18.03.2015 Views

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

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

TAX RETURN FILING INSTRUCTIONS<br />

FORM <strong>990</strong>-<strong>PF</strong><br />

FOR THE YEAR ENDING<br />

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

December 31, <strong>2009</strong><br />

Prepared <strong>for</strong><br />

Prepared by<br />

Amount due<br />

or refund<br />

Make check<br />

payable to<br />

Mail tax return<br />

and check (if<br />

applicable) to<br />

Return must be<br />

mailed on<br />

or be<strong>for</strong>e<br />

Special<br />

Instructions<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 />

50 Beale Street, Fourteenth Floor<br />

San Francisco, CA 94105<br />

Burr Pilger Mayer, Inc.<br />

2000 University Ave, Suite 201<br />

E. Palo Alto, CA 94303<br />

An overpayment <strong>of</strong> $44,200. The entire overpayment has been<br />

applied to the estimated tax payments.<br />

No amount is due.<br />

Department <strong>of</strong> the Treasury<br />

Internal Revenue Service Center<br />

Ogden, UT 84201-0027<br />

November 15, 2010<br />

The return should be signed and dated.<br />

900941<br />

05-20-09

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!