EFTA01380109.pdf

!eine GRAPHIC print - DO NOT PROCESS I As Filed Data • I DLN: 93491314001026 Schedule B OMB No 1545 COO Schedule of Contributors (Form 990. 990-EZ. or 990-PF) ► Attach to Form 990. 990-EZ. or 990-PF CeartmerttlfieTreeluy ► Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at 2015 'fond Redenue Serve www in oovilorm990 Name of the organization Employer identification number GRATITUDE AMERICA LTD ROYAL PALMS PROFESSIONAL BUILDING Organization type (check one) Filers of; Section: Form 990 or 990•EZ 501(c)( ) (enter number) organization 4947(a)(1) nonexerrpt charitable trust not treated as a private foundation r 527 pokical organization Form 990-PF 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 Cat No 30613X Schedule a (Form 990, 990-EZ. or 990-PF) (2016) for Fawn 990. 990-EZ. or 990-PF CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0078274 CONFIDENTIAL SDNY_GM_00224458 EFTA01380109