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FLOSSMOOR COUNTRY CLUB

Company Details

Entity Name: FLOSSMOOR COUNTRY CLUB
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 30 Dec 1899
Date of Dissolution: 12 May 2023
Company Number: CORP_08075531
File Number: 08075531
Date Status Change: 12 May 2023
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLOSSMOOR COUNTRY CLUB 401(K) PLAN 2010 361086430 2011-10-21 FLOSSMOOR COUNTRY CLUB 36
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 713900
Sponsor’s telephone number 7087984700
Plan sponsor’s address 1441 WESTERN AVE, FLOSSMOOR, IL, 60422

Plan administrator’s name and address

Administrator’s EIN 361086430
Plan administrator’s name FLOSSMOOR COUNTRY CLUB
Plan administrator’s address 1441 WESTERN AVE, FLOSSMOOR, IL, 60422
Administrator’s telephone number 7087984700

Signature of

Role Plan administrator
Date 2011-10-21
Name of individual signing MARY HARRISON
Valid signature Filed with incorrect/unrecognized electronic signature
FLOSSMOOR COUNTRY CLUB 401(K) PLAN 2010 361086430 2011-10-20 FLOSSMOOR COUNTRY CLUB 36
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 713900
Sponsor’s telephone number 7087984700
Plan sponsor’s address 1441 WESTERN AVE, FLOSSMOOR, IL, 60422

Plan administrator’s name and address

Administrator’s EIN 361086430
Plan administrator’s name FLOSSMOOR COUNTRY CLUB
Plan administrator’s address 1441 WESTERN AVE, FLOSSMOOR, IL, 60422
Administrator’s telephone number 7087984700

Signature of

Role Plan administrator
Date 2011-10-20
Name of individual signing MARY HARRISON
Valid signature Filed with incorrect/unrecognized electronic signature
FLOSSMOOR COUNTRY CLUB 401(K) PLAN 2010 361086430 2011-10-21 FLOSSMOOR COUNTRY CLUB 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 713900
Sponsor’s telephone number 7087984700
Plan sponsor’s address 1441 WESTERN AVE, FLOSSMOOR, IL, 60422

Plan administrator’s name and address

Administrator’s EIN 361086430
Plan administrator’s name FLOSSMOOR COUNTRY CLUB
Plan administrator’s address 1441 WESTERN AVE, FLOSSMOOR, IL, 60422
Administrator’s telephone number 7087984700

Signature of

Role Plan administrator
Date 2011-10-21
Name of individual signing MARY HARRISON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THOMAS A GILLEY, 1441 S WESTERN AVE POB 9, FLOSSMOOR, 60422, COOK-NOT IN CITY OF CHICAGO Agent 2000-03-10

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State