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  5. THE BEVERLY COUNTRY CLUB

THE BEVERLY COUNTRY CLUB

Company Details

Entity Name: THE BEVERLY COUNTRY CLUB
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 03 Sep 1907
Company Number: CORP_10384362
File Number: 10384362
Address 2540 W 87TH ST, CHICAGO, IL, 60652
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BEVERLY COUNTRY CLUB 401(K) PLAN 2023 360804150 2024-07-31 BEVERLY COUNTRY CLUB 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 7086368700
Plan sponsor’s address 8700 S. WESTERN AVENUE, CHICAGO, IL, 60620

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing DAVID MANCINI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-31
Name of individual signing DAVID MANCINI
Valid signature Filed with authorized/valid electronic signature
BEVERLY COUNTRY CLUB 401(K) PLAN 2022 360804150 2023-05-30 BEVERLY COUNTRY CLUB 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 7086368700
Plan sponsor’s address 8700 S. WESTERN AVENUE, CHICAGO, IL, 60620

Signature of
Role Plan administrator
Date 2023-05-30
Name of individual signing KEVIN KLUG
Valid signature Filed with authorized/valid electronic signature
BEVERLY COUNTRY CLUB 401(K) PLAN 2021 360804150 2022-10-14 BEVERLY COUNTRY CLUB 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 7086368700
Plan sponsor’s address 8700 S. WESTERN AVENUE, CHICAGO, IL, 60620

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing DAVID MANCINI
Valid signature Filed with authorized/valid electronic signature
BEVERLY COUNTRY CLUB 401(K) PLAN 2020 360804150 2021-09-09 BEVERLY COUNTRY CLUB 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 7086368700
Plan sponsor’s address 8700 S. WESTERN AVENUE, CHICAGO, IL, 60620

Signature of
Role Plan administrator
Date 2021-09-09
Name of individual signing DAVID MANCINI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-09
Name of individual signing DAVID MANCINI
Valid signature Filed with authorized/valid electronic signature
BEVERLY COUNTRY CLUB 401(K) PLAN 2019 360804150 2020-09-09 BEVERLY COUNTRY CLUB 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 7086368700
Plan sponsor’s address 8700 S. WESTERN AVENUE, CHICAGO, IL, 60620

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing JAMIE HEVERAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-09
Name of individual signing JAMIE HEVERAN
Valid signature Filed with authorized/valid electronic signature
BEVERLY COUNTRY CLUB 401(K) PLAN 2018 360804150 2019-07-09 BEVERLY COUNTRY CLUB 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 7086368700
Plan sponsor’s address 8700 S. WESTERN AVENUE, CHICAGO, IL, 60620

Signature of
Role Plan administrator
Date 2019-07-05
Name of individual signing JAMIE HEVERAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-05
Name of individual signing JAMIE HEVERAN
Valid signature Filed with authorized/valid electronic signature
BEVERLY COUNTRY CLUB 401(K) PLAN 2017 360804150 2018-06-15 BEVERLY COUNTRY CLUB 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 7086368700
Plan sponsor’s address 8700 S. WESTERN AVENUE, CHICAGO, IL, 60620

Signature of
Role Plan administrator
Date 2018-06-15
Name of individual signing JAMES CZUBEK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-15
Name of individual signing JAMES CZUBEK
Valid signature Filed with authorized/valid electronic signature
BEVERLY COUNTRY CLUB 401(K) PLAN 2016 360804150 2017-07-11 BEVERLY COUNTRY CLUB 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 7086368700
Plan sponsor’s address 8700 S. WESTERN AVENUE, CHICAGO, IL, 60620

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing JAMES CZUBEK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-11
Name of individual signing JAMES CZUBEK
Valid signature Filed with authorized/valid electronic signature
BEVERLY COUNTRY CLUB 401(K) PLAN 2015 360804150 2016-07-12 BEVERLY COUNTRY CLUB 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 7086368700
Plan sponsor’s address 8700 S. WESTERN AVENUE, CHICAGO, IL, 60620

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing JAMES CZUBEK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-11
Name of individual signing JAMES CZUBEK
Valid signature Filed with authorized/valid electronic signature
BEVERLY COUNTRY CLUB 401(K) PLAN 2014 360804150 2015-07-13 BEVERLY COUNTRY CLUB 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 713900
Sponsor’s telephone number 7086368700
Plan sponsor’s address 8700 S. WESTERN AVENUE, CHICAGO, IL, 60620

Signature of
Role Plan administrator
Date 2015-07-11
Name of individual signing CHERYL KYSIAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-11
Name of individual signing CHERYL KYSIAK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID MANCINI, 8700 S WESTERN AVE, CHICAGO, 60620, COOK-NOT IN CITY OF CHICAGO Agent 2022-09-15

President

Name and Address Role Account Number
Thomas Holleb President 70404

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2216587 Issued 4404 Regulated Business License 816 - Storage or Use of Hazardous Materials 2016-03-28 2015-11-16 2017-11-15
BUSINESS LICENSE 1488044 Cancelled 1008 Hazardous Materials No data 2011-09-30 2011-11-16 2013-11-15

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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