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efta-01380109DOJ Data Set 10OtherEFTA01380109
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DOJ Data Set 10
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efta-01380109
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!eine GRAPHIC
Schedule B
print - DO NOT PROCESS I As Filed Data • I
DLN: 93491314001026
Schedule of Contributors
OMB No 1545 COO
(Form 990. 990-EZ.
or 990-PF)
CeartmerttlfieTreeluy
'fond Redenue Serve
► Attach to Form 990. 990-EZ. or 990-PF
► Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at
www in oovilorm990
2015
Name of the organization
GRATITUDE AMERICA LTD
ROYAL PALMS PROFESSIONAL BUILDING
Employer identification number
Organization type (check one)
Filers of;
Form 990 or 990•EZ
Form 990-PF
Section:
501(c)( ) (enter number) organization
4947(a)(1) nonexerrpt charitable trust not treated as a private foundation
r 527 pokical organization
501(c)(3) exenpt private foundation
4947(a)(1) nonexerrpt charitable trust treated as a private foundation
501(c)(3) taxable private foundation
Check R your organization s covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule See instructions
General Rule
b7,
For an organization fing Form 990.990-s, or 990-PF that received, during the year, contributions totaling 55.000 or more (in money or
other property) from any one contrbutor Complete Parts I and II See instructions for determning a contributors total contributions
Special Rules
For an organization deserted in section 501(c)(3) ling Form 990 or 99042 that net the 331/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A )(in). that checked Schedule A (Form 990 or 990-&), Part IL line 13. 16a, or 16b, and that
recerved from any one contrbutor. clump the year, total contributions of the greater of (1) 55.000 or (2) 2% of the amount on (i) Form 990,
Part VII, Ine lh. or (.) Form 99042, Ire 1 Complete Parts I and I
For an organization deserted in section 501(c)(7). (8). or (10) filing Form 990 or 99042 that received from any one contributor,
during the year. total contrbubons of more than 51.000 exclusively for religious, charitable. scientific. literary. or educational purposes. or
for the prevention of cruelly to children or annals Complete Parts I. I. and II
r For an organization deserted in section 501(c)(7). (8). or (10) ling Form 990 or 990-& that received from any one contributor,
during the year. contributions exclusively for religious, charitable. etc . purposes, but no such contributions totaled more than 51.000 If
the box is checked, enter here the total contributions that w ere received during the year for an exclusively religious. charitable. etc ,
purpose Do not complete any of the pans unless the General Rule applies to this organization because it received nonexclusively
religious, charitable, etc . contributions totaling 55.000 or more during the year
to
Caution. An organization that s not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
99042, or 990-PF). but it must answer ' kW on Part N. line 2. of its Form 990, or check the box on line H of its
Form 990-EZ or on its Form 99OFF. Part I, line 2. to certify that it does not meet the filing requirements of Schedule B (Form 990.
99042, or 990-PF)
For Paperwork Reduction act Notice, see the Instructions
for Fawn 990. 990-EZ. or 990-PF
Cat No 30613X
Schedule a (Form 990, 990-EZ. or 990-PF) (2016)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0078274
CONFIDENTIAL
SDNY_GM_00224458
EFTA01380109
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