Status <strong>of</strong> 'Paid'.
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