EFTA Document EFTA01380111

Schedule B (Form 990.990-¢. or 990-PF) (2015) Page 4 Name of organization GRATITUDE AMERICA LTD ROYAL PALMS PROFESSIONAL BUILDING Employer identification number 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) 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 Relebonshp 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 213 4 Relationship of transferor to transferee _ (a) Nolrom 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 gift (d) Description of how gift is held (e) Transfer of gift Transferee's name. address. and ZP 4 Relebonship 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-0078277 SDNY_GM_00224461 EFTA01380111