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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
THE LIFESPACE FOUNDATION
 
Employer identification number
42-1370848
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) LIFESPACE COMMUNITIES INC
4201 CORPORATE DRIVE
WEST DES MOINES,IA50266
42-1068850 501(C)(3) 222,038   N/A N/A DISTRIBUTION FOR COMMUNITY APPROVED PROJECTS AND PAYMENTS ON BEHALF OF COMMUNITIES
(2) DEERFIELD RETIREMENT COMMUNITY INC
4201 CORPORATE DRIVE
WEST DES MOINES,IA50266
42-1508960 501(C)(3) 22,007   N/A N/A DISTRIBUTION FOR COMMUNITY APPROVED PROJECTS AND PAYMENTS ON BEHALF OF COMMUNITIES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020
Page 2

Schedule I (Form 990) 2020
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) SCHOLARSHIPS 56 97,500   N/A N/A
(2) EMPLOYEE HARDSHIPS 31 16,333   N/A N/A
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: GRANT (PROJECT) FUNDS ARE AVAILABLE DUE TO CONTRIBUTIONS MADE TO THE LIFESPACE FOUNDATION FROM RESIDENTS, BUSINESSES, AND EMPLOYEES. FUNDS ARE TRACKED AND RECONCILED AT THE LIFESPACE FOUNDATION CORPORATE OFFICE THROUGH THE USE OF ACCOUNTING SOFTWARE. FUNDS ARE TRACKED BY COMMUNITY FROM THE RECEIPT OF CONTRIBUTIONS THROUGH THE DISTRIBUTIONS OF FUNDS FOR APPROVED PROJECTS. PROJECTS ARE APPROVED BY THE EXECUTIVE DIRECTOR AT THE COMMUNITY LEVEL AND BY THE FOUNDATION DIRECTOR AT THE CORPORATE OFFICE. PAYMENT FOR PROJECTS ARE REIMBURSED TO THE COMMUNITY AND APPROVED BY THE CEO. SCHOLARSHIPS ARE MADE AVAILABLE TO EMPLOYEES WORKING IN THE COMMUNITIES. SCHOLARSHIPS ARE AWARDED BASED ON APPLICATION AND REVIEW PROCESS IMPLEMENTED BY THE LIFESPACE FOUNDATION COMMITTEE AT EACH COMMUNITY. DISASTER RELIEF & EMERGENCY HARDSHIP IS MADE AVAILABLE TO EMPLOYEES WORKING IN THE COMMUNITIES. DISASTER RELIEF & EMERGENCY HARDSHIP IS AWARDED BASED ON APPLICATION AND REVIEW PROCESS IMPLEMENTED BY THE LIFESPACE FOUNDATION COMMITTEE AT EACH COMMUNITY.
Schedule I (Form 990) 2020



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