STRATEGY STUDIO / PUBLIC DATA EXPLORER

CHANGE A LIFE FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHANGE A LIFE FOUNDATION (EIN 30-0058798)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-09-15
IRS object ID
201342599349300519
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)
Timestamp2013-09-15T09:53:44-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN542041933EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PIASCIKBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14470 COX ROAD SUITE 250AddressLine1
CityGLEN ALLENCity
StateVAState
ZIP Code23060ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN300058798EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHANGE A LIFE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHANNameControl
Phone5406878592Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14080 LAFAYETTE CENTER DRIVE SUITEAddressLine1
Address Line2265AddressLine2
CityCHANTILLYCity
StateVAState
ZIP Code20151ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDON WOODENName
TitleDIRECTORTitle
Phone5406878592Phone
Date Signed2013-08-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRYAN L LOSI CPAName
PTINP01057145PTIN
Phone8045271815Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonDON WOODENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line138386 JOHN MOSBY HIGHWAYAddressLine1
CityMIDDLEBURGCity
StateVAState
ZIP Code20117ZIPCode
FieldValueIRS element (for citing)
Gross Receipts59179GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHANGEALIFE.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTO BRING TOGETHER RESOURCES, ACTING UPON AND RESULTING IN POSITIVE LIFE CHANGES. TO REACH PEOPLE FOR ALL NATIONS FOR CHRIST SO THEY IN TURN CAN DISCIPLINE CHANGES IN THE LIVES OF OTHERS. CHANGE A LIFE FOUNDATION FORMS PARTNERSHIPS WITH OTHER ALLIANCES TO DEVELOP SELF SUSTAINING VILLAGES FOR THE BENEFIT OF ORPHANS AND IMPOVERISHED PEOPLE IN DEVELOPING COUNTRIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year71189ContributionsGrantsPriorYear
Contributions Grants Current Year59179ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year71189TotalRevenuePriorYear
Total Revenue Current Year59179TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year18498GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8322GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year48222OtherExpensePriorYear
Other Expenses Current Year48224OtherExpensesCurrentYear
Total Expenses Prior Year66720TotalExpensesPriorYear
Total Expenses Current Year56546TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4469RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2633RevenuesLessExpensesCY
Total Assets BOY2092373TotalAssetsBOY
Total Assets EOY2095006TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2092373NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2095006NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO BRING TOGETHER RESOURCES, ACTING UPON AND RESULTING IN POSITIVE LIFE CHANGES. TO REACH PEOPLE FOR ALL NATIONS FOR CHRIST SO THEY IN TURN CAN DISCIPLINE CHANGES IN THE LIVES OF OTHERS. CHANGE A LIFE FOUNDATION FORMS PARTNERSHIPS WITH OTHER ALLIANCES TO DEVELOP SELF SUSTAINING VILLAGES FOR THE BENEFIT OF ORPHANS AND IMPOVERISHED PEOPLE IN DEVELOPING COUNTRIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1000Expense
Grants1000Grants
DescriptionSENT 40 FOOT CONTAINER OF FOOD/SUPPLIES TO ACCRA, GHANA.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense564Expense
Grants564Grants
DescriptionLAUNCHED A NEW ORPHANAGE IN NORTHERN GHANA.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense6758Expense
Grants6758Grants
DescriptionBUILT A CHURCH (COMMUNITY CENTER) IN NORTHERN GHANA.Description
FieldValueIRS element (for citing)
Total Program Service Expense8322TotalProgramServiceExpense
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 Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of1Form8282PropertyDisposedOf
Number Of8282 Filed1NumberOf8282Filed
Form1098 C Filed1Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
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 Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5406878592TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14080 LAFAYETTE CENTER DRIVE SUITEAddressLine1
CityCHANTILLYCity
StateVAState
ZIP Code20151ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DON WOODEN
DIRECTOR10.00XX000
MELINDA WOODEN
DIRECTOR0.00XX000
ED WORMALD
DIRECTOR5.00X000
FRED SNOWDEN
DIRECTOR0.00X000
JUDITH SNOWDEN
DIRECTOR0.00X000
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 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions59179AllOtherContributions
Noncash Contributions2950NoncashContributions
Total Contributions59179TotalContributions

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column59179TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total8322Total
Program Services8322ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total23233Total
Management And General23233ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1259Total
Management And General1259ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total499Total
Management And General499ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total17269Total
Management And General17269ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
PRINTING AND COPYING38163816
CREDIT CARD PROCESS FEE13111311
WEBSITE716716
BANK FEES7070

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total51Total
Management And General51ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total56546Total
Program Services8322ProgramServices
Management And General48224ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12588BOY
EOY12911EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2079785BOY
EOY2082095EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2092373BOY
EOY2095006EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY2092373BOY
EOY2095006EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2092373BOY
EOY2095006EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2092373BOY
EOY2095006EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2633ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years67582CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years88448CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15472CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year71189CurrentTaxYearMinus1Year
Current Tax Year59179CurrentTaxYear
Total301870Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years67582CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years88448CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15472CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year71189CurrentTaxYearMinus1Year
Current Tax Year59179CurrentTaxYear
Total301870Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509301870PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years67582CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years88448CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15472CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year71189CurrentTaxYearMinus1Year
Current Tax Year59179CurrentTaxYear
Total301870Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Prior Year Support Percentage1.00000PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintained
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 Spent0SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent0TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionAFRICARegion
Purpose Of GrantMONIES CONTRIBUTED GO TO BUILD A LOCAL CHURCH AND COMMUNITY IN GHANA.PurposeOfGrant
Amount Of Cash Grant8322AmountOfCashGrant
Manner Of Cash DisbursementCHECKS AS NEEDEDMannerOfCashDisbursement
Method Of ValuationCASH FMVMethodOfValuation
FieldValueIRS element (for citing)
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2DON WOODEN AND MELINDA WOODEN ARE MARRIED AND ARE THE ORIGINAL FOUNDERS OF THE ORGANIZATION. ADDITIONALLY, TWO OF THE DIRECTORS,FRED AND JUDITH SNOWDEN, ARE MARRIED.
FORM 990, PART VI, SECTION A, LINE 6DON WOODEN AND MELINDA WOODEN ARE THE MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11NO REVIEW WILL BE CONDUCTED.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES AVAILABLE COPIES OF ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GOPERATIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,233. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,233.OTHER FEES