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 Regents of the University of California (Berkeley) Non-profit, non-foundation 03/26/09 The California Healthcare- Associated Infection Prevention Initiative (CHAIPI) Program Evaluation $172,791.00 Regents of the University of California at Irvine Non-profit, non-foundation 10/01/09 CHAIPI Phase II $10,000.00 Regents of the University of California at Los Angeles Non-profit, non-foundation 12/30/09 General Operating Support $20,000.00 Regents of the University of California, Los Angeles Non-profit, non-foundation 10/01/09 California Health Interview Survey: Violence Module $264,207.00 Reproductive Health Care Center Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $60,000.00 Ritter Center Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $50,000.00 RotaCare Bay Area, Inc. Non-profit, non-foundation 10/01/09 2009 Community Clinic Initiative $60,000.00 Rural Human Services Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $15,000.00 SAHARA South Asian Helpline and Referral Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $5,000.00 STAND! Against Domestic Violence Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $20,000.00 Sacramento Native American Government/tribal/public entity 09/04/09 2009 Community Clinic Initiative $25,000.00 Safe Alternatives to Violent Environments Inc. Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $15,000.00 SafeQuest Solano, Inc. Non-profit, non-foundation 10/01/09 2008 - 2010 Shelter Initiative $5,000.00 Saint Agnes Hospital Non-profit, non-foundation 10/01/09 CHAIPI Phase II $12,500.00 Salud Para La Gente Non-profit, non-foundation 11/19/09 2009 Community Clinic Initiative $60,000.00 Samaritan House Non-profit, non-foundation 09/04/09 2009 Community Clinic Initiative $50,000.00 Samuel Dixon Family Health Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $60,000.00 San Benito Health Foundation Non-profit, non-foundation 09/04/09 2009 Community Clinic Initiative $35,000.00 San Diego County Medical Society Foundation Non-profit, non-foundation 10/14/09 Health Information Exchange $62,500.00 San Diego Family Care Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $40,000.00 San Francisco Community Clinic Consortium Non-profit, non-foundation 08/13/09 Health Information Exchange $62,500.00 San Francisco Community Clinic Consortium Non-profit, non-foundation 12/02/09 2009 Clinic Fiscal Health Initiative $115,000.00 San Francisco Department of Government/tribal/public entity 01/13/09 Healthy San Francisco Program Evaluation $100,000.00 San Francisco Free Clinic Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $50,000.00 San Francisco Friends of the Non-profit, non-foundation 09/04/09 Support to Friends of the Children San Francisco $20,000.00 Page 19 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 San Francisco Medical Center Outpatient Improvement Non-profit, non-foundation 09/04/09 2009 Community Clinic Initiative $50,000.00 San Jose Foothill Family Community Clinic, Inc. Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $25,000.00 San Jose State University Research Foundation Non-profit, non-foundation 09/18/09 Documenting and Preventing Intimate Partner Violence Among Veterans and Their Partners on College $48,624.00 San Mateo County Health Foundation Non-profit, non-foundation 10/14/09 Health Information Exchange $37,500.00 San Mateo County Health Foundation Non-profit, non-foundation 01/30/09 Health Information Exchange $37,500.00 San Mateo County Health System Government/tribal/public entity 09/04/09 Evaluation of Resource Use Associated with the Redesigned Innovative Care Clinic and Coverage $66,667.00 Santa Barbara Neighborhood Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $40,000.00 Santa Clara Family Health Foundation Non-profit, non-foundation 04/30/09 2009 Healthy Kids Premium $440,828.00 Santa Cruz Barrios Unidos, Inc. Non-profit, non-foundation 12/18/09 "A Place for Peace: 1817 Soquel Avenue" fundraiser $5,000.00 Santa Cruz Women's Health Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $35,000.00 Sara M. Richards Scholarship recipient 12/02/09 Scholarship to University of California: Berkeley $2,000.00 Sara M. Richards Scholarship recipient 08/13/09 Scholarship to University of California: Berkeley $2,000.00 Sarah V. Anaya Scholarship recipient 08/13/09 Scholarship to University of California: San Diego $2,000.00 Sarah V. Anaya Scholarship recipient 12/02/09 Scholarship to University of California: San Diego $2,000.00 School Health Clinics of Santa Clara County Non-profit, non-foundation 09/04/09 2009 Community Clinic Initiative $40,000.00 Sean M. Lane Scholarship recipient 12/02/09 Scholarship to Universal Technical Institute $1,500.00 Sean M. Lane Scholarship recipient 08/13/09 Scholarship to Universal Technical Institute $1,500.00 Sexual Assault & Domestic Violence Center Non-profit, non-foundation 07/31/09 2008 - 2010 Shelter Initiative $15,000.00 Share Our Selves Non-profit, non-foundation 09/18/09 2009 Community Clinic Initiative $50,000.00 Sharp Healthcare F d ti Non-profit, non-foundation 10/01/09 CHAIPI Phase II: Memorial Hospital $10,000.00 Sharp Healthcare F d ti Non-profit, non-foundation 10/01/09 CHAIPI Phase II: Mary Birch $10,000.00 Sharp Healthcare F d ti Non-profit, non-foundation 10/01/09 CHAIPI Phase II: Grossmont $10,000.00 Sharp Healthcare F d ti Non-profit, non-foundation 10/01/09 CHAIPI Phase II: Coronado Hospital $10,000.00 Sharp Healthcare F d ti Non-profit, non-foundation 10/01/09 CHAIPI Phase II: Chula Vista $10,000.00 Page 20 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'.
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IRS Form 990-PF for 2009 - Blue Shield of California Foundation

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