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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
LIFE TIME FOUNDATION
 
Employer identification number
03-0533192
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) ALHAMBRA ELEMENTARY SCHOOL DISTRICT
4510 N 37TH AVENUE
PHOENIX,AZ85019 		86-6000510 GOVERNMENT ENTITY 3,000       SCHOOL NUTRITION - IMMEDIATE COVID-19 RELIEF SUPPORT
(2) AUSTIN INDEPENDENT SCHOOL DISTRICT
1111 W 6TH STREET
AUSTIN,TX78703 		74-6000064 GOVERNMENT ENTITY 5,000       SCHOOL NUTRITION - IMMEDIATE COVID-19 RELIEF SUPPORT
(3) BALTIMORE CITY PUBLIC SCHOOLS
200 E NORTH AVENUE
BALTIMORE,MD21202 		52-2064235 GOVERNMENT ENTITY 5,000       SCHOOL NUTRITION - IMMEDIATE COVID-19 RELIEF SUPPORT
(4) BEAVER COUNTY SCHOOL DISTRICT
291 NORTH MAIN
BEAVER,UT84713 		87-6000479 GOVERNMENT ENTITY 6,582       SCHOOL NUTRITION - IMMEDIATE COVID-19 RELIEF SUPPORT
(5) BOULDER VALLEY SCHOOL DISTRICT
6500 EAST ARAPAHOE ROAD
BOULDER,CO80301 		84-6014683 GOVERNMENT ENTITY 4,000       SCHOOL NUTRITION - IMMEDIATE COVID-19 RELIEF SUPPORT
(6) BREWSTER CENTRAL SCHOOLS
30 FARM TO MARKET ROAD
BREWSTER,NY10509 		14-6001950 GOVERNMENT ENTITY 2,034       SCHOOL NUTRITION - IMMEDIATE COVID-19 RELIEF SUPPORT
(7) BROOKLYN CENTER ISD NO 286
6300 SHINGLE CREEK PARKWAY
BROOKLYN CENTER,MN55430 		41-6009038 GOVERNMENT ENTITY 2,000       SCHOOL NUTRITION - IMMEDIATE COVID-19 RELIEF SUPPORT
(8) CHEF ANN FOUNDATION
5445 CONESTOGA COURT
BOULDER,CO80301 		26-2496810 501(C)(3) 52,276       SCHOOL NUTRITION
(9) CHEFFYK & CA LLC
807 W GOLF COURSE DRIVE
CHELAN,WA98816 		81-4824060 N/A 2,250       SCHOOL NUTRITION
(10) CHILDREN FIRST FUND THE CHICAGO PUBLIC SCHOOLS FOUNDATION
200 W MADISON STREET
CHICAGO,IL60606 		36-4094830 501(C)(3) 22,025       SCHOOL NUTRITION - IMMEDIATE COVID-19 RELIEF SUPPORT
(11) CINCINNATI PUBLIC SCHOOLS
2315 IOWA AVENUE
CINCINNATI,OH45206 		31-6000758 GOVERNMENT ENTITY 5,000       SCHOOL NUTRITION - IMMEDIATE COVID-19 RELIEF SUPPORT
(12) DC PUBLIC EDUCATION FUND
3407 14TH STREET NW
WASHINGTON,DC20010 		26-1607955 501(C)(3) 5,000       SCHOOL NUTRITION - IMMEDIATE COVID-19 RELIEF SUPPORT
(13) DENVER PUBLIC SCHOOLS
1860 LINCOLN STREET
DENVER,CO80203 		84-6001099 GOVERNMENT ENTITY 4,984       SCHOOL NUTRITION - IMMEDIATE COVID-19 RELIEF SUPPORT
(14) DENVER PUBLIC SCHOOLS FOUNDATION
1860 LINCOLN STREET
DENVER,CO80203 		84-1224325 501(C)(3) 250,000       SCHOOL NUTRITION
(15) DETROIT PUBLIC SCHOOLS COMMUNITY DISTRICT
1601 FAMSWORTH
DETROIT,MI48211 		38-6019629 GOVERNMENT ENTITY 5,000       SCHOOL NUTRITION - IMMEDIATE COVID-19 RELIEF SUPPORT
(16) EMPORIA UNIFIED SCHOOL DISTRICT
1700 W 7TH AVE
EMPORIA,KS66801 		48-0698622 GOVERNMENT ENTITY 20,360       SCHOOL NUTRITION AND SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(17) FAYETTEVILLE SCHOOL DISTRICT
1000 WEST BULLDOG BLVD
