LOCKHAVEN COUNTRY CLUB

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

LOCKHAVEN COUNTRY CLUB 401(K) PLAN

2010

370490190

2010-10-12

LOCKHAVEN COUNTRY CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	722210
Sponsor’s telephone number	6184662861
Plan sponsor’s address	10872 LAWRENCE KELLER DRIVE, GODFREY, IL, 62035

Plan administrator’s name and address

Administrator’s EIN	370490190
Plan administrator’s name	LOCKHAVEN COUNTRY CLUB
Plan administrator’s address	10872 LAWRENCE KELLER DRIVE, GODFREY, IL, 62035
Administrator’s telephone number	6184662861

Signature of

Role	Plan administrator
Date	2010-10-12
Name of individual signing	HELENE DAVIS
Valid signature	Filed with authorized/valid electronic signature

LOCKHAVEN COUNTRY CLUB 401(K) PLAN

2009

370490190

2010-06-25

LOCKHAVEN COUNTRY CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	722210
Sponsor’s telephone number	6184662861
Plan sponsor’s address	10872 LAWRENCE KELLER DRIVE, GODFREY, IL, 62035

Plan administrator’s name and address

Administrator’s EIN	370490190
Plan administrator’s name	LOCKHAVEN COUNTRY CLUB
Plan administrator’s address	10872 LAWRENCE KELLER DRIVE, GODFREY, IL, 62035
Administrator’s telephone number	6184662861

Signature of

Role	Plan administrator
Date	2010-06-25
Name of individual signing	HELENE DAVIS
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
FRANK C BEMIS, 4105 HUMBERT RD STE 102, ALTON, 62002, MADISON	Agent	2011-04-13

Date of last update: 13 Jan 2025