EFTA01345290.pdf

lefile GRAPHIC print - DO NOT PROCESS I As Filed Data - DLN: 93491135015217I OMB No :545.0052 Forn,990-PF Return of Private Foundation l/tpanmem of the Trywun or Section 4947(a)(1) Trust Treated as Private Foundation s Do not enter social security numbers on this form as it may be made public. 2016 illtaltIl Rcsamic Acts s Information about Form 990-PF and its instructions is at www.Irs.00vilorm9900. Open to Public Inspection For calendar year 2016, or tax year beginning 01-01-2016 , and ending 12-31-2016 Name of foundation A Employer identification number GRATITUDE AMERICA LTD ROYAL PALMS PROFESSIONAL BUILDING 66.0789697 Number and street (or P 0 box number rf mail is not delivered to street address) Room/suite B Telephone number (see instructions) 9053 ESTATE THOMAS SUITE 101 (340) 779-2564 City or town, state or province, country, and ZIP or foreign postal code ST THOMAS, VI 00802 C If exemption vocation is pending, check here r LJ G Check all that apply • Initial return • Initial return of a former public chanty 0 1. Foreign organizations, check here 2. Foreign organizations meeting the 85% ❑ 0 Final return 0 Amended return test, check here and attach computabon pi. El D Address change • Name change E If private foundation status was terminated H Check type of organization 0 Section 501(c)(3) exempt pnvate foundation under section 507(b)(1)(A), check here Iii • Section 4947(a)(1) nonexempt charitable trust 0 Other taxable private foundation I Fair market value of all assets at end 3 Accounting method 0 Cash • Accrual F If the foundation is in a 60-month termsnabors ri of year (from Part II, col (c), under section 507(b)(1)(B), check here 0 LJ line 16)10$ 9,385,495 • Other (specify) (Part 1, column (d) must be on cash basis ) Part I Analysis of Revenue and Expenses (Me iota/ (a) Revenue and (d) Disbursements of amounts in columns (DI. (c). ono (q) may not ',teenage (b) No investment (c) Adjusted net for charitable expenses per income mccmw pwbows equal Me amounts in column (a) (see instructions)) books (cash basis only) 1 Contributions, gifts, grants, etc , received (attach schedule) 2 Check lls 121if the foundation is not required to attach Sch B 3 Interest on savings and temporary cash investments 54,367 54,367 4 Dividends and interest from securities . . . 21,576 21,576 Sa Gross rents b Net rental income or (loss) Revenue 6a Net gain or (loss) from sale of assets not on line 10 58,235 b Gross sales pnce for all assets on line 6a 153,649 7 Capital gain net income (from Part IV, line 2) . . . 58,235 8 Net short-term capital gain 9 Income modifications 10a Gross sales less returns and allowances b Less Cost of goods sold . . . . c Gross profit or (loss) (attach schedule) 11 Other income (attach schedule) 12 Total. Add lines 1 through 11 134,178 134.178 13 Compensation of officers, directors, trustees, etc 14 Other employee salanes and wages Operating and Administrative Expenses 15 Pension plans, employee benefits 16a Legal fees (attach schedule) all 930 930 b Accounting fees (attach schedule) Me l 4,000 4,000 c Other professional fees (attach schedule) . . 17 Interest 18 Taxes (attach schedule) (see instructions) . . SI 200 200 19 Depreciation (attach schedule) and depletion . . 20 Occupancy 21 Travel, conferences, and meetings 22 Printing and publications 23 Other expenses (attach schedule) 4.tal 290,805 290,030 24 Total operating and administrative expenses. Add lines 13 through 23 295,935 0 295,160 25 Contributions, gifts, grants paid 580,000 580,000 26 Total expenses and disbursements. Add lines 24 and 25 875,935 0 875,160 27 Subtract line 26 from line 12 a Excess of revenue over expenses and -741,757 disbursements b Net investment income (if negative, enter -0-) 134,178 c Adjusted net income(ff negative, enter -0-) . . . For Paperwork Reduction Act Notice, see instructions. Cat No 11289X Form 990-PF (2016) CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0031547 CONFIDENTIAL SDNY_GM_00177731 EFTA01345290