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  5. COUNTRY CLUB OF DECATUR

COUNTRY CLUB OF DECATUR

Company Details

Entity Name: COUNTRY CLUB OF DECATUR
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 08 Sep 1899
Company Number: CORP_08053022
File Number: 08053022
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COUNTRY CLUB OF DECATUR 401(K) PLAN 2023 370230260 2024-06-11 COUNTRY CLUB OF DECATUR 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 713900
Sponsor’s telephone number 2174283415
Plan sponsor’s address 135 N COUNTRY CLUB ROAD, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2024-06-11
Name of individual signing ANNETTE GOETZ
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF DECATUR 401(K) PLAN 2022 370230260 2023-07-24 COUNTRY CLUB OF DECATUR 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 713900
Sponsor’s telephone number 2174283415
Plan sponsor’s address 135 N COUNTRY CLUB ROAD, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2023-07-24
Name of individual signing ANNETTE GOETZ
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF DECATUR 401(K) PLAN 2021 370230260 2022-06-22 COUNTRY CLUB OF DECATUR 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 713900
Sponsor’s telephone number 2174283415
Plan sponsor’s address 135 N COUNTRY CLUB ROAD, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing ANNETTE GOETZ
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF DECATUR 401(K) PLAN 2020 370230260 2021-05-03 COUNTRY CLUB OF DECATUR 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 713900
Sponsor’s telephone number 2174283415
Plan sponsor’s address 135 N COUNTRY CLUB ROAD, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2021-05-03
Name of individual signing ANNETTE GOETZ
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF DECATUR 401(K) PLAN 2019 370230260 2020-06-11 COUNTRY CLUB OF DECATUR 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 713900
Sponsor’s telephone number 2174283415
Plan sponsor’s address 135 N COUNTRY CLUB ROAD, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2020-06-11
Name of individual signing ANNETTE GOETZ
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF DECATUR 401(K) PLAN 2018 370230260 2019-02-01 COUNTRY CLUB OF DECATUR 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 713900
Sponsor’s telephone number 2174283415
Plan sponsor’s address 135 N COUNTRY CLUB ROAD, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2019-02-01
Name of individual signing ANNETTE GOETZ
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF DECATUR 401(K) PLAN 2017 370230260 2018-01-22 COUNTRY CLUB OF DECATUR 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 713900
Sponsor’s telephone number 2174283415
Plan sponsor’s address 135 N COUNTRY CLUB ROAD, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2018-01-22
Name of individual signing ANNETTE GOETZ
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF DECATUR 401(K) PLAN 2016 370230260 2017-01-12 COUNTRY CLUB OF DECATUR 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 713900
Sponsor’s telephone number 2174283415
Plan sponsor’s address 135 N COUNTRY CLUB ROAD, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2017-01-12
Name of individual signing ANNETTE GOETZ
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF DECATUR 401(K) PLAN 2015 370230260 2016-01-19 COUNTRY CLUB OF DECATUR 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 713900
Sponsor’s telephone number 2174283415
Plan sponsor’s address 135 N COUNTRY CLUB ROAD, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2016-01-19
Name of individual signing ANNETTE GOETZ
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF DECATUR 401(K) PLAN 2014 370230260 2015-02-10 COUNTRY CLUB OF DECATUR 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-03-01
Business code 713900
Sponsor’s telephone number 2174283415
Plan sponsor’s address 135 N COUNTRY CLUB ROAD, DECATUR, IL, 62521

Signature of
Role Plan administrator
Date 2015-02-10
Name of individual signing ANNETTE GOETZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SCOTT E GARWOOD, 2120 LAKE REUNION CT, DECATUR, 62521, MACON Agent 2019-04-19

Related by officers

No related officers

Related by address

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Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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