See a Social Security Number? Say Something! Report Privacy Problems to https://public.resource.org/privacy Or call the IRS Identity Theft Hotline at 1-800-908-4490 Iefile GRAPHIC print - DO NOT PROCESS IAs Filed Data - Form990'PF Return of Private Foundation or Section 4947(a)(1) Trust Treated as Private Foundation Department of the Treasury Internal Revenue Serwce Do not enter social security numbers on this form as it may be made public. Information about Form 99D-PF and its instructions is at For calendar year 2015, or tax year beginning 01-01-2015 and ending 12-31-2015 OMB No 1545?0052 Open to Public Inspection Name of foundation GRATITUDE AMERICA LTD ROYAL PALMS PROFESSIONAL BUILDING 66-0789697 A Employer Identi?cation number Number and street (or 0 box number if mail is not delivered to street address) Room/swte 9053 ESTATE THOMAS SUITE 101 (340) 779-2564 BTelephone number (see Instructions) City or town, state or provmce, country, and ZIP or foreign postal code ST THOMAS, VI 00802 Check all that apply I_Initial return I?Initial return ofa former public charity I?Final return mended return IVAddress change I?Name change Check type oforganization IVSection 50 1 exempt private foundation 1. Foreign organizations, check here 2. Foreign organizations meeting the 85% test, check here and attach computation If private foundation status was terminated under section check here If exemption application is pending, check here 7 777' I?Section 4947(a)(1) nonexempt charitable trust I?Other taxable private foundation market value of all assets at end JAccountIng methOd I7 ACCFUEI If the foundation is in a 60-month termination ofyear (from Part II, col (C), Other (speCIfy) under section check here line 15) pg; 1 0.006.564 (Part I, column must be on cash basrs) Analysis of Revenue and Expenses Revenue and Disbursements (The total of amounts in columns and may not expenses per investment ?Qt for charitable necessarily equal the amounts in column (see books Income Income purposes instructions) (cash ba5is only) 1 Contributions, gifts, grants, etc received (attach schedule10,003,000 2 Check ifthe foundation is not reqUIred to attach 3 Interest on savmgs and temporary cash investments 4,332 4,332 4.332 DiVidends and interest from securities 5a Gross rents Net rental income or (loss) 6a Net gain or(loss)from sale ofassets not online 10 3 '3 Gross sales price for all assets on line 6a 5; Capital gain net income (from Part IV, line 2) . Net short-term capital gain 9 Income modifications . 103 Gross sales less returns and allowances Less Cost ofgoods sold . Gross profit 0r(loss) (attach schedule) 11 Other income (attach schedule) 12 Total.Add lines 1 through 10,007,332 4,332 4,332 13 Compensation ofofficers, directors, trustees, etc 14 Other employee salaries and wages 8 15 Pen5ion plans, employee benefits 2 16a Legal fees (attach schedule543 543 Accounting fees (attach schedule). I: Other professmnal fees (attach schedule) 17 Interest 13 Taxes (attach schedule) (see instructions) 19 DepreCIation (attach schedule) and depletion 20 Occupancy 3 21 Travel,conferences,and meetings. 22 Printing and publications . . . 23 Other expenses (attach scheduleTotal operating and administrative expenses. 3 Addlines 13through Contributions, gifts, grants paid . . . . . . . 0 25 Total expenses and disbursements.A dd lines Subtract line 26 from line 12 3 Excess of revenue over expenses and disbursements 10,006,564 Net investment income (if negative, enter 4,332 Adjusted net income(if negative, enter -O-) 4,332 For Paperwork Reduction Act Notice, see instructions. Cat No 11289X Form 990-PF (20 5) Form 990-PF (2015) Page 2 Attached schedules and amounts In the description column Balance Sheets should be for end-of-year amounts only (See Instructions Beginning of year End of year Book Value Book Value Fair Market Value Cash?non-interest?bearing 1,233 1,233 Savmgs and temporary cash investments . 10,005,331 10,005,331 Accounts receivable Less allowance for doubtful accounts 4 Pledges receivable Less allowance for doubtful accounts Grants receivable Receivables due from officers, directors, trustees, and other disqualified persons (attach schedule) (see instructions). 7 Other notes and loans receivable (attach schedule) Less allowance for doubtful accounts 3 Inventories for sale or use . a) 9 Prepaid expenses and deferred charges 3 103 Investments?U and state government obligations (attach schedule) Investments?corporate stock (attach schedule) Investments?corporate bonds (attach schedule) 11 Investments?land, bwldings, and eqUIpment ba5is Less accumulated depreCIation (attach schedule) 12 Investments?mortgage loans. 13 Investments?other (attach schedule) . 14 Land, bmldings, and eqUIpment ba5is Less accumulated depreCIation (attach schedule) 15 Other assets (describe 16 Total assets(to be completed by all filers ?see the instructions Also, see page 1, item I) 10,006,564 10,006,564 17 Accounts payable and accrued expenses 18 Grants payable 19 Deferred revenue 20 Loans from officers, directors, trustees, and other disqualified persons 2 21 Mortgages and other notes payable (attach schedule). A 22 Other liabilities (describe 23 Total iabi ities(add lines 17 through 22) 0 Foundations that follow SFAS 117, check here '7 8 and complete lines 24 through 26 and lines 30 and 31. 24 Unrestricted 10,006,564 25 Temporarily restricted 26 Permanently restricted Foundations that do not follow SFAS 117, check here 5 and complete lines 27 through 31. 27 Capital stock, trust prinCIpal, or current funds a 28 Paid?in or capital surplus, or land, and eqUIpment fund 4 29 Retained earnings, accumulated income, endowment, or other funds 30 Total net assets or fund balances(see instructions) 10,006,564 31 Total liabilities and net assets/fund balances(see instructions) 10,006,564 Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund balances at beginning of year?Part II, column line 30 (must agree With end?of?yearfigure reported on prior year?s return) 1 2 Enteramount from PartI,line 27a 2 10,006,564 3 Other increases not included in line 2 (itemize) 3 4 Addlines 1,2,and3 4 10,006,564 5 Decreases not included in line 2 (itemize) 5 6 Total net assets orfund balances at end ofyear(line4 minus line (b),line 30 6 10,006,554 Form 990-PF (20 1 5) Form Page3 Capital Gains and Losses for Tax on Investment Income LIst and descrIbe the kInd(s) of property sold (e real estate, HOW achIred Date achIred Date sold 2?story brIck warehouse, or common stock, 200 MLC Co) D?DonatIon P?Purchase (C) (m0 I day, yr) (m0 I day, Yr) 1a Gross sales prIce DepreCIatIon allowed (or allowable) Cost or other (9) plus expense ofsale GaIn or(loss) plus mInus mantra: Complete only for assets showmg gaIn In column and owned by the foundation on 12/31/69 as of 12/31/69 Adjusted Excess ofcol (I) GaIns (Col gaIn mInus col but not less than or as of 12/31/69 over col (J), Ifany (I) LOSSES (from COI (W) a IfgaIn, also enter In Part I, lIne 7 2 CapItalgaIn netIncome or(net capItal loss) In PartI, Ine7 I 2 3 Net short?term capItal gaIn or (loss) as de?ned In sectIons 1222(5) and (6) IfgaIn, also enter In Part I, lIne 8, column (see InstructIons) If(loss), enter In PartI, Ine8 I 3 Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income (For optIonal use by domestIc prIvate foundatIons subject to the sectIon 4940(a) tax on net Investment Income) IfsectIon 4940(d)(2) appIIes, leave thIs part blank Was the foundatIon lIable forthe sectIon 4942 tax on the dIstrIbutable amount ofany year In the base perIod? Yes No If "Yes," the foundatIon does not qualIfy under sectIon 4940(e) Do not complete thIs part 1 Enter the approprIate amount In each column for each year, see InstructIons before makIng any entrIes Base perIod (yae)ars Calendar 0? DIstrIbIS?ggn ratIo year (or tax year begInnIng In) Adjusted qualIfyIng dIstrIbutIons Net value of noncharItable-use assets (col dIVIded by col 2014 2013 2012 2011 2010 2 TotaloflIne 1,column 2 3 Average dIstrIbutIon who for the 5-year base perIod?dIVIde the total on lIne 2 by 5, or by the number ofyears the foundatIon has been In eXIstence If less than 5 years 3 4 Enterthe net value ofnoncharItable?use assets for 2015 from Part X, Ine 5. 4 5 MultIply lIne 4 by lIne 3. 5 6 Enter 1% ofnetInvestmentIncome ofPartI, Ine 27b). 6 7 Add lIneSS and 6. 7 8 Enter qualIfyIng dIstrIbutIons from Part XII, lIne 4. 8 If lIne 8 Is equal to or greater than lIne 7, check the box In Part VI, lIne 1b, and complete that part usmg a 1% tax rate See the Part VI InstructIons Form 990-PF (20 1 5) Form Page4 Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948?see page 18 of the instructions) 1a Exempt operating foundations described in section 4940(d)(2), check here and enter?N/A" on line 1 Date of ruling or determination letter (attach copy of letter if necessary?see instructions) Domestic foundations that meet the section 4940(e) requuements in Part V, check 1 87 here ?and enter 1% ofPart I, line 27b All other domestic foundations enter 2% ofline 27b Exempt foreign organizations enter 4% of Part 1, line 12, col 2 Tax under section 51 1 (domestic section 4947(a)(1) trusts and taxable foundations only Others enter?0?) 3 87 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter?0-) Tax based on investment income.Subtract line 4 from line 3 Ifzero or less, enter . . . . . 5 87 6 Credits/Payments a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a Exempt foreign organizations?tax Withheld at source . . . . . . . 6b Tax paid With application for exten5ion oftime to file (Form 8868). . . SC 200 Backup Withholding erroneously WithheldTotal credits and payments Add lines 6a through 6d200 Enter any penalty for underpayment of estimated tax Check here if Form 2220 is attached Tax due.Ifthe total oflines 5 and 8 is more than line 7, enter amount owed . . . . . . . 10 Overpayment.If line 7 IS more than the total oflines 5 and 8, enterthe amount overpaid. . . 10 113 Enter the amount ofline 10 to be Credited to 2015 estimated tax 113 Refunded 11 Statements Regarding Activities During the tax year, did the foundation attempt to influence any national, state, or local legislation or did Yes No it partICIpate or intervene in any political campaignspend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions "Yes to 1a or 1b, attach a detailed description of the actiVities and copies of any materials published or distributed by the foundation in connection With the actiwties yearEnter the amount (ifany) of tax on political expenditures (section 4955) imposed during the year (1) On the foundation (2) On foundation managers Enter the reimbursement (ifany) paid by the foundation during the year for political expenditure tax imposed on foundation managers 2 Has the foundation engaged in any actiwties that have not preVIously been reported "Yes," attach a detailed description of the actiwties 3 Has the foundation made any changes, not preVIously reported to the IRS, in its governing instrument, articles of incorporation, or bylaws, or other Similar instruments? If ?Yes,? attach a conformed copy of the changes . . . . 3 No 4a Did the foundation have unrelated busmess gross income of$1,000 or more during the year7If"Yes," has it filed a tax return on Form 990-T for this yearWas there a liqUIdation, termination, dissolution, or substantial contraction during the year"Yes," attach the statement reqUired by General Instruction 6 Are the reqUIrements of section 508(e) (relating to sections 4941 through 4945) satisfied either 0 By language in the governing instrument, or By state legislation that effectively amends the governing instrument so that no mandatory directions . . . . . . . . . . . . . . . . 6 Yes 7 Did the foundation have at least $5,000 in assets at any time during the yearVIf ?Yes," complete Part II, col andPartXV 7Yes 8a Enter the states to which the foundation reports or With Which it is registered (see instructions) DNY Ifthe answer is "Yes" to line 7, has the foundation furnished a copy of Form to the Attorney General (or designate) ofeach state as reqUIred by General Instruction If attach explanation . 8b Yes 9 Is the foundation claiming status as a private operating foundation Within the meaning ofsection or for calendar year 20 15 or the taxable year beginning in 2015 (see instructions for Part XIV )7 If "Yes, complete Part Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names and addiesses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Yes Form 990-PF (20 1 5) Form Page5 11 12 13 14 15 16 Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required 1a During the year did the foundation (eIther directly or Indirectly) 3a 4a Statements Regarding Activities (continued) At any tIme during the year, dId the foundation, directly or Indirectly, own a controlled entity WIthIn the (seeinstructionsthe foundation make a dIstrIbutIon to a donor adVIsed fund over the foundation or a disqualified person had . . . . . . . . . . . . . . . . . 12 No the foundation comply WIth the public Inspection reqUIrements for Its annual returns and exemptIon applicatIon? 13 Yes WebSIte address The books are In care KELLERHALS Telephone no 779-2564 Located at P9053 ESTATE THOMAS SUITE 101 ST THOMAS VI POOSOZ Sectlon 4947(a)(1) nonexempt charItable trusts fIlIng Form 990-PF In lIeu of Form 1041 heck here and enter the amount of tax?exempt Interest received or accrued durIng the year . . . . . . I 15 I At any tIme during calendar year 2015, dId the foundatlon have an Interest In or a SIgnature or other authority over Yes No a bank, securItIes, or otherfInanCIal account In a foreIgn country? 16 No See Instructions for exceptions and fIlIng reqUIrements for Form 114, Report of ForeIgn Bank and Accounts (FBA R) If"Yes", enter the name ofthe foreIgn country File Form 4720 if any item is checked in the "Yes" column, unless an exception applies. Yes No (1) Engage In the sale or exchange, or leasmg of property WIth a disqualIerd person? Yes '7 No (2) Borrow money from, lend money to, or otherWIse extend credit to (or accept It from) adisquaIIfiedpersonI?Yes I7NO (3) FurnIsh goods, serVIces, or to (or accept them from) a person(4) Pay compensation to, or pay or reimburse the expenses of, a dIsqualierd person(5) Transfer any Income or assets to a disqualIerd person (or make any of Either avaIIable for the bene?t or use ofa disqualIerd person)?. . . . . . . . . . . . . . . . . Yes '7 No (6) Agree to pay money or property to a government offICIal? (Exception. Check "No" Ifthe foundation agreed to make a grant to or to employ the offICIaI for a period after termination ofgovernment serVIce, IfterminatIng WIthIn 90 daysIfany answer Is "Yes" to dId anyofthe acts fail to qualify under the exceptions described In Regulations sectIon 53 or In a current notice regarding disaster aSSIstance (see InstructionsOrganIzatlons relyIng on a current notIce regardIng dIsaster assistance check herethe foundation engage In a prIor year In any of the acts descrIbed In 1a, other than excepted acts, thatwere notcorrected . . . . . . . . . . . . 1c No Taxes on faIlure to distribute Income (section 4942) (does not apply for years the foundatIon was a prIvate operatIng foundation defined In section or At the end of tax year 2015, did the foundation have any undistributed Income (IInes 6d and 6e, Part tax year(s) beginnIng before 2015If"Yes," lIst the years 20_ 20_ 20_, 20_ Are there any years lIsted In 2a for the foundatIon IS not applyIng the prOVISIons of sectIon 4942(a)(2) (relating to Incorrect valuation ofassets) to the year?s undIstrIbuted Income? (Ifapplying section 4942(a)(2) to allyears listed, answer"No" and attach statement?see InstructIons . . . . . . . . . . . . . 2b No Ifthe prOVISIons of section 4942(a)(2) are bemg appIIed to any ofthe years listed In 2a, list the years here 20 20 20 20 the foundation hold more than a 2% dIrect or Indirect Interest In any busmess enterprise at any tIme during the yearI?Yes If"Yes," did It have excess busmess holdings In 2015 as a result of(1) any purchase by the foundation or disqualIerd persons after May 26, 1969, (2) the lapse ofthe 5-year perlod (or longer perIod approved by the CommISSIoner under section 4943(c)(7)) to dIspose of hoIdIngs achIred by or bequest, or (3) the lapse ofthe 10-, 15-, or 20?yearfIrst phase holdIng perIod?(Use Schedule C, 4720, to determme If the foundation had excess busrness In 2015the foundation Invest during the year any amount In a manner that would Jeopardize Its charItable purposes? 4a No the foundation make any Investment In a prior year (but after December 3 l, 1969) that could JeopardIze Its charItable purpose that had not been removed from Jeopardy before the first day ofthe tax year beginnIng In 2015? 4b No Form 990-PF (2015) Form 990-PF (2015) Page 6 Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required (Continued) 5a During the year did the foundation pay or incur any amount to (1) Carry on propaganda, or otherWIse attempt to influence legislation (section 4945(e))? Yes I7 No (2) Influence the outcome of any speCIfic public election (see section 4955), or to carry on, directly or Indirectly, any voter registration drive'r?. Yes I7 No (3) a grant to an indIVIdual for travel, study, or other Similar purposes? Yes (4) a grant to an organization Other than a charitable, etc organization described in section 4945(d)(4)(A)? (see instructions). Yes I7 No (5) for any purpose other than religious, charitable, SCIentific, literary, or educational purposes, or forthe prevention Ofcruelty to children or animals?. Yes I7 No Ifany answer is "Yes" to did anyofthe transactions fail to qualify underthe exceptions described in I I Regulations section 53 4945 or in a current notice regarding disaster a55istance (see instructions)? . 5b No Organizations relying on a current notice regarding disaster assistance check here. . Ifthe answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax because it maintained expenditure responSIbility for the grant?. . Yes I7 No If "Yes," attach the statement requn?ed by Regulations section 53 4945?5(d) 6a Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contractV. Yes I7 No Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract7?. 6b No If "Yes to 6b, file Form 8870 7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? Yes I7 No Ifyes, did the foundation receive any proceeds or have any net income attributable to the transactionand Contractors 1 List all officers, directors, trustees, foundation managers and their compensation (see instructions). Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, Title,and average Compensation(If hours per week not paid, enter devoted to position -O-) Name and address Contributions to employee benefit plans and deferred compensation Expense account, other allowances RICHARD KAHN Pre5 dent 0 575 LEXINGTON AVE 4TH FLOOR 1 00 NEW 10022 DARREN INDYKE Treasurer 575 LEXINGTON AVE 4TH FLOOR 1 00 NEW 10022 ERIKAA KELLERHALS Secretary 0 9053 ESTATE THOMAS SUITE 101 1 00 ST 00802 2 Compensation of five highest-paid employees (other than those included on line 1?see instructions). If none, enter Contributions to T'tle' and average em Io ee benefit Ex ense account Name and address of each employee paid hours per week Compensation more than $50 000 devoted to p05ition plans and deferred other allowances compensation NONE Total number Ofother employees paid over$50,000Form 990-PF (20 5) Form 990-PF (2015) Page 7 Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, a nd Contractors (continued) 3 Five highest-paid independent contractors for professional services (see instructions). If none, enter a Name and address ofeach erson aid more than 50 000 NO of serVIce Total number ofothers receivm over 50 000 for rofessmnal serVIces. Summary of Direct Charitable Activities List the foundation's four largest direct charitable actIVIties during the tax year Include relevant statistical Information such as the number of organizations and other benefICIaries served, conferences convened, research papers produced, etc 1 2 Com ensation Expenses 3 4 Part Summary of Program-Related Investments (see instructions) Describe the two largest program?related investments made by the foundation during the tax year on lines 1 and 2 1 Amount All other program?related investments See Instructions 3 Total. Add lines 1 through 3 Form 990-PF (20 5) Form Pages Minimum Investment Return (All domestIc foundatIons must complete thIs part. ForeIgn foundatIons,see InstructIons.) 1 Fair market value ofassets not used (or held for use) directly In carrying out charItable, etc, purposes a Average faIr market value ofsecurItIes. 1a 0 Average of cash balances. 1b 2,502,812 Fair market value ofall other assets (see Instructions). 1c 0 Total (addIInes 1a,b,andc). 1d 2,502,812 Reduction claimed for blockage or other factors reported on lines 1a and 1c (attach detailed explanationAchISItIon indebtedness applicable to Ine 1 assets. SubtractIInerromIIne 1d. 2,502,812 Cash deemed held forcharItable actIVItIes Enter 1 1/2% ofline 3 (for greater amount, see Instructions). 37,542 5 Net value of noncharitable-use assets.Subtract Ine 4 from Ine 3 Enter here and on Part V, line 4 5 2,465,270 6 Minimum investment return.Enter 5% ofIIne 5. 123,264 Distributable Amount (see InstructIons) (SectIon and prIvate operatIng foundatIons and certaIn foreIgn organIzatIons check here I and do not complete thIs part.) 1 Minimum Investment return from Part X, Ine 6. 1 123,264 2a Tax oninvestmentincome for 2015 from Part Income tax for 2015 (This does notinclude the tax from PartVI . . 2b Addlines 2a and 2b. 2c 87 3 DIstrIbutable amount before adjustments Subtract line 2c from line 1. 3 123,177 4 RecoverIes of amounts treated as quaIIfying distributIons. 4 5 Addlines3and4. 5 123,177 6 Deduction from distributable amount (see InstructIons). 6 7 Distributable amountas adjusted Subtract line 6 from Ine 5 Enter here and on Part line 1. 7 123,177 Qualifying Distributions (see InstructIons) 1 Amounts paid (IncludIng administratIve expenses) to accomplish charItable, etc purposes a ?tota fromPartI,c0 umn 26. 1a 743 Program?related Investments?total from Part IX-B. 1b 2 Amounts paid to achIre assets used (or held for use) directly In carryIng out charitable, etc, purposes. 2 3 A mounts set aSIde for speCIfIc charitable prOJects that satIsfy the test (prIor IRS approval reqUIred). 3a Cash distribution test (attach the reqUIred schedule). 3b Qualifying distributions.Add Ines 1athrough 3b Enter here and on PartV, Ine 8,and 4 743 5 FoundatIons that quaIIfy under section 4940(e) for the reduced rate oftax on net Investment Income Enter 1% of Part I, line 27b (see InstructIons). 5 6 Adjusted qualifying distributions.Subtract Ine 5 from Ine 4. 6 743 Note:The amount on Ine 6 Will be used In Part V, column In subsequent years when calculating whetherthe foundation for the section 4940(e) reductIon of tax In those years Form 990-PF (20 1 5) Fonn990-PF(2015) Undistributed Income (see instructions) Page 9 Distributable amount for 2015 from Part XI, line 7 Undistributed income, ifany, as of the end of2015 Enter amount for 20 14 only. Totalforprioryears 20 20 20 Excess distributions carryover ifany, to 2015 From 2010. (3) Corpus Years prior to 2014 (C) 2014 2015 123,177 From 2011. From 2012. From 2013. From 2014. Total of lines 3a through e. Qualifying distributions for 2015 from Part XII, line4 743 Applied to 2014, but not more than line 2a Applied to undistributed income of prior years (Election reqUIred?see instructions). Treated as distributions out ofcorpus (Election reqUIred?see instructions). . Applied to 2015 distributable amount. Remaining amount distributed out ofcorpus 10 mantra: Excess distributions carryover applied to 2015 {If an amount appears in column the same amount must be shown in column Enter the net total of each column as indicated below: Corpus Add lines 3f, 4c, and 4e Subtract line 5 Prior years?undistributed income Subtract line 4bfromline 2b . . Enter the amount of prior years undistributed income for which a notice ofdefICIency has been issued, or on which the section 4942(a) tax has been preVIously assessed. . Subtract line 6c from line 6b Taxable amount ?see instructions. . Undistributed income for 2014 Subtract line 4a from line 2a Taxable amount?see instructions . . Undistributed income for 2016 Subtract lines 4d and 5 from line 1 This amount must be distributed in 2015. . . Amounts treated as distributions out of corpus to satisfy reqUIrements imposed by section 170(b)(1)(F) or 4942(g)(3) (Election may be reqUIred see instructions). . . . . Excess distributions carryoverfrom 2010 not applied on line 5 or line 7 (see instructions) . Excess distributions carryover to 2016. Subtract lines 7 and 8 from line 6a . Analy5is ofline 9 Excess from 2011. 743 122,434 Excess from 2012. Excess from 2013. Excess from 2014. Excess from 2015. Form 990-PF (20 1 5) Form Page 10 la 2a b85% ofline 2a . Private Operating Foundations (see instructions and Part VII-A, question 9) Ifthe foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 2015, enter the date ofthe ruling. . . . . Check box to indicate whether the organization is a private operating foundation described in section or Enter the lesser ofthe adjusted net Tax year Prior 3 years income from PartI orthe minimum investment return from PartXforeach 2015 ??2014 ?32013 ??2012 year listed . Total Qualifying distributions from Part XII, line 4 for each year listed . Amounts included in line 2c not used directly for active conduct of exempt actIVIties . . . . . . . . Qualifying distributions made directly for active conduct of exempt actIVIties Subtract line 2d from line 2c . Complete 3a, b, or for the alternative test relied upon ?Assets" alternative test?enter (1) Value ofall assets . (2) Value ofassets qualifying under section ?Endowment" alternative test? enter 2/3 of minimum investment return shown in Part X, line 6 for each year listed. ?Support" alternative test?enter (1) Total support other than gross investment income (interest, diVidends, rents, payments on securities loans (section 5 or royalties). (2) Support from general public and 5 or more exempt organizations as prowded in section (3) Largest amount ofsupport from an exempt organization (4) Gross investment income Supplementary Information (Complete this part only if the organization had $5,000 or more in assets at any time during the year?see instructions.) Information Regarding Foundation Managers: List any managers of the foundation who have contributed more than 2% of the total contributions recewed by the foundation before the close ofany tax year (but only ifthey have contributed more than $5,000) (See section 507(d)(2)) List any managers of the foundation who own 10% or more of the stock ofa corporation (or an equally large portion ofthe ownership ofa partnership or other entity) of which the foundation has a 1 0% or greater interest Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs: Check here I I7 ifthe foundation only makes contributions to preselected charitable organizations and does not accept unsoliuted requests forfunds Ifthe foundation makes gifts, grants, etc (see instructions) to indIVIduals or organizations under other conditions, complete items 2a, b, c, and The name, address, and telephone number or email address of the person to whom applications should be addressed The form in which applications should be submitted and information and materials they should include Any submissmn deadlines Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors Form 990-PF (20 5) Form Page 11 Supplementary Information(contlnued) 3 Grants and Contributions Paid During the Year or Approved for Future Payment Recrplent IfreCIpIent IS an IndIVIdual, Foundation Show any t0 Purpose ofgrant or status of Amount any foundatlon manager contnbutlon Name and address (home or busmess) moment or substantial contributor a Paid during the year Total . . . . . . 33 Approved for future payment Total . 3b Form 990-PF (20 5) Form 990-PF (2015) Page 12 Analysis of Income-Producing Activities Enter gross amounts unless otherWIse Indicated 1 Program serVIce revenue (Dunc-m 9 Fees and contracts from government agencIes 2 MembershIp dues and assessments. 3 Interest on savmgs and temporary cash Investments. . . 4 DIVIdends and Interest from securItIes. 5 Net rental Income or (loss) from real estate a Debt??nanced property. Not debt??nanced property. . 6 Net rental Income or (loss) from personal property . 7 Other Investment Income. GaIn or (loss) from sales ofassets other than Inventory . 9 Net Income or (loss) from speCIaI events 10 Gross pro?t or (loss) from sales of Inventory 11 Other revenue a 12 Subtotal Add columns and 13 Tota .Add IIne 12, columns and See worksheet In Me 13 InstructIons to verI Line No. Instructlons nrelated busmess Income Excluded by schon 512, 513, or 514 Busmess code Amount (C) ExclusIon code Amount (6) Related or exempt functIon Income (See InstructIons 4,332 4,332 calculatIons 13 4,332 Relationship of Activities to the Accomplishment of Exempt Purposes EpraIn below how each actIVIty for Income Is reported In column of Part contrIbuted Importantly to the accompIIshment ofthe foundatIon?s exempt purposes (other than by pr'OVIdlng funds for such purposes) (See Form 990-PF (20 1 5) Form (2015) Page 13 Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations 1 the organization directly or indirectly engage in any ofthe followmg With any other organization described in section 501(c) ofthe Code (other than section 501(c)(3) organizations) or In section 527, relatIng to political organizations? a Transfers from the reportIng foundation to a noncharItable exempt organization of (1) Cash. (2) Other assets. Other transactions (1) Sales ofassets to a noncharitable exempt organization. (2) Purchases ofassets from a noncharItable exempt organization. (3) Rental offaCIlIties, eqUIpment, or other assets. (4) Reimbursement arrangements. (5) Loans or loan guarantees. (6)Performance ofserVIces or membership or fundraIsmg solICItations. Sharing of eqUIpment, mailing lists, other assets, or paid employees. Yes No 1a(1) No 13(2) No 1b(1) No 1b(2) No 1b(3) No 1b(4) No 1b(5) No 1b(6) No 1: No If the answer to any ofthe above Is ?Yes," complete the followmg schedule Column should always show the faIr market value ofthe goods, other assets, or serVIces gIven by the reporting foundation Ifthe foundation received less than fair market value In any transaction or sharIng arrangement, show In column the value ofthe goods, other assets, or serVIces received LIne No Amount involved Name of noncharitable exempt organization 2a Is the foundation directly or Indirectly affilIated With, or related to, one or more tax?exempt organizatIons descrIbed In sectIon 501(c) of the Code (other than section 501(c)(3)) or in section 527?. WNO If"Yes," complete the followmg schedule Name of organIzation Type of organIzation Description of transfers, transactions, and sharIng arrangements . I?Yes DescriptIon of relationship Under penaltIes of perjury,I declare thatI have examined this return, IncludIng accompanyIng schedules and statements, and to the best of my knowledge and belIef, It is true, correct, and complete DeclaratIon of preparer (otherthan taxpayer) Is based on all InformatIon of which preparer has any knowledge 5'9" ?Hap?: May the IRS discuss this Here 2016-11-09 return With the preparer shown below SIgnature ofoffIcer or trustee Date Title (see instr )7 KYes Print/Type preparer's name Preparer's SIgnature Date ifself- PTIN DAVIDM HASSON employedbl? P00035228 CPA Paid FIrm?s name Preparer SHR CPAS LLC Use FIrm's EIN only FIrm's address 110421009 3000 MARCUS AVE STE 3W4 LAKE SUCCESS, NY Phone no (516) 488?8400 Form 990-PF (20 5) Iefile GRAPHIC print - DO NOT PROCESS As Filed Data - DLN: 93491314001026] TY 2015 Legal Fees Schedule Name: GRATITUDE AMERICA LTD ROYAL PALMS PROFESSIONAL BUILDING EIN: 66?0789697 Software ID: 15000324 Software Version: 2015v2.0 Category Amount Net Investment Adjusted Net Disbursements for Income Income Charitable Purposes LEGAL FEES 543 543 Iefile GRAPHIC print - DO NOT PROCESS As Filed Data - DLN: 93491314001026I TY 2015 Other Expenses Schedule Name: GRATITUDE AMERICA LTD ROYAL PALMS PROFESSIONAL BUILDING EIN: 66? 0789697 Software ID: 15000324 Software Version: 2015v2.0 Description Revenue and Expenses Net Investment Adjusted Net Income Disbursements for per Books Income Charitable Purposes STATE FILING FEES 25 SUPPLIES 200 200 Iefile GRAPHIC print - DO NOT PROCESS As Filed Data - DLN: 93491314001026I TY 2015 Substantial Contributors Schedule Name: GRATITUDE AMERICA LTD ROYAL PALMS PROFESSIONAL BUILDING EIN: 66? 0789697 Software ID: 15000324 Software Version: 2015v2.0 Name Address BV70 LLC 445 PARK AVE NEW 10022 Iefile GRAPHIC print DO NOT PROCESS As Filed Data DLN: 93491314001026 Schedule Schedule of Contributors (Form 990, 990-EZ, or 990-PF) Attach to Form 990, 990-EZ, or 990-PF 201 5 Department ofthe Treasury Information about Schedule (Form 990, 990-EZ, or 990-PF) and its Instructions is at Internal Revenue SerVIce gov/form990 Name of the organization Employer identification number GRATITUDE AMERICA LTD ROYAL PALMS PROFESSIONAL BUILDING 66?0789697 Organization type (check one) Filers of: Section: Form 990 or 990-EZ 501 (enter number) organization 4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organization Form 990-PF 7 501 exempt private foundation 4947(a)(1) nonexempt charitable trust treated as a private foundation 501 taxable private foundation Check if your organization is 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 Ge neral Rule )7 For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor Complete Parts I and II See instructions for determining a contributor's total contributions Special Rules For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations under sections 509(a)(1) and that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on Form 990, Part line 1h, or (ii) Form 990-EZ, line 1 Complete Parts land II For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 excluswely for religious, charitable, soientific, literary, or educational purposes, or for the prevention of cruelty to children or animals Complete Parts I, II, and For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions excluswelyfor religious, charitable, etc purposes, but no such contributions totaled more than $1,000 If this box is checked, enter here the total contributions that were received during the year for an excluswei'y religious, charitable, etc purpose Do not complete any of the parts unless the General Rule applies to this organization because it received nonexcluswely religious, charitable, etc contributions totaling $5,000 or more during the year . . . . . . . . . Caution. An organization that is not covered by the General Rule and/or the SpeCIal Rules does not file Schedule (Form 990, 990-EZ, or 990-PF), but it must answer "No" on Part IV, line 2, of its Form 990, or check the box on line of its Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing reqwrements of Schedule (Form 990, 990-EZ, or 990-PF) For Paperwork Reduction Act NoticeI see the Instructions Cat No 30613X Schedule (Form 990, 990-EZ, or 990-PF) (2015) for Form 990, 990-EZ, or 990-PF Schedule (Form 990, 990-EZ, or 990-PF) (2015) Page 2 Name of organization Employer identification number GRATITUDE AMERICA LTD 66?0789697 ROYAL PALMS PROFESSIO NAL BUILDING contributors (see Instructlons) Use dupllcate coples of Part I If space Is needed (bl (C) No. Name, address, and ZIP 4 Total Type of 1 Person '7 BV7O LLC Pa r0? 445 PA RK AV $10,000,000 Noncash NEW YORK, NY 10022 (Complete Part II for noncash (bl (C) No. Name, address, and ZIP 4 Total Type of Person Payroll Noncash (Complete Part II for noncash (bl (C) No. Name, address, and ZIP 4 Total Type of Person Payroll Noncash (Complete Part II for noncash (bl (C) No. Name, address, and ZIP 4 Total Type of Person Payroll Noncash (Complete Part II for noncash (bl (C) No. Name, address, and ZIP 4 Total Type of Person Payroll Noncash (Complete Part II for noncash (bl (C) No. Name, address, and ZIP 4 Total Type of Person Payroll Noncash (Complete Part II for noncash Schedule (Form 990, 990-EZ, or 990-PF) (2015) Schedule (Form 990, 990-EZ, or 990-PF) (2015) Page 3 Na me of organization GRATITUDE AMERICA LTD ROYAL PALMS PROFESSIONAL BUILDING Noncas Prope rty (see Instructions) Use duplicate copies of Part if additional space is needed Employer identification number 66-0789697 No.from Part Description of noncash property given (6) FMV (or estimate) (see instructions) Date re ce ive No.from Part Description of noncash property given (6) FMV (or estimate) (see instructions) Date received No.from Part Description of noncash property given (6) FMV (or estimate) (see instructions) Date received No.from Part Description of noncash property given (6) FMV (or estimate) (see instructions) Date re ce ive No.from Part Description of noncash property given (6) FMV (or estimate) (see instructions) Date re ce ive No.from Part Description of noncash property given (6) FMV (or estimate) (see instructions) Date received Schedule (Form 990, 990-EZ, or 990-PF) (2015) Schedule (Form 990, 990-EZ, or 990-PF) (2015) Page 4 Name of organization Employer identification number GRATITUDE AMERICA LTD ROYAL PALMS PROFESSIONAL BUILDING 66?0789697 Exclusively religlous, charitable, etc., contributlons to organizatlons In section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns through and the following line entry. For organizatlons completing Part enter the total of exclusively religious, charltable, etc., of $1,000 or less for the year. (Enter this Information once. See Instructions.) Use dupllcate coples of Part If space Is needed No Part Purpose of gift Use of Description of how gift Is held Transfer of Transferee's name, address, and of transferor to transferee No frog) Part I Purpose of gift Use of Description of how gift Is held Transfer of Transferee's name, address, and of transferor to transferee No frog) Part I Purpose of gift Use of Description of how gift Is held Transfer of Transferee's name, address, and of transferor to transferee No ?gs) Part I Purpose of gift Use of Description of how gift Is held Transfer of Transferee's name, address, and of transferor to transferee Schedule (Form 990, 99042, or 990-PF) (2015)