Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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
2022
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) CHEF ANN FOUNDATION
5445 CONESTOGA COURT
BOULDER,CO80301 		26-2496810 501(C)(3) 66,817 0     SCHOOL NUTRITION
(2) DENVER PUBLIC SCHOOLS
1860 LINCOLN STREET
DENVER,CO80203 		84-6001099 GOVERNMENT ENTITY 250,000 0     SCHOOL NUTRITION
(3) FAYETTEVILLE SCHOOL DISTRICT
1000 WEST BULLDOG BLVD
FAYETTEVILLE,AR72701 		71-6021514 GOVERNMENT ENTITY 10,667 0     SCHOOL NUTRITION
(4) LAKE COUNTY SCHOOL DISTRICT
328 W 5TH ST
LEADVILLE,CO80461 		84-6011994 GOVERNMENT ENTITY 185,704 0     SCHOOL NUTRITION AND YOUTH MOVEMENT
(5) LAVEEN ELEMENTARY SCHOOL DISTRICT
5001 W DOBBINS ROAD
LAVEEN,AZ85339 		86-6000504 GOVERNMENT ENTITY 19,525 0     SCHOOL NUTRITION
(6) OSBORN SCHOOL DISTRICT
1226 W OSBORN RD
PHOENIX,AZ85013 		86-6000486 GOVERNMENT ENTITY 6,678 0     SCHOOL NUTRITION
(7) SWAN SOLUTIONS LLC
3460 QUAIL DRIVE
PACE,FL32571 		85-0845732   46,000 0     SCHOOL NUTRITION - CLEAN LABEL DATABASE SOFTWARE
(8) 1WORLDSYNC INC
300 SOUTH RIVERSIDE PLAZA
CHICAGO,IL60606 		36-4684878   12,375 0     SCHOOL NUTRITION - CLEAN LABEL DATABASE SOFTWARE
(9) FUND FOR PUBLIC SCHOOLS INC
52 CHAMBERS STREET
NEW YORK,NY10007 		11-2656137 GOVERNMENT ENTITY 200,000 0     SCHOOL NUTRITION
(10) WELLNESS IN THE SCHOOLS INC
31 W 125TH STREET 5TH FLOOR
NEW YORK,NY10027 		25-1919494 501(C)(3) 63,687 0     SCHOOL NUTRITION
(11) MINNEAPOLIS PUBLIC SCHOOLS
1250 W BROADWAY AVE
MINNEAPOLIS,MN55411 		41-0851980 GOVERNMENT ENTITY 62,184 0     SCHOOL NUTRITION AND YOUTH MOVEMENT
(12) URBAN SCHOOL FOOD ALLIANCE INC
1612 K STREET NW SUITE 200
WASHINGTON,DC20006 		46-5754490 501(C)(3) 236,000 0     SCHOOL NUTRITION
(13) AMERICA SCORES NEW YORK
520 8TH AVE SUITE 201C
NEW YORK,NY10018 		13-4189653 501(C)(3) 15,000 0     YOUTH MOVEMENT
(14) AMERICAN SENIOR HIGH SCHOOL
18350 NW 67 AVE
HIALEAH,FL33015 		59-6000572 GOVERNMENT ENTITY 15,000 0     YOUTH MOVEMENT
(15) AUSTIN PUBLIC EDUCATION FOUNDATION
4000 S INTERSTATE 35 9TH FLOOR
AUSTIN,TX78704 		74-2654168 501(C)(3) 100,000 0     YOUTH MOVEMENT
(16) CHILDREN FIRST FUND THE CHICAGO PUBLIC SCHOOLS FOUNDATION
200 W MADISON ST 2ND FLOOR
CHICAGO,IL60606 		36-4094830 501(C)(3) 68,980 0     YOUTH MOVEMENT
(17) CHICAGO PUBLIC SCHOOLS
42 W MADISON STREET
CHICAGO,IL60602 		36-6005821 GOVERNMENT ENTITY 36,605 0     YOUTH MOVEMENT
(18) CITY PARKS FOUNDATION
830 5TH AVENUE
NEW YORK,NY10065 		13-3561657 501(C)(3) 20,500 0     YOUTH MOVEMENT
(19) FAMILY LIFE ACADEMY CHARTER SCHOOLS
14 W 170TH STREET
BRONX,NY10452 		13-4170389 501(C)(3) 15,000 0     YOUTH MOVEMENT
(20) GIRLS ON THE RUN MINNESOTA INC
3433 BROADWAY ST NE 430
MINNEAPOLIS,MN55413 		45-2845928 501(C)(3) 15,000 0     YOUTH MOVEMENT
(21) MARYLAND STATE YOUTH SOCCER ASSOCIATION
3060 ROUTE 97
GLENWOOD,MD21738 		52-1349858 501(C)(3) 15,000 0     YOUTH MOVEMENT
(22) NATIVE STRENGTH REVOLUTION
5610 POCAHONTAS RD
BESSEMER,AL35022 		47-1963368 501(C)(3) 15,000 0     YOUTH MOVEMENT
(23) NETBALL AMERICA INC
5101 AUDREY DRIVE
HUNTINGTON BEACH,CA92649 		26-1426175 501(C)(3) 15,000 0     YOUTH MOVEMENT
(24) NOVATO UNIFIED SCHOOL DISTRICT
1015 SEVENTH STREET
NOVATO,CA94945 		68-0112169 GOVERNMENT ENTITY 13,070 0     YOUTH MOVEMENT
(25) SAINT PAUL PUBLIC SCHOOLS
360 COLBORNE STREET
SAINT PAUL,MN55102 		41-0901311 GOVERNMENT ENTITY 20,000 0     YOUTH MOVEMENT
(26) TEMPE UNION HIGH SCHOOL
500 W GUADALUPE ROAD
TEMPE,AZ85283 		86-6000536 GOVERNMENT ENTITY 15,000 0     YOUTH MOVEMENT
(27) THE LOPPET FOUNDATION INC
1301 THEODORE WIRTH PARKWAY
MINNEAPOLIS,MN55422 		41-1753882 501(C)(3) 15,000 0     YOUTH MOVEMENT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
25
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) 2022
Page 2

Schedule I (Form 990) 2022
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 432 330,185      
(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) 2022



Additional Data


Software ID:  
Software Version: