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LIFESHAPE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LIFESHAPE INC (EIN 20-0249641)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-10
IRS object ID
201242239349301854
Schema version
2011v1.2
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)
Timestamp2012-08-10T16:38:22-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Line1972 Emerson Parkway-Ste AAddressLine1
CityGreenwoodCity
StateINState
ZIP Code46143ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN200249641EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lifeshape IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLIFENameControl
Phone4047657843Phone

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
Phone4047657843Phone
Date Signed2012-08-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDavid C MojaName
PTINP00747006PTIN
Phone3178852620Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts3017390GrossReceipts
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 Employees29TotalNbrEmployees
Total Nbr Volunteers61TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2164020ContributionsGrantsPriorYear
Contributions Grants Current Year2223864ContributionsGrantsCurrentYear
Program Service Revenue Prior Year366919ProgramServiceRevenuePriorYear
Program Service Revenue CY396939ProgramServiceRevenueCY
Investment Income Prior Year1200InvestmentIncomePriorYear
Investment Income Current Year-57843InvestmentIncomeCurrentYear
Other Revenue Prior Year894OtherRevenuePriorYear
Other Revenue Current Year51850OtherRevenueCurrentYear
Total Revenue Prior Year2533033TotalRevenuePriorYear
Total Revenue Current Year2614810TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year42750GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY277501GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year945837SalariesEtcPriorYear
Salaries Etc Current Year998630SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year162331TotalFundrsngExpCurrentYear
Other Expense Prior Year1228894OtherExpensePriorYear
Other Expenses Current Year1321886OtherExpensesCurrentYear
Total Expenses Prior Year2217481TotalExpensesPriorYear
Total Expenses Current Year2598017TotalExpensesCurrentYear
Revenues Less Expenses Prior Year315552RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16793RevenuesLessExpensesCY
Total Assets BOY3171954TotalAssetsBOY
Total Assets EOY3059469TotalAssetsEOY
Total Liabilities BOY180167TotalLiabilitiesBOY
Total Liabilities EOY50891TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2991787NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3008578NetAssetsOrFundBalancesEOY
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 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
Expense1266238Expense
Grants62501Grants
Revenue296983Revenue
DescriptionIMPACT 360:During 2011, the IMPACT 360 program served 28 full-time students in the spring and 31 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)
Expense435181Expense
Grants0Grants
Revenue97461Revenue
DescriptionThe Summit at Fort Payne:During 2011, The Summit at Fort Payne hosted 76 spiritual enrichment retreats using all facilities at our retreat location. Those retreats included 1,602 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)
Expense629740Expense
Grants215000Grants
Revenue2495Revenue
DescriptionPropel My Life:Additionally, more than 350 students attending camps in various states participated in Propel My Life, a teaching track offered by IMPACT 360 and taught by its alumni. The goal of the leadership track is to encourage and equip high school students to have a more compelling and godly influence on their peers and propel them into a life of service and Christian community. Topics include understanding worldview, how to engage culture with a Christian worldview, and presenting a servant leadership model of leadership.Communities in Transformation (CIT):In 2011, CIT impacted 240 children total in four low-rent housing communities by training after school teachers in core essential curriculum, by providing camp discounts, by sharing areas of expertise with the community director, and by providing a CIT intern volunteer. CIT also served to help empower and equip 20 of the community teenagers by providing complimentary training, speakers, modified core essentials curriculum, and provide a CIT intern volunteer.Description
FieldValueIRS element (for citing)
Total Program Service Expense2331159TotalProgramServiceExpense
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 Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees29NumberOfEmployees
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 Number4047657843TelephoneNumber

