EFTA Document EFTA01379600

Schedule B (Form 990.990-¢. or 990-PF) (2015) Page 4 Name of organization GRATITUDE AMERICA LTD ROYAL PALMS PROFESSIONAL BUILDING Employer identification number 66-0789697 Part III 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 motion once. See instructions.) ► $ Use duplicate copies of Part lid addienal space is needed (a) No.from Part I (b) Purpose of gift (c) Use of gift (d) Description of how gift is held (e) Transfer of gift Transferee's name. address, and ZP 4 Relationshp of transferor to transferee (a) No.from Part I (b) Purpose of gift (c) Use of gift (d) Description of how gift is held • (e) Transfer of gift Transferee's name. address, and ZIP 4 Relationship of transferor to transferee _ (a) No.from Part I (b) Purpose of gift (e) Use of gift (d) Description of how gift is held • (e) Transfer of gift Transferee's name. address. and ZP 4 Relationship of transferor to transferee (a) No.from Part I (b) Purpose of gift (e) Use of gilt (d) Description of how gift is held (e) Transfer of gift Transferee's name. address. and ZP 4 Relationship of transferor to transferee CONFIDENTIAL - PURSUANT TO FED. R. CRI M. P. 6(e) CONFIDENTIAL Schedule B (Form 990, 990-¢, or 990-PF) (2015) DB-SDNY-0077218 SDNY_GM_00223402 EFTA01379600