FAYETTEVILLE,AR72701 		71-6021514 GOVERNMENT ENTITY 29,112       SCHOOL NUTRITION AND SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(18) HEATHER SILVERMAN
8234 PERSHING DRIVE
PLAYA DEL REY CA,CA90293 		07-6707978 N/A 1,000       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(19) LAKE COUNTY SCHOOL DISTRICT
328 W 5TH ST
LEADVILLE,CO80461 		84-6011994 GOVERNMENT ENTITY 95,276       SCHOOL NUTRITION AND SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(20) LAVEEN ELEMENTARY SCHOOL DISTRICT
5001 W DOBBINS ROAD
LAVEEN,AZ85339 		86-6000504 GOVERNMENT ENTITY 8,272       SCHOOL NUTRITION AND SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(21) MIAMI-DADE COUNTY PUBLIC SCHOOLS
7042 W FLAGLER ST
MIAMI,FL33144 		59-6000572 GOVERNMENT ENTITY 10,000       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(22) MILWAUKEE PUBLIC SCHOOLS
5225 W VLIET STREET
MILWAUKEE,WI53201 		39-6003457 GOVERNMENT ENTITY 5,000       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(23) MINNEAPOLIS PUBLIC SCHOOLS CULINARY AND NUTRITION SERVICES
812 PLYMOUTH AVE
MINNEAPOLIS,MN55411 		41-0851980 GOVERNMENT ENTITY 19,142       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(24) NAPA VALLEY EDUCATION FOUNDATION
2425 JEFFERSON STREET
NAPA,CA94558 		68-0005743 501(C)(3) 3,000       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(25) NATIONAL FARM TO SCHOOL NETWORK A PROJECT OF TIDES CENTER
PO BOX 29198
SAN FRANCISCO,CA94129 		94-3213100 501(C)(3) 5,000       SCHOOL NUTRITION
(26) NORWOOD CITY SCHOOL DISTRICT
2132 WILLIAMS AVENUE
NORWOOD,OH45212 		31-6000908 GOVERNMENT ENTITY -49,500       GRANT PAYABLE REVERSAL
(27) NOVATO UNIFIED SCHOOL DISTRICT
819 OLIVE AVENUE
NOVATO,CA94945 		68-0112169 GOVERNMENT ENTITY 56,350       SCHOOL NUTRITION AND SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(28) OSBORN SCHOOL DISTRICT
1226 W OSBORN RD
PHOENIX,AZ85013 		86-6000486 GOVERNMENT ENTITY 13,856       SCHOOL NUTRITION AND SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(29) OSSEO AREA SCHOOLS ISD 279
11200 93RD AVE N
MAPLE GROVE,MN55369 		41-6001421 GOVERNMENT ENTITY 4,000       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(30) PIUTE COUNTY SCHOOL DISTRICT
500 NORTH MAIN STREET
JUNCTION,UT84740 		87-6000510 GOVERNMENT ENTITY 6,581       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(31) PORTLAND PUBLIC SCHOOLS
501 N DIXON STREET
PORTLAND,OR97227 		93-6000830 GOVERNMENT ENTITY 3,055       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(32) ISD 623 ROSEVILLE AREA SCHOOLS
1251 COUNTY RD B2 WEST
ROSEVILLE,MN55113 		41-6003439 GOVERNMENT ENTITY 4,152       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(33) SAINT PAUL PUBLIC SCHOOLS
360 COLBORNE STREET
SAINT PAUL,MN55102 		41-0901311 GOVERNMENT ENTITY 5,250       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(34) SAN FRANCISCO UNIFIED SCHOOL DISTRICT
