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LIFESHAPE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LIFESHAPE INC (EIN 20-0249641)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-08
IRS object ID
201322209349300122
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-08T09:35:24-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN363990892EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Capin Crouse LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11255 Lakes Parkway STE 130AddressLine1
CityLawrencevilleCity
StateGAState
ZIP Code30043ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN200249641EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lifeshape IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLIFENameControl
Phone6789992181Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15200 Buffington RoadAddressLine1
CityAtlantaCity
StateGAState
ZIP Code30349ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJohn W White IIIName
TitlePresident & DirectorTitle
Phone6789992181Phone
Date Signed2013-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDavid C MojaName
PTINP00747006PTIN
Phone6785185301Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJohn W White IIINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15200 Buffington RoadAddressLine1
CityAtlantaCity
StateGAState
ZIP Code30349ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3681918GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.Lifeshape.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileDEStateLegalDomicile
Activity Or Mission DescriptionRevolutionize leaders of the emerging generation to break the cycle of spiritual poverty.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees48TotalNbrEmployees
Total Nbr Volunteers65TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2223864ContributionsGrantsPriorYear
Contributions Grants Current Year2885717ContributionsGrantsCurrentYear
Program Service Revenue Prior Year396939ProgramServiceRevenuePriorYear
Program Service Revenue CY794501ProgramServiceRevenueCY
Investment Income Prior Year-57843InvestmentIncomePriorYear
Investment Income Current Year465InvestmentIncomeCurrentYear
Other Revenue Prior Year51850OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2614810TotalRevenuePriorYear
Total Revenue Current Year3680683TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year277501GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY566830GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year998630SalariesEtcPriorYear
Salaries Etc Current Year913500SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year191134TotalFundrsngExpCurrentYear
Other Expense Prior Year1321886OtherExpensePriorYear
Other Expenses Current Year1701471OtherExpensesCurrentYear
Total Expenses Prior Year2598017TotalExpensesPriorYear
Total Expenses Current Year3181801TotalExpensesCurrentYear
Revenues Less Expenses Prior Year16793RevenuesLessExpensesPriorYear
Revenues Less Expenses CY498882RevenuesLessExpensesCY
Total Assets BOY3059469TotalAssetsBOY
Total Assets EOY4861387TotalAssetsEOY
Total Liabilities BOY50891TotalLiabilitiesBOY
Total Liabilities EOY1353921TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3008578NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3507466NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTo carry out the purposes of the National Christian Foundation, namely, to mobilize local community leaders and volunteers to unite and utilize their resources to transform their community; To equip servant leaders in the emerging generation (see Schedule O for more) to live Christ-focused lives, to be grounded in the Biblical Christian Worldview, and to impact our culture in the marketplace; To provide a sacred respite to encourage the spiritual devotion of Christian leaders.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2060903Expense
Grants566830Grants
Revenue664895Revenue
DescriptionIMPACT 360:During 2012, the IMPACT 360 program served 31 full-time students in the spring and 30 full-time students in the fall. Through our service opportunities in the Pine Mountain community we provided free community services to between 50-100 people weekly for four hours per week. In the month of January we provided free services for approximately 350 people in Brazil.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense655231Expense
Revenue129606Revenue
DescriptionThe Summit at Fort Payne:During 2012, The Summit at Fort Payne hosted 81 spiritual enrichment retreats using all facilities at our retreat location. Those retreats included 1,369 ministry leaders and workers from all over the United States.During the year, the organization leased land at a substantially reduced market rate, $1 per year. The land was leased from STC Summit, LLC. This entity is a limited liability company owned by a substantial contributor.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense98808Expense
DescriptionCommunities in Transformation (CIT):In 2012 Communities in Transformation had the opportunity to make an impact on the lives of 230 children and teens by providing core essential curriculum taught 3 hours weekly in apartment community after school programs. Through partners we also provided scholarships to WinShape Camps for children in 26 apartment communities. We provided core essentials which were taught weekly as well as providing teacher training to a public elementary school for their 500 students. Communities in Transformation served 350 people through providing meals and relationships building in a Boys and Girls Club in inner city Atlanta.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense75553Expense
DescriptionPropel My Life:Propel My Life, a leadership track for summer campers, experienced another exciting and fruitful year of ministry with more than 1,000 students participating at 11 locations across the country. The goal of Propel My Life is to encourage and equip young leaders to have a more compelling and godly influence on their peers and propel them into a life of service and Christian community. The track is offered by IMPACT 360, a Christian gap-year program and ministry of Lifeshape Foundation, and taught by its alumni.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp75553TotalOfOtherProgramServiceExp
Total Program Service Expense2890495TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109653NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees48NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledDEStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMSStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1John W White IIIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6789992181TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15200 Buffington RoadAddressLine1
CityAtlantaCity
StateGAState
ZIP Code30349ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
John W White III
President & Director5.00XX000
Trudy C White
Secretary/Treasurer/Direct1.00XX000
Terrill A Parker
Director1.00X000
Robert Yoe
Board Chairman1.00X000
Rick Smith
Director1.00X000
Maurice Graham
Director1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions2885717AllOtherContributions
Total Contributions2885717TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionImpact 360 & SummitDescription
Business Code900099BusinessCode
Total Revenue Column794501TotalRevenueColumn
