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Schedule B (Form 990.990-¢. or 990-PF) (2015) Page 4
Name of organization Employer identification number
GRATITUDE AMERICA LTD
ROYAL PALMS PROFESSIONAL BUILDING 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)
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
No.from Part I
(e) Transfer of gift
Transferee's name. address, and ZP 4 Relationshp of transferor to transferee
(a)
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
No.from Part I
•
(e) Transfer of gift
Transferee's name. address, and ZIP 4 Relationship of transferor to transferee
_
(a) (b) Purpose of gift (e) Use of gift (d) Description of how gift is held
No.from Part I
•
(e) Transfer of gift
Transferee's name. address. and ZP 4 Relationship of transferor to transferee
(a) (b) Purpose of gift (e) Use of gilt (d) Description of how gift is held
No.from Part I
(e) Transfer of gift
Transferee's name. address. and ZP 4 Relationship of transferor to transferee
Schedule B (Form 990, 990-¢, or 990-PF) (2015)
CONFIDENTIAL - PURSUANT TO FED. R. CRI M. P. 6(e) DB-SDNY-0066036
CONFIDENTIAL SDNY_GM_002 12220
EFTA01372342
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