2012-08-10T16:38:22-05:00 2011-12-31 363990892 Capin Crouse LLP 972 Emerson Parkway-Ste A Greenwood IN 46143 990 2011-01-01 200249641 Lifeshape Inc LIFE 4047657843 5200 Buffington Road Atlanta GA 30349 John W White III 4047657843 2012-08-10 1 David C Moja P00747006 3178852620 2011 2016-02-24 21:20:13Z John W White III 5200 Buffington Road Atlanta GA 30349 3017390 0 X www.Lifeshape.org X 2003 DE Revolutionize leaders of the emerging generation to break the cycle of spiritual poverty. 6 6 29 61 0 0 2164020 2223864 366919 396939 1200 -57843 894 51850 2533033 2614810 42750 277501 0 0 945837 998630 0 0 162331 1228894 1321886 2217481 2598017 315552 16793 3171954 3059469 180167 50891 2991787 3008578 X To 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. 0 0 1266238 62501 296983 IMPACT 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. 435181 0 97461 The 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. 629740 215000 2495 Propel 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. 2331159 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 46 0 1 29 1 0 0 0 0 0 0 0 0 0 0 0 X 6 6 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 DE AZ GA MS NC PA TN VA X John W White III 4047657843 5200 Buffington Road Atlanta GA 30349 X X John W White III 5.00 X X 0 0 0 Trudy C White 1.00 X X 0 0 0 Terrill A Parker 1.00 X 0 0 0 Robert Yoe 1.00 X 0 0 0 Rick Smith 1.00 X 0 0 0 Maurice Graham 1.00 X 0 0 0 0 0 0 0 0 1 0 0 2223864 2223864 Impact 360 & Summit 900099 393665 393665 Other program revenue 900099 3274 3274 396939 458 458 344279 402580 -58301 -58301 -58301 Other income 900099 51850 51850 51850 2614810 396939 0 -5993 25000 25000 52501 52501 200000 200000 749558 603385 31757 114416 49997 39815 2096 8086 140536 129772 6830 3934 58539 47297 2489 8753 38675 15621 23054 12150 12150 91957 87466 4391 100 110100 104595 5505 62948 59801 3147 200257 190244 10013 62566 58445 3076 1045 35329 33563 1766 3751 3563 188 210148 210148 13941 12227 644 1070 Leadership development 381218 381218 Miscellaneous 49439 46960 2477 2 Taxes & Licenses 41916 38043 2002 1871 Staff training 7491 7116 375 0 2598017 2331159 104527 162331 546697 928287 0 161 519 40000 3148396 1057733 2625096 2090663 3171954 3059469 26167 43891 7000 150000 4000 180167 50891 X 2991787 3008578 2991787 3008578 3171954 3059469 X 16793 -2 X X 0 1 1 X 0 X X X 0 0 0 National Christian Foundation 581493949 7 1 1 1 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 238600 238600 1423647 217937 1205710 587438 160269 427169 898711 679527 219184 2090663 2614810 2598017 16793 -2 -2 16791 2789810 175000 175000 2614810 0 2614810 2773017 175000 175000 2598017 0 2598017 Description of Uncertain Tax Positions Under FIN 48: Part X: The 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. 1 South America 0 0 Grants to Charitable Organizations Located in Region 200000 0 0 0 0 0 0 200000 0 200000 South America Ministry expansion & program needs for students & youth of the next generation 200000 Wire Transfer 1 0 0 0 0 0 0 0 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. 1 Eidos Christian Center 6332 Glendale Drive Yorba Linda CA 92686 270067607 501 (c) 3 15000 Program services Union University 1050 Union University Jackson TN 38305 620516509 501 (c) 3 10000 Program services 2 0 IMPACT 360 discounts 31 52501 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule 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. 0 0 0 0 0 0 0 0 0 Terrill A Parker 0 0 0 0 0 0 0 0 0 0 0 0 Supplemental Information Part III SCHEDULE 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. Form 990, Part VI, Section A, line 2 John W White III and Trudy C White are married. Form 990, Part VI, Section B, line 11 Form 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 12c The 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 19 The organization provides its governing documents, conflict of interest policy, and financial statements to the public upon request. Compensation Form 990, Part VII 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Prior period adjustments: -2. Explanation of Responsibility 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. National Christian Foundation 11625 Rainwater Drive Alpharetta GA 30009 581493949 Religious, charitable, & educational GA 501(c)(3) Line 7 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0