Related Or Exempt Function Income794501RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue794501TotalProgramServiceRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1700Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1235Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other465Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column465TotalRevenueColumn
Exclusion$465ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3680683TotalRevenueColumn
Related Or Exempt Function Income794501RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$465ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total70000Total
Program Services70000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total376830Total
Program Services376830ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total120000Total
Program Services120000ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total634904Total
Program Services519919ProgramServices
Management And General32618ManagementAndGeneral
Fundraising82367Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total57301Total
Program Services46268ProgramServices
Management And General2435ManagementAndGeneral
Fundraising8598Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total160069Total
Program Services131079ProgramServices
Management And General8224ManagementAndGeneral
Fundraising20766Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total61226Total
Program Services50815ProgramServices
Management And General2674ManagementAndGeneral
Fundraising7737Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total49116Total
Program Services34447ProgramServices
Management And General3936ManagementAndGeneral
Fundraising10733Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13514Total
Program Services9477ProgramServices
Management And General1083ManagementAndGeneral
Fundraising2954Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total123189Total
Program Services77789ProgramServices
Management And General4094ManagementAndGeneral
Fundraising41306Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total129061Total
Program Services122608ProgramServices
Management And General6453ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total69902Total
Program Services66095ProgramServices
Management And General3482ManagementAndGeneral
Fundraising325Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total278422Total
Program Services264501ProgramServices
Management And General13921ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total73509Total
Program Services69224ProgramServices
Management And General3643ManagementAndGeneral
Fundraising642Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total40441Total
Program Services38419ProgramServices
Management And General2022ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total37680Total
Program Services35796ProgramServices
Management And General1884ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total184953Total
Program Services184953ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total180179Total
Program Services157455ProgramServices
Management And General8287ManagementAndGeneral
Fundraising14437Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Leadership development412437412437
Taxes & Licenses46146429502261935
Special Activities1238311764619

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total50539Total
Program Services47669ProgramServices
Management And General2536ManagementAndGeneral
Fundraising334Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3181801Total
Program Services2890495ProgramServices
Management And General100172ManagementAndGeneral
Fundraising191134Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY928287BOY
EOY1043693EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY519BOY
EOY71611EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY40000BOY
EOY1018EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4983616LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1238551LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2090663BOY
EOY3745065EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3059469BOY
EOY4861387EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY43891BOY
EOY89621EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY7000BOY
EOY8300EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY1256000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY50891BOY
EOY1353921EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3008578BOY
EOY3507466EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3008578BOY
EOY3507466EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3059469BOY
EOY4861387EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses498882ReconcilationRevenueExpenses
Reconcilation Prior Adjustment6ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1National Christian FoundationBusinessNameLine1
FieldValueIRS element (for citing)
EIN581493949EIN
Type Of Organization7TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1674197OtherCostOrOtherBasis
Book Value1674197BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1678910OtherCostOrOtherBasis
Depreciation258208Depreciation
Book Value1420702BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis613867OtherCostOrOtherBasis
Depreciation200122Depreciation
Book Value413745BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1016642OtherCostOrOtherBasis
Depreciation780221Depreciation
Book Value236421BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3745065TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationThe consolidated financial statement effects of a tax position taken or expected to be taken are recognized in the consolidated financial statements when it is more likely than not, based on the technical merits, that the position will be sustained upon examination. Interest and penalties, if any, are included in expenses in the statement of activities. As of December 31, 2012 and 2011, LFI had no uncertain tax positions that qualify for recognition or disclosure in the financial statements.Explanation

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained1GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionSouth America - Argentina, Bolivia,Region
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedGrants to Charitable Organizations Located in RegionTypeOfActivitiesConducted
Total Expenditures120000TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent120000SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent120000TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionSouth America - Argentina, Bolivia,Region
Purpose Of GrantMinistry expansion & program needs for students & youth of the next generationPurposeOfGrant
Amount Of Cash Grant120000AmountOfCashGrant
Manner Of Cash DisbursementWire TransferMannerOfCashDisbursement
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Total Number Of Other Orgs0TotalNumberOfOtherOrgs
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifierExplanationExplanation
Procedure for Monitoring Grants Outside the U.S.:Schedule F, Part I, Line 2: Based on prior existing relationships, an organization may receive a charitable contribution or grant based upon need and how well their ministry objectives fits with the organization's objectives. All grant requests are submitted to the Board of Directors for approval as a part of the annual strategic ministry plan. Further, all grants require a signed grant agreement between Lifeshape and the receiving organization. This agreement details the terms, objectives and method of accountability and use of funds. The organization monitors the use of funds via regular email and telephone contact, and regular review of financial reports supported by receipts.
