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
OLD COLONY BENEFICIAL ASSOC CORP
 
Employer identification number

04-6049765
Return Reference Explanation
FORM 990-EZ, PART I, LINE 16 EXPENSES INSURANCE - BOND 338 ADMIN EXP 255 TOTAL 593
FORM 990-EZ, PART I, LINE 20 UNREALIZED LOSS - MARKET VALUE OF SECURITIES -4,636
FORM 990-EZ, PART III LIFE INSURANCE BENEFITS FOR MEMBERS (APPROX 108 MEMBERS) AND OTHER BENEFITS THE BOARD VOTES TO OFFER.
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


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