THE BLACK TAVERN HISTORICAL SOCIETY OF DUDLEY INC: Form 990EZ, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- THE BLACK TAVERN HISTORICAL SOCIETY OF DUDLEY INC (EIN 22-2473090)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-01
- IRS object ID
- 201821219349200852
- Schema version
- 2017v2.3
- 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 | 2018-05-01T14:55:48-04:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 042623065 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOULET SALVIDIO & ASSOCIATES PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 GROVE ST | AddressLine1Txt |
| City | WORCESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | 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 OF | BusinessNameLine1Txt |
| Business Name Line2 | DUDLEY MA | BusinessNameLine2Txt |
| 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 | 2018-04-25 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES R DUBE CPA | PreparerPersonNm |
| PTIN | P00133000 | PTIN |
| Phone | 5087575957 | PhoneNum |
| Preparation | 2018-04-26 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | 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 | $31,524 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $23,162 | ContributionsGiftsGrantsEtcAmt |
| Membership Dues | $8,050 | MembershipDuesAmt |
| Investment Income | $312 | InvestmentIncomeAmt |
| Total Revenue | $31,524 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $395 | FeesAndOtherPymtToIndCntrctAmt |
| Other Expenses Total | $22,132 | OtherExpensesTotalAmt |
| Total Expenses | $22,527 | TotalExpensesAmt |
| Excess Or Deficit For Year | $8,997 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $250,934 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $259,931 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,768 | BOYAmt |
| EOY | $108,077 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,166 | BOYAmt |
| EOY | $149,166 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,688 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,934 | BOYAmt |
| EOY | $259,931 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,934 | BOYAmt |
| EOY | $259,931 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | HISTORICAL PRESERVATION AND EDUCATION | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|
| HISTORICAL PRESERVATION AND EDUCATION | $22,245 |
| HISTORICAL PRESERVATION AND EDUCATION | $282 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $22,527 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (14 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| LINDA K BAZINET | ||
| CHAIRPERSON | 000.00 | $0 |
| ROBERT DUCHARME | ||
| VICE CHAIR | 000.00 | $0 |
| WILLIAM MOSELEY | ||
| TREASURER | 000.00 | $0 |
| LINDA K BRANNIFF | ||
| CLERK | 000.00 | $0 |
| MICHAEL BRANNIFF | ||
| DIRECTOR | 000.00 | $0 |
| THOMPSON BOYD | ||
| DIRECTOR | 000.00 | $0 |
| KENNETH BUTKIEWICZ | ||
| DIRECTOR | 000.00 | $0 |
| JOY GLYNN | ||
| DIRECTOR | 000.00 | $0 |
| NANCY 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 |
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 | $16,195 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,985 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,386 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,624 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,162 | CurrentTaxYearAmt |
| Total | $79,352 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,369 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,383 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,064 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,824 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,050 | CurrentTaxYearAmt |
| Total | $54,690 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,564 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,368 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,450 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,448 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,212 | CurrentTaxYearAmt |
| Total | $134,042 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $134,042 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $745 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $277 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $283 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $287 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $312 | CurrentTaxYearAmt |
| Total | $1,904 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $745 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $277 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $283 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $287 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $312 | CurrentTaxYearAmt |
| Total | $1,904 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,309 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,645 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,733 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,735 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,524 | CurrentTaxYearAmt |
| Total | $135,946 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98600 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98410 | 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 (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE SUPPLIES 1,156 FIRE INSURANCE 2,728 LIABILITY INSURANCE 793 WORKERS COMP 167 UTILITIES 3,582 PO BOX FEE 106 REPAIRS AND MAINTENANCE 9,024 TRASH REMOVAL 289 PROGRAMS 1,391 FILING FEES 102 GIFTS 600 SUPPLIES 1,212 OUTSIDE LABOR 700 NON-INVESTMENT DEPRECIATION 282 TOTAL 22,132 |
| FORM 990-EZ, PART II, LINE 24 | NEW DISPLAY CABINETS 0 2,370 LESS ACCUMULATED DEPRECIATION 0 277 GUTTERS ON ANNEX 0 600 LESS ACCUMULATED DEPRECIATION 0 5 BUILDING 0 124,166 LESS ACCUMULATED DEPRECIATION 0 124,166 TOTAL 0 2,688 |
| FORM 990-EZ, PART III, LINE 31 | HISTORICAL PRESERVATION AND EDUCATION |
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