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LIFESTYLE MEDICINE FOUNDATION: Form 990EZ, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
LIFESTYLE MEDICINE FOUNDATION (EIN 01-0932751)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-06-14
IRS object ID
201741659349200334
Schema version
2016v3.0
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)
Return2017-06-14T12:34:34-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Online Accounting LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1462 E Shore Drive Suite 140AddressLine1Txt
CityEagleCityNm
State AbbreviationIDStateAbbreviationCd
ZIP836163875ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010932751EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lifestyle Medicine FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLIFEBusinessNameControlTxt
Phone5035502814PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 4141AddressLine1Txt
CitySalemCityNm
State AbbreviationORStateAbbreviationCd
ZIP97302ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMarcus BramanPersonNm
Person TitlePresidentPersonTitleTxt
Signature2017-06-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKaren Mitchell CPAPreparerPersonNm
PTINP00747867PTIN
Phone2089399842PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting OtherHybrid CashMethodOfAccountingOtherDesc
Website Addresswww.lifestylemedicinefound.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$190,867GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$65,040ContributionsGiftsGrantsEtcAmt
Program Service Revenue$125,820ProgramServiceRevenueAmt
Investment Income$7InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$190,867TotalRevenueAmt
Grants And Similar Amounts Paid$16,173GrantsAndSimilarAmountsPaidAmt
Fees And Other Pymt To Ind Cntrct$122,263FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$1,800OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$12PrintingPublicationsPostageAmt
Other Expenses Total$56,678OtherExpensesTotalAmt
Total Expenses$196,926TotalExpensesAmt
Excess Or Deficit For Year-$6,059ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$24,064NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,005NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$24,168BOYAmt
EOY$18,359EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$601BOYAmt
EOY$429EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,769BOYAmt
EOY$18,788EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$705BOYAmt
EOY$783EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$24,064BOYAmt
EOY$18,005EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeThe purpose of this foundation shall be to promote the education, science, research and access to lifestyle medicine. To promote an awareness and working understanding of the basic concepts of lifestyle medicine to the general public and to those within the healthcare field. This will include high-impact initiatives such as a "lifestyle medicine vital signs" campaign.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc Accom1. Educate the public about lifestyle medicine, what it is, the evidence to support it, how its effectiveness compares with and works with other conventional therapies such as medications and procedures.2. Educate Physicians and other healthcare providers. To work for the appropriate, proportional inclusion of lifestyle medicine modalities into undergraduate, graduate, post-graduate healthcare training.3. To promote public benefit lifestyle medicine conferences, or lifestyle medicine content in other conferences.4. To promote the dissemination of science-based lifestyle medicine content and resources through various media, including, but not limited to, the internet, tv, radio, and print.5. To develop a definitive public resource website, or set of sites, for evidence-based lifestyle medicine educational content.6. To promote the science, and the dissemination fo the science, of lifestyle mediicne.7. Utilize expertise. In the fulfillment of its activities the foundation shall seek to engage the best expertise available and shall seek to collaborate with professional bodies of the highest quality.8. Perform all activities related to and necessary for the fullfillment of the above objective, purposes, and activities.DescriptionProgramSrvcAccomTxt
Grants And Allocations$162,804GrantsAndAllocationsAmt
Program Service Expenses$18,173ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$162,804TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
Marcus Braman
President16.00$0
Thomas Lenz
Secretary0$0
John Caccavale
Vice President0$0
John Westerdahl
Director0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Organization Filed990 TfalseOrganizationFiled990TInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Initiation Fees And Cap Contri$0InitiationFeesAndCapContriAmt
Gross Receipts For Public Use$0GrossReceiptsForPublicUseAmt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMarcus BramanPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 4141AddressLine1Txt
CitySalemCityNm
State AbbreviationORStateAbbreviationCd
ZIP97302ZIPCd
FieldValueIRS element (for citing)
Phone5035502814PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Form720 FiledfalseForm720FiledInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Related Org Sect527 OrgfalseRelatedOrgSect527OrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$130,958CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,015CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,513CurrentTaxYearMinus1YearAmt
Current Tax Year$65,040CurrentTaxYearAmt
Total$243,526TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$130,958CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,015CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,513CurrentTaxYearMinus1YearAmt
Current Tax Year$65,040CurrentTaxYearAmt
Total$243,526TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$243,526PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$243,526TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind
Public Support CY1700.00000PublicSupportCY170Pct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Northwest Lifestyle MedicBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionManagerRelationshipDescriptionTxt
Transaction$60,990TransactionAmt
TransactionManagement FeesTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Grants and Similar Amounts Paid In Excess of $5,000.1| Donee's Name: American College of Lifestyle | Cash Amount Given: $15240
Other Expenses.1002Office Expenses $385
Other Expenses.1005Travel $3258
Other Expenses.1007Conferences, Conventions, and Meetings $2019
Other Expenses.1008Interest $6
Other Expenses.1009Depreciation $172
Other Expenses.1ABLM Development $50500
Other Expenses.2Bank Charges $189
Other Expenses.3Taxes & Licenses $125
Other Expenses.4Website Fees $24
Other Assets.1003Machinery and Equipment - Beginning $601 Machinery and Equipment - Ending $429
Total Liabilities.1Credit cards payable - Beginning $705 Credit cards payable - Ending $783

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