Schedule B (Form 990.990-¢. or 990-PF) (2015) Page 4
Name of organization Employer identification number
GRATITUDE AMERICA LTD
ROYAL PALMS PROFESSIONAL BUILDING
Part Exclusively religious, charitable. etc., contributions to organizations descr bed in section 501(c)(7). (8). or (10) that
total more than $1,000 for the year from any one contributor. Complete co um ns (a) through (e) and the following
line entry. For organizations completing Part Ill, enter the total of exclusivelyreligious, charitable, etc., contributions
of $1,000 or less for the year. (Enter this info mation once. See instructions.) ► $
Use duplicate copies of Part lid addmonal space is needed
(a)
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
No.from Part I
(e) Transfer of gift
Transferee's name. address, and ZP 4 Relebonshp of transferor to transferee
(a)
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
No.from Part I
•
(e) Transfer of gift
Transferee's name. address, and 213 4 Relationship of transferor to transferee
_
(a) (b) Purpose of gift (e) Use of gift (d) Description of how gift is held
Nolrom Part I
•
(e) Transfer of gift
Transferee's name. address. and ZP 4 Relationship of transferor to transferee
(a) (b) Purpose of gift (e) Use of gift (d) Description of how gift is held
No.from Part I
(e) Transfer of gift
Transferee's name. address. and ZP 4 Relebonship of transferor to transferee
Schedule B (Form 990, 990-¢, or 990-PF) (2015)
CONFIDENTIAL - PURSUANT TO FED. R. CRI M. P. 6(e) DB-SDNY-0078277
CONFIDENTIAL SDNY_GM_00224461
EFTA01380111