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 />
San Francisco Medical<br />
Center<br />
Outpatient Improvement<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 />
San Jose Foothill Family<br />
Community Clinic, Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/18/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$25,000.00<br />
San Jose State University<br />
Research <strong>Foundation</strong><br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/18/09<br />
Documenting and<br />
Preventing<br />
Intimate Partner Violence<br />
Among Veterans and Their<br />
Partners on College<br />
$48,624.00<br />
San Mateo County Health<br />
<strong>Foundation</strong><br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/14/09<br />
Health In<strong>for</strong>mation<br />
Exchange<br />
$37,500.00<br />
San Mateo County Health<br />
<strong>Foundation</strong><br />
Non-pr<strong>of</strong>it, non-foundation<br />
01/30/09<br />
Health In<strong>for</strong>mation<br />
Exchange<br />
$37,500.00<br />
San Mateo County Health<br />
System<br />
Government/tribal/public<br />
entity<br />
09/04/09<br />
Evaluation <strong>of</strong> Resource<br />
Use<br />
Associated with the<br />
Redesigned Innovative<br />
Care<br />
Clinic and Coverage<br />
$66,667.00<br />
Santa Barbara<br />
Neighborhood<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 />
Santa Clara Family Health<br />
<strong>Foundation</strong><br />
Non-pr<strong>of</strong>it, non-foundation<br />
04/30/09<br />
<strong>2009</strong> Healthy Kids<br />
Premium<br />
$440,828.00<br />
Santa Cruz Barrios Unidos,<br />
Inc.<br />
Non-pr<strong>of</strong>it, non-foundation<br />
12/18/09<br />
"A Place <strong>for</strong> Peace: 1817<br />
Soquel Avenue" fundraiser<br />
$5,000.00<br />
Santa Cruz Women's<br />
Health<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/18/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$35,000.00<br />
Sara M. Richards<br />
Scholarship recipient<br />
12/02/09<br />
Scholarship to University <strong>of</strong><br />
Cali<strong>for</strong>nia: Berkeley<br />
$2,000.00<br />
Sara M. Richards<br />
Scholarship recipient<br />
08/13/09<br />
Scholarship to University <strong>of</strong><br />
Cali<strong>for</strong>nia: Berkeley<br />
$2,000.00<br />
Sarah V. Anaya<br />
Scholarship recipient<br />
08/13/09<br />
Scholarship to University <strong>of</strong><br />
Cali<strong>for</strong>nia: San Diego<br />
$2,000.00<br />
Sarah V. Anaya<br />
Scholarship recipient<br />
12/02/09<br />
Scholarship to University <strong>of</strong><br />
Cali<strong>for</strong>nia: San Diego<br />
$2,000.00<br />
School Health Clinics <strong>of</strong><br />
Santa Clara County<br />
Non-pr<strong>of</strong>it, non-foundation<br />
09/04/09<br />
<strong>2009</strong> Community Clinic<br />
Initiative<br />
$40,000.00<br />
Sean M. Lane<br />
Scholarship recipient<br />
12/02/09<br />
Scholarship to Universal<br />
Technical Institute<br />
$1,500.00<br />
Sean M. Lane<br />
Scholarship recipient<br />
08/13/09<br />
Scholarship to Universal<br />
Technical Institute<br />
$1,500.00<br />
Sexual Assault & Domestic<br />
Violence Center<br />
Non-pr<strong>of</strong>it, non-foundation<br />
07/31/09<br />
2008 - 2010 Shelter<br />
Initiative<br />
$15,000.00<br />
Share Our Selves<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 />
Sharp Healthcare<br />
F d ti<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/01/09<br />
CHAIPI Phase II: Memorial<br />
Hospital<br />
$10,000.00<br />
Sharp Healthcare<br />
F d ti<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/01/09<br />
CHAIPI Phase II: Mary<br />
Birch<br />
$10,000.00<br />
Sharp Healthcare<br />
F d ti<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/01/09<br />
CHAIPI Phase II:<br />
Grossmont<br />
$10,000.00<br />
Sharp Healthcare<br />
F d ti<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/01/09<br />
CHAIPI Phase II: Coronado<br />
Hospital<br />
$10,000.00<br />
Sharp Healthcare<br />
F d ti<br />
Non-pr<strong>of</strong>it, non-foundation<br />
10/01/09<br />
CHAIPI Phase II: Chula<br />
Vista<br />
$10,000.00<br />
Page 20 <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'.