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Filing ID: 2590619

PDF: https://cal-access.sos.ca.gov/PDFGen/pdfgen.prg?filingid=2590619&amendid=0

Table: cvr_lobby_disclosure
filing_id   2590619
amend_id   0
rec_type   CVR
form_type   F645
sender_id   1439197
filer_id   1439197
entity_cd   LEM
filer_naml   Blue Shield of California Foundation
filer_namf   None
filer_namt   None
filer_nams   None
report_num   000
rpt_date   2021-07-02 00:00:00
from_date   2021-04-01 00:00:00
thru_date   2021-06-30 00:00:00
cum_beg_dt   2021-01-01 00:00:00
firm_id   1439197
firm_name   Blue Shield of California Foundation
firm_city   San Francisco
firm_st   CA
firm_zip4   94104
firm_phon   (510) 227-7665
mail_city   None
mail_st   None
mail_zip4   None
mail_phon   None
sig_date   2021-07-02 00:00:00
sig_loc   San Francisco CA
sig_naml   Chang
sig_namf   Debbie
sig_namt   None
sig_nams   None
prn_naml   Chang
prn_namf   Debbie
prn_namt   None
prn_nams   None
sig_title   President & CEO
nopart1_cb   None
nopart2_cb   None
part1_1_cb   None
part1_2_cb   None
ctrib_n_cb   X
ctrib_y_cb   None
lby_actvty   See attachment 'Part 1'
lobby_n_cb   None
lobby_y_cb   None
major_naml   None
major_namf   None
major_namt   None
major_nams   None
rcpcmte_nm   None
rcpcmte_id   None
Table: filer_filings
filer_id   1439197
filing_id   2590619
period_id   246
form_id   F645
filing_sequence   0
filing_date   2021-07-02 00:00:00
stmnt_type   10001
stmnt_status   11001
session_id   2021
user_id   CHATRIDGE
special_audit   11003
fine_audit   11001
rpt_start   2021-04-01 00:00:00
rpt_end   2021-06-30 00:00:00
rpt_date   None
filing_type   22001
Table: filings
filing_id   2590619
filing_type   22001
Table: hdr
filing_id   2590619
amend_id   0
rec_type   HDR
ef_type   CAL
state_cd   CA
cal_ver   2.01
soft_name   NETFILE
soft_ver   2021_05_533_1FE4
hdrcomment   None
Table: latt
filing_id   2590619
amend_id   0
line_item   1
rec_type   LATT
form_type   S640
tran_id   a7RsumZCHIip
entity_cd   None
recip_naml   [C] - Mathematica
recip_namf   None
recip_namt   None
recip_nams   None
recip_city   Washington
recip_st   DC
recip_zip4   20002-4421
pmt_date   2021-06-30 00:00:00
amount   16659
cum_amt   16659
cumbeg_dt   2021-01-01 00:00:00
memo_code   None
memo_refno   None
Table: smry
filing_id   2590619   2590619   2590619   2590619   2590619   2590619   2590619   2590619   2590619   2590619   2590619   2590619   2590619   2590619
amend_id   0   0   0   0   0   0   0   0   0   0   0   0   0   0
line_item   A   B   AB   C   0   0   1   2   3   1   2   3   4   5
rec_type   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY   SMRY
form_type   F645   F645   F645   F645   F645P2A   F645P2C   F645P2B   F645P2B   F645P2B   S640   S640   S640   S640   S640
amount_a   0   16659   16659   0   0   0   0   16659   16659   0   0   0   16659   16659
amount_b   None   None   None   None   None   None   None   None   None   None   None   None   None   None
amount_c   None   None   None   None   None   None   None   None   None   None   None   None   None   None
elec_dt   None   None   None   None   None   None   None   None   None   None   None   None   None   None