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 />
Northern Sierra Rural<br />
Health<br />
Non-pr<strong>of</strong>it, non-foundation<br />
02/18/09<br />
Promoting Rural Health<br />
Care<br />
Quality Through the<br />
Effective<br />
$198,231.00<br />
Northern Sierra Rural<br />
Health<br />
Non-pr<strong>of</strong>it, non-foundation<br />
02/27/09<br />
Health In<strong>for</strong>mation<br />
Exchange<br />
$37,500.00<br />
Northern Sierra Rural<br />
Health<br />
Non-pr<strong>of</strong>it, non-foundation<br />
08/13/09<br />
Health In<strong>for</strong>mation<br />
Exchange<br />
$37,500.00<br />
Northern Sierra Rural<br />
Health<br />
Non-pr<strong>of</strong>it, non-foundation<br />
08/13/09<br />
Promoting Rural Health<br />
Care<br />
Quality Through the<br />
Effective<br />
$198,231.00<br />
Northern Valley Indian<br />
Health, 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 />
Oak Valley District Hospital<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/01/09<br />
CHAIPI Phase II<br />
$10,000.00<br />
Ocean Park Community<br />
Center<br />
Non-pr<strong>of</strong>it, non-foundation<br />
08/13/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$15,000.00<br />
Open Door Community<br />
Health 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 />
Operation Access<br />
Non-pr<strong>of</strong>it, non-foundation<br />
04/30/09<br />
<strong>2009</strong> General Operating<br />
Support<br />
$20,000.00<br />
Operation Care<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$5,000.00<br />
Operation Samahan, 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 />
Operation USA<br />
Non-pr<strong>of</strong>it, non-foundation<br />
05/14/09<br />
Community Clinics Support<br />
Program - Northern<br />
Cali<strong>for</strong>nia<br />
$50,000.00<br />
Option House, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$10,000.00<br />
Orange County Rescue<br />
Mission Health Care<br />
Services, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
11/19/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$50,000.00<br />
Pacific Business Group on<br />
Health<br />
Non-pr<strong>of</strong>it, non-foundation<br />
04/15/09<br />
The Cali<strong>for</strong>nia Quality<br />
Collaborative: Improvement<br />
Support <strong>for</strong> Physician<br />
Groups in Lower-<br />
Per<strong>for</strong>ming<br />
$137,500.00<br />
Pasadena Hospital<br />
Association, LTD<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/29/09<br />
CHAIPI Phase II<br />
$10,000.00<br />
Peace & Joy Care Center<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$20,000.00<br />
Peace Over Violence<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
Building Healthy Teen<br />
Relationships<br />
$125,000.00<br />
Peace Over Violence<br />
Non-pr<strong>of</strong>it, non-foundation<br />
12/18/09<br />
Building Healthy Teen<br />
Relationships<br />
$250,000.00<br />
Petaluma Health Center<br />
Non-pr<strong>of</strong>it, non-foundation<br />
12/02/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$40,000.00<br />
Philanthropy Roundtable<br />
Non-pr<strong>of</strong>it, non-foundation<br />
12/30/09<br />
<strong>2009</strong>-2010 General<br />
Support<br />
$1,000.00<br />
Pit River Health Service,<br />
I<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 />
Placer Womens Center dba<br />
PEACE <strong>for</strong> Families<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$10,000.00<br />
Planned Parenthood<br />
Golden<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 />
Page 17 <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'.