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 />
Grantmakers In Health<br />
Non-pr<strong>of</strong>it, non-foundation<br />
01/30/09<br />
Supporting Dialogues on<br />
Health Re<strong>for</strong>m<br />
$10,000.00<br />
Grantmakers <strong>for</strong> Children<br />
Youth and Families Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
12/02/09<br />
<strong>2009</strong>-2010 General<br />
Support<br />
$2,500.00<br />
Grantmakers <strong>for</strong> Effective<br />
Organizations<br />
Non-pr<strong>of</strong>it, non-foundation<br />
11/19/09<br />
<strong>2009</strong>-2010 General<br />
Support<br />
$20,000.00<br />
Grants Managers Network<br />
Non-pr<strong>of</strong>it, non-foundation<br />
11/19/09<br />
<strong>2009</strong>-2010 General<br />
Support<br />
$1,500.00<br />
Greater Bakersfield Legal<br />
Assistance, Inc.<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 />
Greenville Rancheria<br />
Government/tribal/public<br />
entity<br />
09/18/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$30,000.00<br />
Haight Ashbury Free<br />
Cli i<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 />
Han<strong>for</strong>d Community<br />
Medical<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/01/09<br />
CHAIPI Phase II<br />
$10,000.00<br />
Hannah Yterdal<br />
Scholarship recipient<br />
08/13/09<br />
Scholarship to<br />
Southwestern<br />
$2,000.00<br />
Hannah Yterdal<br />
Scholarship recipient<br />
12/02/09<br />
Scholarship to<br />
Southwestern<br />
$2,000.00<br />
Harbor Community Clinic<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 />
Harvard Pilgrim Health<br />
Care,<br />
Non-pr<strong>of</strong>it, non-foundation<br />
08/13/09<br />
Consolidating <strong>for</strong><br />
Implementation: A Portfolio<br />
<strong>of</strong> Comparative<br />
Effectiveness Assessments<br />
<strong>for</strong> Treatment <strong>of</strong> Localized<br />
Prostate Cancer<br />
$137,500.00<br />
Harvard Pilgrim Health<br />
Care,<br />
Non-pr<strong>of</strong>it, non-foundation<br />
01/13/09<br />
Consolidating <strong>for</strong><br />
Implementation: A Portfolio<br />
<strong>of</strong> Comparative<br />
Effectiveness Assessments<br />
<strong>for</strong> Treatment <strong>of</strong> Localized<br />
Prostate Cancer<br />
$137,500.00<br />
Haven Hills, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$15,000.00<br />
Haven House<br />
Non-pr<strong>of</strong>it, non-foundation<br />
08/13/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$10,000.00<br />
Haven Women's Center <strong>of</strong><br />
Stanislaus<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$10,000.00<br />
Health Career Connection,<br />
Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
04/15/09<br />
Intern Placement - <strong>2009</strong><br />
$13,000.00<br />
Health Plan <strong>of</strong> San Joaquin<br />
Government/tribal/public<br />
entity<br />
11/19/09<br />
<strong>2009</strong> Healthy Kids<br />
Premium<br />
$79,135.00<br />
Health Research<br />
Association,<br />
Non-pr<strong>of</strong>it, non-foundation<br />
12/30/09<br />
CHAIPI Phase II<br />
$10,000.00<br />
Health Technology Center<br />
Non-pr<strong>of</strong>it, non-foundation<br />
05/29/09<br />
<strong>2009</strong> General Support<br />
$30,000.00<br />
Health and Life<br />
Organization,<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 />
Healthy Kids, Healthy<br />
F t<br />
Non-pr<strong>of</strong>it, non-foundation<br />
05/14/09<br />
<strong>2009</strong> Healthy Kids<br />
Premium<br />
$151,732.00<br />
High Desert Domestic<br />
Violence Program, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$15,000.00<br />
Page 10 <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'.