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 />
Katherine T. Wertzler<br />
Scholarship recipient<br />
08/13/09<br />
Scholarship to University <strong>of</strong><br />
Washington<br />
$2,000.00<br />
Katherine T. Wertzler<br />
Scholarship recipient<br />
12/02/09<br />
Scholarship to University <strong>of</strong><br />
Washington<br />
$2,000.00<br />
Katie M. Shelly<br />
Scholarship recipient<br />
12/02/09<br />
Scholarship to Foothill<br />
College<br />
$1,500.00<br />
Katie M. Shelly<br />
Scholarship recipient<br />
08/13/09<br />
Scholarship to Foothill<br />
College<br />
$1,500.00<br />
Kene Me-Wu Family<br />
Healing<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$5,000.00<br />
Kids Come First<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 />
Kings Community Action<br />
Organization<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$5,000.00<br />
Korean Community Center<br />
<strong>of</strong><br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$5,000.00<br />
Korean Health Education<br />
In<strong>for</strong>mation and Research<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 />
LEON AND SYLVIA<br />
PANETTA INSTITUTE<br />
FOR<br />
Non-pr<strong>of</strong>it, non-foundation<br />
11/19/09<br />
General Support<br />
$20,000.00<br />
La Casa de las Madres<br />
Non-pr<strong>of</strong>it, non-foundation<br />
08/13/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$10,000.00<br />
La Clínica de la Raza, Inc.<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 />
La Cocina, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
12/30/09<br />
General Operating Support<br />
$5,000.00<br />
La Maestra Family Clinic,<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 />
Laguna Beach Community<br />
Clinic<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/04/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$50,000.00<br />
Lake Family Resource<br />
C t<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$5,000.00<br />
Lassen Family Services,<br />
I<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$5,000.00<br />
Laura's House<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$10,000.00<br />
Legal Aid <strong>Foundation</strong> <strong>of</strong><br />
Los<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 />
Lestonnac Free Clinic<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 />
Liberty Hill <strong>Foundation</strong><br />
Non-pr<strong>of</strong>it, non-foundation<br />
01/30/09<br />
Leadership Development<br />
Grant<br />
$4,000.00<br />
Lifelong Medical Care<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/01/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$30,000.00<br />
Linsey T. Huffman<br />
Scholarship recipient<br />
08/13/09<br />
Scholarship to San Joaquin<br />
Delta College<br />
$2,000.00<br />
Linsey T. Huffman<br />
Scholarship recipient<br />
12/02/09<br />
Scholarship to San Joaquin<br />
Delta College<br />
$2,000.00<br />
Livingston Community<br />
Health<br />
Non-pr<strong>of</strong>it, non-foundation<br />
02/18/09<br />
2008 Community Clinic and<br />
Consortium Core Support<br />
Initiative<br />
$25,000.00<br />
Livingston Community<br />
Health<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/04/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$25,000.00<br />
Page 13 <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'.