SCHEDULE O
(Form 990)

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.
right arrow Attach to Form 990 or 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
BERKSHIRE NURSING FAMILIES INC
 
Employer identification number

04-3529643
Return Reference Explanation
FORM 990, PAGE 6, PART VI, LINE 11B TREASURER, EXECUTIVE DIRECTOR, AND EXECUTIVE ASSISTANT TO REVIEW FORM 990 PRIOR TO ITS SUBMISSION.
FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2022


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