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/Director1.00XX000
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 Contributions2223864AllOtherContributions
Total Contributions2223864TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Impact 360 & Summit900099393665393665
Other program revenue90009932743274
FieldValueIRS element (for citing)
Total Program Service Revenue396939TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column458TotalRevenueColumn
Exclusion$458ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other344279Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other402580Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-58301Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-58301TotalRevenueColumn
Exclusion-$58,301ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther incomeDescription
Business Code900099BusinessCode
Total Revenue Column51850TotalRevenueColumn
Exclusion$51,850ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue51850TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2614810TotalRevenueColumn
Related Or Exempt Function Income396939RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$5,993ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total25000Total
Program Services25000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total52501Total
Program Services52501ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total200000Total
Program Services200000ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total749558Total
Program Services603385ProgramServices
Management And General31757ManagementAndGeneral
Fundraising114416Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total49997Total
Program Services39815ProgramServices
Management And General2096ManagementAndGeneral
Fundraising8086Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total140536Total
Program Services129772ProgramServices
Management And General6830ManagementAndGeneral
Fundraising3934Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total58539Total
Program Services47297ProgramServices
Management And General2489ManagementAndGeneral
Fundraising8753Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total38675Total
Management And General15621ManagementAndGeneral
Fundraising23054Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12150Total
Management And General12150ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total91957Total
Program Services87466ProgramServices
Management And General4391ManagementAndGeneral
Fundraising100Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total110100Total
Program Services104595ProgramServices
Management And General5505ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total62948Total
Program Services59801ProgramServices
Management And General3147ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total200257Total
Program Services190244ProgramServices
Management And General10013ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total62566Total
Program Services58445ProgramServices
Management And General3076ManagementAndGeneral
Fundraising1045Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total35329Total
Program Services33563ProgramServices
Management And General1766ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3751Total
Program Services3563ProgramServices
Management And General188ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total210148Total
Program Services210148ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total13941Total
Program Services12227ProgramServices
Management And General644ManagementAndGeneral
Fundraising1070Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Leadership development381218381218
Miscellaneous494394696024772
Taxes & Licenses419163804320021871
Staff training749171163750

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2598017Total
Program Services2331159ProgramServices
Management And General104527ManagementAndGeneral
Fundraising162331Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY546697BOY
EOY928287EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY161BOY
EOY519EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY40000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3148396LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1057733LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2625096BOY
EOY2090663EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3171954BOY
EOY3059469EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26167BOY
EOY43891EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY7000EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY150000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4000BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY180167BOY
EOY50891EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2991787BOY
EOY3008578EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2991787BOY
EOY3008578EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3171954BOY
EOY3059469EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16793ReconcilationRevenueExpenses
Reconcilation Other Changes-2ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Basis238600OtherCostOrOtherBasis
Book Value238600BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1423647OtherCostOrOtherBasis
Depreciation217937Depreciation
Book Value1205710BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis587438OtherCostOrOtherBasis
Depreciation160269Depreciation
Book Value427169BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis898711OtherCostOrOtherBasis
Depreciation679527Depreciation
Book Value219184BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2090663TotalOfBookValueLandBuildings
Total Revenue2614810TotalRevenue
Total Expenses2598017TotalExpenses
Excess Or Deficit For Year16793ExcessOrDeficitForYear
Prior Period Adjustments-2PriorPeriodAdjustments
Total Adjustments-2TotalAdjustments
Excess Or Deficit Per FS16791ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2789810TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities175000DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990175000RevenueNotRptdF990
Revenue Subtotal2614810RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902614810TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2773017TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities175000DonatedServicesUseOfFacilities
Expenses Not Rptd F990175000ExpensesNotRptdF990
Expenses Subtotal2598017ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902598017TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X:ReturnReference
ExplanationThe financial statement effects of a tax position taken or expected to be taken are recognized in the 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, 2011 and 2010, 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 AmericaRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedGrants to Charitable Organizations Located in RegionTypeOfActivitiesConducted
Total Expenditures200000TotalExpenditures
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 Spent200000SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent200000TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionSouth AmericaRegion
Purpose Of GrantMinistry expansion & program needs for students & youth of the next generationPurposeOfGrant
Amount Of Cash Grant200000AmountOfCashGrant
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
Eidos Christian Center
6332 Glendale DriveYorba LindaCA92686270067607501 (c) 315000Program services
Union University
1050 Union UniversityJacksonTN38305620516509501 (c) 310000Program 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 discountsTypeOfGrant
Number Of Recipients31NumberOfRecipients
Amount Of Cash Grant52501AmountOfCashGrant

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
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 (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2John W White III and Trudy C White are married.
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.
Form 990, Part VI, Section B, Line 15: The organization does not compensate its officers and directors.
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 XI, line 5:Prior period adjustments: -2.Changes in Net Assets or Fund Balances:
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

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1National Christian FoundationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111625 Rainwater DriveAddressLine1
CityAlpharettaCity
StateGAState
ZIP Code30009ZIPCode
FieldValueIRS element (for citing)
EIN581493949EIN
Primary ActivitiesReligious, charitable, & educationalPrimaryActivities
Legal Domicile StateGALegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity StatusLine 7PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
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
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 Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg