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 />
Central Cali<strong>for</strong>nia<br />
<strong>Foundation</strong><br />
Non-pr<strong>of</strong>it, non-foundation<br />
02/18/09<br />
MiVIA de Salud Pilot<br />
P j t<br />
$16,666.00<br />
Central City Community<br />
Health Center<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 />
Central Valley General<br />
Hospital<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/01/09<br />
CHAIPI Phase II<br />
$10,000.00<br />
Central Valley Health<br />
Network, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
11/19/09<br />
<strong>2009</strong> Clinic Fiscal Health<br />
Initiative<br />
$123,418.00<br />
Centro de Salud de la<br />
Communidad de San<br />
Ysidro,<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 />
Chapa-De Indian Health<br />
Program, Inc.<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 />
Chico Feminist Women's<br />
Health Center, dba,<br />
Women's<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/04/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$30,000.00<br />
Children's Health Initiative<br />
<strong>of</strong><br />
Non-pr<strong>of</strong>it, non-foundation<br />
05/14/09<br />
<strong>2009</strong> Healthy Kids<br />
Premium<br />
$50,388.00<br />
Chinatown Service Center<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/29/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$35,000.00<br />
City Help, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/01/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$25,000.00<br />
City <strong>of</strong> Hope<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/01/09<br />
CHAIPI Phase II<br />
$12,500.00<br />
Cleaver Family Wellness<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 />
$35,000.00<br />
Clinica Msr. Oscar A.<br />
R<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/14/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$30,000.00<br />
Clinica Sierra Vista<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 />
Clinica de Salud del Valle<br />
de<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/18/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$30,000.00<br />
Clinicas de Salud del<br />
Pueblo,<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 />
Clinicas del Camino Real,<br />
I<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/18/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$30,000.00<br />
Coastal Health Alliance<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 />
College Summit, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
01/30/09<br />
College Summit Support <strong>for</strong><br />
Cali<strong>for</strong>nia Programs<br />
$5,000.00<br />
Committee <strong>for</strong> Economic<br />
Development<br />
Non-pr<strong>of</strong>it, non-foundation<br />
08/13/09<br />
Business Champions <strong>for</strong><br />
Cali<strong>for</strong>nia Health Care<br />
Re<strong>for</strong>m<br />
$135,331.00<br />
Committee <strong>for</strong> Economic<br />
Development<br />
Non-pr<strong>of</strong>it, non-foundation<br />
01/13/09<br />
Business Champions <strong>for</strong><br />
Cali<strong>for</strong>nia Health Care<br />
Re<strong>for</strong>m<br />
$135,332.00<br />
CommuniCare 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 />
Community Action<br />
Partnership <strong>of</strong> Kern<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 />
Community Action<br />
Partnership <strong>of</strong> Madera<br />
County, 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 />
Community Action<br />
Partnership <strong>of</strong> San Luis<br />
Obispo County, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/18/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$30,000.00<br />
Page 6 <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'.