Method Used to Acccount for Expenditures:Schedule F, Part I, Line 3: Expenditures are accounted for using the accrual method.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Students Standing Strong
PO Box 312ColleyvilleTX76034562526037501 (c) 310000Program services
Impact 360 Institute Inc
5200 Buffington RoadAtlantaGA30349454971921501 (c) 355000Program services
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantIMPACT 360 tuition discountsTypeOfGrant
Number Of Recipients30NumberOfRecipients
Amount Of Cash Grant376830AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Contributions given to organizations in the US are generally based on long-term relationships with key stakeholders in the organizations. We would generally receive a letter requesting financial assistance. This is reviewed by staff and recommendations are made to the Executive Director. The Executive Director would submit this to the Board of Directors for approval or ratification of any actions taken. This is normally apart of the proposed annual budget and ministry plan that is approved by the Board of Directors. Verification of appropriate use of funds is done through regular correspondence and regular reports. Tuition discounts are also available to eligible persons participating in the IMPACT 360 program. The requests for financial aid or discount are submitted to the Board of Directors for approval as a part of the annual strategic ministry plan.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonTerrill A ParkerNamePerson
TitleDirectorTitle
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart IIIReturnReference
ExplanationSCHEDULE J, PART II COMPENSATION Terrill A. Parker (Director) is Chairman Emeritus of National Christian Charitable Foundation, Inc. (NCCF) a supported organization of Lifeshape, Inc. For the amount of reportable compensation paid by NCCF to Mr. Parker, please see the Form 990 for NCCF.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2John W White III and Trudy C White - Family relationship
Form 990, Part VI, Section B, line 11Form 990 is prepared by an independent CPA Firm and reviewed by the organization's top management. The reviewed Form 990 is then forwarded to the Board of Directors for approval prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cThe organization requires all officers and board members to sign a conflict of interest questionnaire annually. All completed questionnaires are reviewed by the board of directors annually for compliance. If a conflict would arise, that individual would abstain from voting on the issue.
The organization does not compensate any officers or key employees. Therefore, Lines 15a and 15b were answered no in accordance with the instructions.
Form 990, Part VI, Section C, line 19The organization provides its governing documents, conflict of interest policy, and financial statements to the public upon request.
Form 990, Part VIITerrill A. Parker (Director) is Chairman Emeritus of National Christian Charitable Foundation, Inc. (NCCF) a supported organization of Lifeshape, Inc. For the amount of reportable compensation paid by NCCF to Mr. Parker, please see the Form 990 for NCCF.Compensation
Form 990, Part XII, Line 2c:This process has not changed since the prior year. The organization has a committee that assumes responsibility for oversight of the audit of its financial statements and selection of an independent accountant.Explanation of Responsibility

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
National Christian Foundation
11625 Rainwater DriveAlpharettaGA30009581493949Religious, charitable, & educationalGA501(c)(3)Line 7N/A0
Impact 360 Institute Inc
5200 Buffington RdAtlantaGA30349454971921EducationalGA501(c)(3)Line 20Lifeshape Inc
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg