SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
Black Tavern Historical Society of Dudley MA
 
Employer identification number

22-2473090
Return Reference Explanation
Form 990-EZ, Part I, Line 8, Other Revenue Rent of facilities 7,215
Form 990-EZ, Part I, Line 16, Other Expenses Capital items 3,364
Form 990-EZ, Part I, Line 16, Other Expenses Filing fees 50
Form 990-EZ, Part I, Line 16, Other Expenses Insurance 3,483
Form 990-EZ, Part I, Line 16, Other Expenses Operating expenses 770
Form 990-EZ, Part I, Line 16, Other Expenses Office supplies 1,051
Form 990-EZ, Part I, Line 16, Other Expenses P O Box 106
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


Additional Data


Software ID: 15000290
Software Version: 15.3.0.0