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 Hill Country Community Clinic Non-profit, non-foundation 09/04/09 2009 Community Clinic Initiative $35,000.00 Hispanic Foundation of Silicon Valley Non-profit, non-foundation 12/30/09 General Operating Support $15,000.00 Hispanics in Philanthropy Non-profit, non-foundation 11/19/09 2009-2010 General Support $8,000.00 Hollywood Sunset Free Cli i Non-profit, non-foundation 09/04/09 2009 Community Clinic Initiative $50,000.00 Homeless Prenatal P Non-profit, non-foundation 10/14/09 Homeless Prenatal Program $20,000.00 House of Ruth, Inc. Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $15,000.00 Human Options, Inc. Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $10,000.00 Human Response Network Inc. Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $5,000.00 Humboldt Domestic Violence Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $15,000.00 I'SOT Inc. DBA Canby Family Non-profit, non-foundation 09/04/09 2009 Community Clinic Initiative $25,000.00 Immigrant Legal Resource Center Non-profit, non-foundation 12/18/09 Ensuring Immigrant Violence Victims' Safety Using New $97,500.00 Immigrant Legal Resource Center Non-profit, non-foundation 01/13/09 Improving the Lives of Immigrant Survivors $45,000.00 Imperial Beach Community Clinic Non-profit, non-foundation 09/04/09 2009 Community Clinic Initiative $35,000.00 Independent Sector Non-profit, non-foundation 03/26/09 2008-2009 General Support $12,500.00 Independent Sector Non-profit, non-foundation 12/02/09 2009-2010 General Support $15,000.00 Indian Health Center of Santa Clara Valley Non-profit, non-foundation 09/04/09 2009 Community Clinic Initiative $35,000.00 Indian Health Council Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $35,000.00 Inland Behavioral & Health Services Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $40,000.00 Inland Empire Health Plan Health Access Government/tribal/public entity 04/30/09 2009 Healthy Kids Premium $420,138.00 Inland Empire Health Plan Health Access Government/tribal/public entity 09/18/09 Healthy Kids Program Premium Subsidy in Riverside $435,300.00 Inland Empire Health Plan Health Access Government/tribal/public entity 04/30/09 2009 Healthy Kids Premium $304,542.00 Institute for Healthcare Advancement Private Operating F d ti 09/18/09 2009 Community Clinic Initiative $35,000.00 Institute for Healthcare Improvement Non-profit, non-foundation 03/26/09 A Collaborative to Reduce Hospital-Acquired Infections in a Group of California $62,500.00 Institute for Healthcare Improvement Non-profit, non-foundation 10/01/09 A Collaborative to Reduce Hospital-Acquired Infections in a Group of California $62,500.00 Page 11 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 Integrated Healthcare Association Trade and professional associations, business leagues, and chambers of commerce 08/13/09 Examination, Identification, and Reform of New Medical Technology Value Assessment and Purchasing Practices $332,000.00 Integrated Healthcare Association Trade and professional associations, business leagues, and chambers of commerce 12/18/09 Examination, Identification, and Reform of New Medical Technology Value Assessment and Purchasing Practices $332,000.00 Interface Children Family Services Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $20,000.00 Interval House Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $20,000.00 Iraq and Afghanistan Veterans of America Foundation, Inc. Non-profit, non-foundation 09/04/09 The IAVA Military Families Initiative $125,208.00 JWCH Institute, Inc. Non-profit, non-foundation 10/14/09 2009 Community Clinic Initiative $40,000.00 Jacob G. Van Cleave Scholarship recipient 08/13/09 Scholarship to San Diego State University $2,000.00 Jacob G. Van Cleave Scholarship recipient 12/02/09 Scholarship to San Diego State University $2,000.00 Jemmott Rollins Group, Inc. For profit entity 09/04/09 An Annual Training Institute to Build Capacity in a Time of $126,662.00 Jenesse Center, Inc. Non-profit, non-foundation 08/13/09 2008 - 2010 Shelter Initiative $10,000.00 Jenesse Center, Inc. Non-profit, non-foundation 03/26/09 Statewide Data and Policy Project on Co-Occurrence of Domestic Violence and $37,500.00 Jenesse Center, Inc. Non-profit, non-foundation 08/13/09 Statewide Data and Policy Project on Co-Occurrence of Domestic Violence and $37,500.00 Jeremy S. Moore Scholarship recipient 12/02/09 Scholarship to University of California: Irvine $2,500.00 Jeremy S. Moore Scholarship recipient 08/13/09 Scholarship to University of California: Irvine $2,500.00 Jewish Family Services of Los Non-profit, non-foundation 08/13/09 2008 - 2010 Shelter Initiative $10,000.00 Johns Hopkins Bloomberg School of Public Health Non-profit, non-foundation 06/11/09 Enhancement of the online course, ¿Understanding Evidence-based Healthcare: $42,667.00 Kaiser Foundation Hospitals Non-profit, non-foundation 10/01/09 CHAIPI Phase II: Kaiser Fontana $12,500.00 Kaiser Foundation Hospitals Kaiser Foundation Hospitals Kaiser Foundation Hospitals Karuk Tribe Non-profit, non-foundation Non-profit, non-foundation Non-profit, non-foundation Government/tribal/public entity 09/18/09 10/01/09 10/01/09 10/01/09 Page 12 of 26 January 26, 2010 CHAIPI Phase II: Kaiser Vallejo CHAIPI Phase II: Kaiser Antioch CHAIPI Phase II: Kaiser South San Francisco 2009 Community Clinic Initiative Data contained in this report was filtered on Payment Date between 01/01/09 and 12/31/09, Payment Status of 'Paid'. $10,000.00 $10,000.00 $10,000.00 $40,000.00
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IRS Form 990-PF for 2009 - Blue Shield of California Foundation

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