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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 />

1736 Family Crisis Center<br />

Non-pr<strong>of</strong>it, non-foundation<br />

07/31/09<br />

2008 - 2010 Shelter<br />

Initiative<br />

$10,000.00<br />

A Safe Place<br />

Non-pr<strong>of</strong>it, non-foundation<br />

08/13/09<br />

2008 - 2010 Shelter<br />

Initiative<br />

$10,000.00<br />

All <strong>for</strong> Health, Health <strong>for</strong> All,<br />

Inc.<br />

Non-pr<strong>of</strong>it, non-foundation<br />

12/02/09<br />

<strong>2009</strong> Community Clinic<br />

Initiative<br />

$25,000.00<br />

Alliance Against Family<br />

Violence and Sexual<br />

Non-pr<strong>of</strong>it, non-foundation<br />

07/31/09<br />

2008 - 2010 Shelter<br />

Initiative<br />

$5,000.00<br />

Alliance Medical Center<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 />

Alliance Medical Center<br />

Non-pr<strong>of</strong>it, non-foundation<br />

01/13/09<br />

Health In<strong>for</strong>mation<br />

Exchange<br />

$62,500.00<br />

Alliance Medical Center<br />

Non-pr<strong>of</strong>it, non-foundation<br />

08/13/09<br />

Health In<strong>for</strong>mation<br />

Exchange<br />

$62,500.00<br />

Alliance <strong>for</strong> Rural<br />

Community<br />

Supporting Organization<br />

11/19/09<br />

<strong>2009</strong> Clinic Fiscal Health<br />

Initiative<br />

$60,490.00<br />

AltaMed Health Services<br />

Corporation<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 />

Alternatives to Domestic<br />

Violence<br />

Non-pr<strong>of</strong>it, non-foundation<br />

09/18/09<br />

2008 - 2010 Shelter<br />

Initiative<br />

$20,000.00<br />

Alternatives to Violence<br />

Non-pr<strong>of</strong>it, non-foundation<br />

07/31/09<br />

2008 - 2010 Shelter<br />

Initiative<br />

$10,000.00<br />

AmericaSpeaks<br />

Non-pr<strong>of</strong>it, non-foundation<br />

03/12/09<br />

Building Cali<strong>for</strong>nia's Civic<br />

Engagement Capacity to<br />

Catalyze Health Re<strong>for</strong>m<br />

$499,000.00<br />

AmericaSpeaks<br />

Non-pr<strong>of</strong>it, non-foundation<br />

10/14/09<br />

Building Cali<strong>for</strong>nia's Civic<br />

Engagement Capacity to<br />

Catalyze Health Re<strong>for</strong>m<br />

$499,000.00<br />

American Indian Healing<br />

Center, Inc.<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 />

Anderson Valley Health<br />

Center, 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 />

Antelope Valley Community<br />

Clinic<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 />

Antelope Valley Domestic<br />

Violence Council<br />

Non-pr<strong>of</strong>it, non-foundation<br />

07/31/09<br />

2008 - 2010 Shelter<br />

Initiative<br />

$10,000.00<br />

Arroyo Vista Family Health<br />

<strong>Foundation</strong><br />

Non-pr<strong>of</strong>it, non-foundation<br />

09/04/09<br />

<strong>2009</strong> Community Clinic<br />

Initiative<br />

$40,000.00<br />

Ashland Free Medical<br />

Cli i<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 />

Asian & Pacific Islander<br />

American Health Forum<br />

Non-pr<strong>of</strong>it, non-foundation<br />

12/18/09<br />

General Operating Support<br />

$25,000.00<br />

Asian American Pacific<br />

Islanders in Philanthropy<br />

Non-pr<strong>of</strong>it, non-foundation<br />

12/02/09<br />

<strong>2009</strong>-2010 General<br />

Support<br />

$5,000.00<br />

Asian Americans <strong>for</strong><br />

Community Involvement <strong>of</strong><br />

Santa Clara County<br />

Non-pr<strong>of</strong>it, non-foundation<br />

07/31/09<br />

2008 - 2010 Shelter<br />

Initiative<br />

$5,000.00<br />

Asian Americans <strong>for</strong><br />

Community Involvement <strong>of</strong><br />

Santa Clara County<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 />

Asian Health Services<br />

Non-pr<strong>of</strong>it, non-foundation<br />

09/04/09<br />

<strong>2009</strong> Community Clinic<br />

Initiative<br />

$40,000.00<br />

Asian Pacific American<br />

Legal<br />

Non-pr<strong>of</strong>it, non-foundation<br />

01/13/09<br />

Immigrant Rights <strong>for</strong><br />

Domestic Violence Victims<br />

$30,000.00<br />

Asian Pacific Health Care<br />

Venture, Inc.<br />

Non-pr<strong>of</strong>it, non-foundation<br />

10/01/09<br />

<strong>2009</strong> Community Clinic<br />

Initiative<br />

$60,000.00<br />

Page 2 <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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