135 VAN NESS AVENUE
SAN FRANCISCO,CA94102 		94-6000416 GOVERNMENT ENTITY 5,000       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(35) SAN RAMON VALLEY UNIFIED SCHOOL DISTRICT
699 OLD ORCHARD DRIVE
DANVILLE,CA94526 		68-0273221 GOVERNMENT ENTITY 3,500       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(36) TEMPE ELEMENTARY SCHOOL DISTRICT
3205 S RURAL RD
TEMPE,AZ85282 		86-6000480 GOVERNMENT ENTITY 2,000       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(37) FUND FOR PUBLIC SCHOOLS INC
52 CHAMBERS STREET
NEW YORK,NY10007 		11-2656137 GOVERNMENT ENTITY 296,697       NYC DEPARTMENT OF EDUCATION SCHOOL NUTRITION AND SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(38) URBAN SCHOOL FOOD ALLIANCE - WINDWARD FUND
1201 CONNECTICUT AVE NW
WASHINGTON,DC20036 		47-3522162 GOVERNMENT ENTITY 20,000       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
(39) WATERTOWN SCHOOL NUTRITION
50 COLUMBIA ST
WATERTOWN,MA02472 		04-6001340 GOVERNMENT ENTITY 2,000       SCHOOL NUTRITION IMMEDIATE COVID-19 RELIEF SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
37
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
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) LIFE TIME LIFTS EMPLOYEE ASSISTANCE GRANT PROGRAM 8498 6,324,918      
(1)
(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: THROUGH OUR THREE-YEAR PARTNERSHIPS, THE LIFE TIME FOUNDATION'S REGISTERED DIETITIAN EVALUATES PRODUCT LABELS AND MEASURES PROGRESS. SUPPORT INCLUDES: LABEL BASELINE REVIEW: ELECTRONIC REVIEW OF PRODUCT LABELS FOR HARMFUL 7 INGREDIENTS (FIRST REVIEW TAKES PLACE SHORTLY AFTER THE PARTNERSHIP KICKOFF). COMMODITY PROCUREMENT: DISTRICT PROVIDES ITS COMMODITY PROCUREMENT PLAN AND COMMITS TO ONGOING REPORTING ON COMMODITY PRODUCT UTILIZATION. FOUNDATION PROVIDES TECHNICAL ASSISTANCE ON BEST PRACTICES TO AVOID THE HARMFUL 7. ANNUAL LABEL REVIEWS TO DETERMINE PROGRESS. MONTHLY LABEL WORK CALLS TO CELEBRATE ACCOMPLISHMENTS, ADDRESS CHALLENGES AND MAKE RECOMMENDATIONS. FOUNDATION REACHES OUT TO EACH DISTRICT PARTNERS AS NEEDED TO FOLLOW UP ON LABEL QUESTIONS. DURING THE MONTHLY CALLS, WE ALSO ADDRESS THE USE OF FUNDING AND OTHER ITEMS RELEVANT TO THE PARTNERSHIP. DISTRICT PARTNERS PROVIDE A PROOF OF PERFORMANCE REPORT ON EACH ANNIVERSARY OF THE EFFECTIVE DATE OF THE PARTNERSHIP. THIS REPORT INCLUDES A DESCRIPTION OF ACCOMPLISHMENTS SUPPORTED BY THE FOUNDATION'S GRANT, YEAR-OVER-YEAR PROGRESS TOWARDS ELIMINATING THE HARMFUL 7 INGREDIENTS, AND ANY OTHER RELEVANT INFORMATION. FUNDING TO ACCELERATE PROGRESS IS PROVIDED OVER THE THREE-YEAR PERIOD, AND ONLY ONCE THE PROOF OF PERFORMANCE REPORT HAS BEEN APPROVED BY THE FOUNDATION.
Schedule I (Form 990) 2020



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