THE BLACK TAVERN HISTORICAL SOCIETY OF DUDLEY INC: Form 990EZ, tax year 2021
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- Organization
- THE BLACK TAVERN HISTORICAL SOCIETY OF DUDLEY INC (EIN 22-2473090)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-04-22
- IRS object ID
- 202231129349200623
- Schema version
- 2021v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-04-22T15:53:33-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 042668862 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAM S PAPPAS CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 175 THOMPSON RD BOX 839 | AddressLine1Txt |
| City | WEBSTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01570 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222473090 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLACK TAVERN HISTORICAL SOCIETY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLAC | BusinessNameControlTxt |
| Phone | 8609232134 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 143 | AddressLine1Txt |
| City | DUDLEY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01571 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA K BAZINET | PersonNm |
| Person Title | CHAIRPERSON | PersonTitleTxt |
| Phone | 8609232134 | PhoneNum |
| Signature | 2022-04-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LINDA K | PersonFirstNm |
| Person Last | BAZINET | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SAM S PAPPAS | PreparerPersonNm |
| PTIN | P00138917 | PTIN |
| Phone | 5089437252 | PhoneNum |
| Preparation | 2022-04-19 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | THEBLACKTAVERN.COM | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $38,681 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $28,709 | ContributionsGiftsGrantsEtcAmt |
| Membership Dues | $9,555 | MembershipDuesAmt |
| Investment Income | $417 | InvestmentIncomeAmt |
| Total Revenue | $38,681 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $425 | FeesAndOtherPymtToIndCntrctAmt |
| Other Expenses Total | $16,995 | OtherExpensesTotalAmt |
| Total Expenses | $17,420 | TotalExpensesAmt |
| Excess Or Deficit For Year | $21,261 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $207,195 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | -$1,811 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $226,645 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,537 | BOYAmt |
| EOY | $182,596 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,000 | BOYAmt |
| EOY | $25,000 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,658 | BOYAmt |
| EOY | $19,049 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,195 | BOYAmt |
| EOY | $226,645 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,195 | BOYAmt |
| EOY | $226,645 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | HISTORICAL PRESDERVATION AND EDUCATION | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|
| HISTORICAL PRESERVATION AND EDUCATION | |
| HISTORICAL PRESERVATION AND EDUCATION | $17,420 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $17,420 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| LINDA K BAZINET | ||
| CHAIRPERSON | 000.00 | $0 |
| ROBERT GRZYB | ||
| VICE CHAIRMA | 000.00 | $0 |
| WILLIAM MOSELEY | ||
| TREASURER | 000.00 | $0 |
| THOMPSON BOYD | ||
| DIRECTOR | 000.00 | $0 |
| KENNETH BUTKIEWICZ | ||
| DIRECTOR | 000.00 | $0 |
| JOY GLYNN | ||
| DIRECTOR | 000.00 | $0 |
| NANEY ROY | ||
| DIRECTOR | 000.00 | $0 |
| DAVID PROULX | ||
| DIRECTOR | 000.00 | $0 |
| SANDRA PETERSON | ||
| DIRECTOR | 000.00 | $0 |
| CAROLYN EARP | ||
| DIRECTOR | 000.00 | $0 |
| MARC MOSELEY | ||
| DIRECTOR | 000.00 | $0 |
| SCOTT ROY | ||
| DIRECTOR | 000.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM MOSELEY | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 143 | AddressLine1Txt |
| City | DUDLEY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01571 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8609232134 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,162 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,165 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,564 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,823 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,709 | CurrentTaxYearAmt |
| Total | $156,423 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,050 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,230 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,564 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,735 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,972 | CurrentTaxYearAmt |
| Total | $46,551 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,212 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $50,395 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,128 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $48,558 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,681 | CurrentTaxYearAmt |
| Total | $202,974 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $202,974 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $312 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $582 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $984 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,093 | CurrentTaxYearMinus1YearAmt |
| Total | $2,971 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $312 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $582 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $984 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,093 | CurrentTaxYearMinus1YearAmt |
| Total | $2,971 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,524 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $50,977 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,112 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49,651 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,681 | CurrentTaxYearAmt |
| Total | $205,945 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98560 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98320 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE SUPPLIES 1,210 FIRE INSURANCE 3,222 LIABILITY INSURANCE 1,316 WORKERS COMP INSURANCE 190 UTILITIES 3,499 PO BOX FEE 114 PROGRAMS 100 STATE TAX FILING FEES 15 REPAIRS & MAINTENANCE 2,837 GIFTS 645 DUES AND SUBCRIPTIONS 50 NON-INVESTMENT DEPRECIATION 3,797 TOTAL 16,995 |
| FORM 990-EZ, PART I, LINE 20 | PRIOR YEAR ADJUSTMENT -1,811 |
| FORM 990-EZ, PART II, LINE 24 | 22,633 25,822 LESS ACCUMULATED DEPRECIATION 2,975 6,773 TOTAL 19,658 19,049 |
| FORM 990-EZ, PART III, LINE 31 | HISTORICAL PRESERVATION AND EDUCATION |
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