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

More documents

Recommendations

Info

CALIFORNIA PHYSICIANS' SERVICE FDN (DBA 94-2822302 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 990-PF EXPENDITURE RESPONSIBILITY STATEMENT STATEMENT 14 PART VII-B, LINE 5C }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} GRANTEE'S NAME }}}}}}}}}}}}}} SEE ATTACHMENT E, PAGES 1 THROUGH 11 GRANTEE'S ADDRESS }}}}}}}}}}}}}}}}} SEE ATTACHMENT E GRANT AMOUNT DATE OF GRANT AMOUNT EXPENDED }}}}}}}}}}}}}} }}}}}}}}}}}}} }}}}}}}}}}}}}}} PURPOSE OF GRANT }}}}}}}}}}}}}}}} SEE ATTACHMENT E DATES OF REPORTS BY GRANTEE }}}}}}}}}}}}}}}}}}}}}}}}}}} SEE ATTACHMENT E 23 STATEMENT(S) 14 09011109 794095 155930.0 2009.04050 CALIFORNIA PHYSICIANS' SERV 15593001
CALIFORNIA PHYSICIANS' SERVICE FDN (DBA 94-2822302 }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} }}}}}}}}}} ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FORM 990-PF ELECTION UNDER REGULATIONS SECTION STATEMENT 15 53.4942(A)-3(D)(2) TO TREAT EXCESS QUALIFYING DISTRIBUTIONS AS DISTRIBUTIONS OUT OF CORPUS }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}} ELECTION UNDER REGULATIONS SECTION 53.4942(A)-3(D)(2), THE FOUNDATION HEREBY ELECTS TO TREAT CURRENT YEAR QUALIFYING DISTRIBUTIONS OUT OF CORPUS. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 24 STATEMENT(S) 15 09011109 794095 155930.0 2009.04050 CALIFORNIA PHYSICIANS' SERV 15593001
Page 1 and 2: November 9, 2010 California Physici
Page 3 and 4: TAX RETURN FILING INSTRUCTIONS FORM
Page 5 and 6: Form 990-PF (2009) Assets Liabiliti
Page 7 and 8: Form 990-PF (2009) Part VI CALIFORN
Page 9 and 10: Form 990-PF (2009) Part VII-B CALIF
Page 11 and 12: Form 990-PF (2009) Part X CALIFORNI
Page 13 and 14: CALIFORNIA PHYSICIANS' SERVICE FDN
Page 15 and 16: Form 990-PF (2009) Part XVI-A Enter
Page 17 and 18: Schedule B (Form 990, 990-EZ, or 99
Page 19 and 20: Schedule B (Form 990, 990-EZ, or 99
Page 25: CALIFORNIA PHYSICIANS' SERVICE FDN
Page 29 and 30: Form Department of the Treasury Int
Page 31 and 32: Form 8868 (Rev. 4-2009) ¥ If you a
Page 33 and 34: Blue Shield of California Foundatio
Page 63 and 64: California Physicians' Service Fdn
Page 73 and 74: Calfornia Physicians' Service Fdn (
Page 75 and 76: Form 990P- Part IX-A Summary of Dir
Page 77 and 78:
California Physicians' Service Fdn
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
TAX RETURN FILING INSTRUCTIONS CALI
Page 89 and 90:
Part II CALIFORNIA PHYSICIANS' SERV
Page 91 and 92:
Form Department of the Treasury Int
Page 93 and 94:
Form 990-PF (2009) 1a b c d e a b c
Page 95 and 96:
CALIFORNIA PHYSICIANS' SERVICE FDN
Page 97 and 98:
Form 990-PF (2009) 3 Five highest-p
Page 99 and 100:
Form 990-PF (2009) CALIFORNIA PHYSI
Page 101 and 102:
Form 990-PF (2009) 3 a CALIFORNIA P
Page 103 and 104:
Form 990-PF (2009) Part XVII CALIFO
Page 105 and 106:
Schedule B (Form 990, 990-EZ, or 99
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
FORM 990-PF Form 2220 (2009) Part I
Page 119 and 120:
Page 121 and 122:
Blue Shield of California Foundatio
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Calfornia Physicians' Service Fdn (
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
MAIL TO: Registry of Charitable Tru
Page 177 and 178:
Page 179 and 180:
Form 990-PF (2009) 1a b c d e a b c
Page 181 and 182:
Page 183 and 184:
Form 990-PF (2009) 3 Five highest-p
Page 185 and 186:
Form 990-PF (2009) CALIFORNIA PHYSI
Page 187 and 188:
Form 990-PF (2009) 3 a CALIFORNIA P
Page 189 and 190:
Form 990-PF (2009) Part XVII CALIFO
Page 191 and 192:
Page 193 and 194:
Page 195 and 196:
Page 197 and 198:
Page 199 and 200:
Page 201 and 202:
Form 8868 (Rev. 4-2009) ¥ If you a
Page 203 and 204:
Page 205 and 206:
Page 207 and 208:
Page 209 and 210:
Page 211 and 212:
Page 213 and 214:
Page 215 and 216:
Page 217 and 218:
Page 219 and 220:
Page 221 and 222:
Page 223 and 224:
Page 225 and 226:
Page 227 and 228:
Page 229 and 230:
Page 231 and 232:
Page 233 and 234:
Page 235 and 236:
Page 237 and 238:
Page 239 and 240:
Page 241 and 242:
Page 243 and 244:
Calfornia Physicians' Service Fdn (
Page 245 and 246:
Form 990P- Part IX-A Summary of Dir
Page 247 and 248:
Page 249 and 250:
Page 251 and 252:
Page 253 and 254:
Page 255 and 256:
show all

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

Create successful ePaper yourself

Delete template?

Save as template?