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  5. CALUMET COUNTRY CLUB

CALUMET COUNTRY CLUB

Company Details

Entity Name: CALUMET COUNTRY CLUB
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 07 Dec 1901
Date of Dissolution: 14 May 2021
Company Number: CORP_08515476
File Number: 08515476
Date Status Change: 14 May 2021
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CALUMET COUNTRY CLUB 401(K) PLAN 2013 360865810 2014-10-02 CALUMET COUNTRY CLUB 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 713900
Sponsor’s telephone number 7087995050
Plan sponsor’s address 175TH STREET AND WESTERN AVENUE, HOMEWOOD, IL, 60430

Signature of
Role Plan administrator
Date 2014-10-02
Name of individual signing SUE LUSK
Valid signature Filed with authorized/valid electronic signature
CALUMET COUNTRY CLUB 401(K) PLAN 2012 360865810 2014-05-05 CALUMET COUNTRY CLUB 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 713900
Sponsor’s telephone number 7087995050
Plan sponsor’s address 175TH STREET AND WESTERN AVENUE, HOMEWOOD, IL, 60430

Signature of
Role Plan administrator
Date 2014-05-05
Name of individual signing SUE LUSK
Valid signature Filed with authorized/valid electronic signature
CALUMET COUNTRY CLUB 401(K) PLAN 2011 360865810 2013-08-12 CALUMET COUNTRY CLUB 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 713900
Sponsor’s telephone number 7087995050
Plan sponsor’s address 175TH STREET AND WESTERN AVENUE, HOMEWOOD, IL, 60430

Plan administrator’s name and address
Administrator’s EIN 360865810
Plan administrator’s name CALUMET COUNTRY CLUB
Plan administrator’s address 175TH STREET AND WESTERN AVENUE, HOMEWOOD, IL, 60430
Administrator’s telephone number 7087995050

Signature of
Role Plan administrator
Date 2013-08-12
Name of individual signing SUE LUSK
Valid signature Filed with authorized/valid electronic signature
CALUMET COUNTRY CLUB 401(K) PLAN 2010 360865810 2012-03-20 CALUMET COUNTRY CLUB 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 713900
Sponsor’s telephone number 7087995050
Plan sponsor’s address 175TH STREET AND WESTERN AVENUE, HOMEWOOD, IL, 60430

Plan administrator’s name and address
Administrator’s EIN 360865810
Plan administrator’s name CALUMET COUNTRY CLUB
Plan administrator’s address 175TH STREET AND WESTERN AVENUE, HOMEWOOD, IL, 60430
Administrator’s telephone number 7087995050

Signature of
Role Plan administrator
Date 2012-03-20
Name of individual signing SUE LUSK
Valid signature Filed with authorized/valid electronic signature
CALUMET COUNTRY CLUB 401(K) PLAN 2009 360865810 2011-08-08 CALUMET COUNTRY CLUB 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-11-01
Business code 713900
Sponsor’s telephone number 7087995050
Plan sponsor’s address 175TH STREET AND WESTERN AVENUE, HOMEWOOD, IL, 60430

Plan administrator’s name and address
Administrator’s EIN 360865810
Plan administrator’s name CALUMET COUNTRY CLUB
Plan administrator’s address 175TH STREET AND WESTERN AVENUE, HOMEWOOD, IL, 60430
Administrator’s telephone number 7087995050

Signature of
Role Plan administrator
Date 2011-08-08
Name of individual signing SUE LUSK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANDREW STEVENS, 17500 WESTERN AVE, JOMEWOOD, 60430, COOK-NOT IN CITY OF CHICAGO Agent 2018-01-11

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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