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

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Blue Shield of California Foundation 990PF- Part XV 3a-Paid during the year California Physicians' Service Fdn (dba Blue Shield of California Fdn) FEIN: 94-2822302 Attachment A Organization Legal Name Foundation Status of Organization Payment Date Project Title Payment Amount Community Clinic Association Non-profit, non-foundation 12/02/09 2009 Clinic Fiscal Health Initiative $60,000.00 Community Clinic Association Non-profit, non-foundation 12/30/09 Cafe Host for March Budget $7,500.00 Community Foundation Sonoma County Non-profit, non-foundation 04/30/09 2009 Healthy Kids Premium $80,910.00 Community Foundation of Santa Cruz County Non-profit, non-foundation 04/30/09 2009 Healthy Kids Premium $77,520.00 Community Health Alliance of Non-profit, non-foundation 12/18/09 2009 Community Clinic Initiative $35,000.00 Community Health Center Network Non-profit, non-foundation 11/19/09 2009 Clinic Fiscal Health Initiative $100,000.00 Community Health Centers of the Central Coast, Inc. Non-profit, non-foundation 11/19/09 2009 Community Clinic Initiative $30,000.00 Community Health Clinic Ol Non-profit, non-foundation 09/04/09 2009 Community Clinic Initiative $60,000.00 Community Health Councils, Non-profit, non-foundation 12/30/09 South Los Angeles Healthcare Leadership Roundtable $100,000.00 Community Health Partnership, Inc. Non-profit, non-foundation 08/13/09 Health Information Exchange $62,500.00 Community Health Systems, Non-profit, non-foundation 10/14/09 2009 Community Clinic Initiative $40,000.00 Community Hospital of Central California Non-profit, non-foundation 11/19/09 CHAIPI Phase II: Clovis Community Medical Center $22,500.00 Community Hospital of Central California Non-profit, non-foundation 12/02/09 CHAIPI Phase II: Fresno Heart and Surgery Center $32,500.00 Community Hospital of Central California Non-profit, non-foundation 11/19/09 CHAIPI Phase II: Community $22,500.00 Community Hospital of Central California Non-profit, non-foundation 12/02/09 CHAIPI Phase II: Community $32,500.00 Community Hospital of Central California Non-profit, non-foundation 12/02/09 CHAIPI Phase II: Clovis Community Medical Center $32,500.00 Community Hospital of Central California Non-profit, non-foundation 11/19/09 CHAIPI Phase II: Fresno Heart and Surgery Center $22,500.00 Community Legal Services in Non-profit, non-foundation 01/13/09 Immigrant Rights for Domestic Violence Victims $30,000.00 Community Medical Centers, Non-profit, non-foundation 10/01/09 2009 Community Clinic Initiative $40,000.00 Community Partners Non-profit, non-foundation 01/13/09 Building Clinic Capacity for Quality in Southern California, Phase II $250,000.00 Community Resource C t Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $5,000.00 Community Service Education and Research Supporting Organization 03/26/09 SPIRIT 2009 $15,000.00 Community Solutions for Children, Families and Individuals, Inc. Non-profit, non-foundation 08/13/09 2008 - 2010 Shelter Initiative $5,000.00 Community United Against Violence Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $5,000.00 CompassPoint Nonprofit Services Non-profit, non-foundation 12/30/09 Succession Planning Elements for CCHCs $31,500.00 Page 7 of 26 January 26, 2010 Data contained in this report was filtered on Payment Date between 01/01/09 and 12/31/09, Payment Status of 'Paid'.
Blue Shield of California Foundation 990PF- Part XV 3a-Paid during the year California Physicians' Service Fdn (dba Blue Shield of California Fdn) FEIN: 94-2822302 Attachment A Organization Legal Name Foundation Status of Organization Payment Date Project Title Payment Amount CompassPoint Nonprofit Services Non-profit, non-foundation 12/30/09 An Intermediary to Implement the Blue Shield Against Violence Strong Field $195,535.00 Compton Central Health Clinic, Inc. Non-profit, non-foundation 10/01/09 2009 Community Clinic Initiative $25,000.00 Conejo Free Clinic Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $50,000.00 Consolidated Tribal Health Project, Inc. Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $25,000.00 Contra Costa Health Services Non-profit, non-foundation 03/26/09 Optimizing Health Outcomes Through Shared $116,667.00 Coppertower Family Medical Non-profit, non-foundation 09/04/09 2009 Community Clinic Initiative $35,000.00 Cornerstone Community Development Corporation Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $10,000.00 Corporate Alliance to End Partner Violence Non-profit, non-foundation 11/19/09 2009-2010 General Support $5,000.00 Cottage Health System Non-profit, non-foundation 10/01/09 CHAIPI Phase II: Santa Barbara Cottage Hospital $12,500.00 Cottage Health System Non-profit, non-foundation 10/01/09 CHAIPI Phase II: Santa Ynez $12,500.00 Cottage Health System Non-profit, non-foundation 10/01/09 CHAIPI Phase II: Goleta Valley Cottage Hospital $12,500.00 Council On Foundations, I Non-profit, non-foundation 11/19/09 2009-2010 General Support $35,000.00 County of Tulare Government/tribal/public entity 07/15/09 2009 Healthy Kids Premium $137,775.00 County of Tulare Government/tribal/public entity 09/18/09 2009 Healthy Kids Premium $137,775.00 Craigslist Foundation Non-profit, non-foundation 12/18/09 To support the new vision, strategic plan, and programmatic work of Craigslist Foundation. $25,000.00 Curry Senior Center Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $25,000.00 DOVES of Big Bear Valley, Inc. Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $10,000.00 Daniel J. Moore Scholarship recipient 08/13/09 Scholarship to California State University: Chico $2,000.00 Daniel J. Moore Scholarship recipient 12/02/09 Scholarship to California State University: Chico $2,000.00 Darin M. Camarena Health Centers, Inc. Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $40,000.00 DeafHope Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $5,000.00 Desert Sanctuary, Inc. Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $10,000.00 Domestic Violence Center of Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $10,000.00 Domestic Violence Solutions Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $15,000.00 Domestic Violence and Sexual Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $10,000.00 Page 8 of 26 January 26, 2010 Data contained in this report was filtered on Payment Date between 01/01/09 and 12/31/09, Payment Status of 'Paid'.
Page 1 and 2: November 9, 2010 California Physici
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IRS Form 990-PF for 2009 - Blue Shield of California Foundation

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