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ST. CHARLES COUNTRY CLUB

Company Details

Entity Name: ST. CHARLES COUNTRY CLUB
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 17 Jan 1914
Company Number: CORP_17354485
File Number: 17354485
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ST. CHARLES COUNTRY CLUB 401(K) PLAN 2018 361721450 2019-06-14 ST. CHARLES COUNTRY CLUB 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 713900
Sponsor’s telephone number 6303779000
Plan sponsor’s address 1250 COUNTRY CLUB ROAD, ST. CHARLES, IL, 60174

Signature of

Role Plan administrator
Date 2019-06-14
Name of individual signing POLLY DOHR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-14
Name of individual signing POLLY DOHR
Valid signature Filed with authorized/valid electronic signature
ST. CHARLES COUNTRY CLUB 401(K) PLAN 2017 361721450 2018-08-20 ST. CHARLES COUNTRY CLUB 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 713900
Sponsor’s telephone number 6303779000
Plan sponsor’s address 1250 COUNTRY CLUB ROAD, ST. CHARLES, IL, 60174

Signature of

Role Plan administrator
Date 2018-08-20
Name of individual signing POLLY DOHR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-20
Name of individual signing POLLY DOHR
Valid signature Filed with authorized/valid electronic signature
ST. CHARLES COUNTRY CLUB 401(K) PLAN 2016 361721450 2017-09-22 ST. CHARLES COUNTRY CLUB 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 713900
Sponsor’s telephone number 6303779000
Plan sponsor’s address 1250 COUNTRY CLUB ROAD, ST. CHARLES, IL, 60174

Signature of

Role Plan administrator
Date 2017-09-22
Name of individual signing POLLY DOHR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-22
Name of individual signing POLLY DOHR
Valid signature Filed with authorized/valid electronic signature
ST. CHARLES COUNTRY CLUB 401(K) PLAN 2015 361721450 2016-07-26 ST. CHARLES COUNTRY CLUB 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 713900
Sponsor’s telephone number 6303779000
Plan sponsor’s address 1250 COUNTRY CLUB ROAD, ST. CHARLES, IL, 60174

Signature of

Role Plan administrator
Date 2016-07-26
Name of individual signing POLLY DOHR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-26
Name of individual signing POLLY DOHR
Valid signature Filed with authorized/valid electronic signature
ST. CHARLES COUNTRY CLUB 401(K) PLAN 2014 361721450 2015-07-17 ST. CHARLES COUNTRY CLUB 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 713900
Sponsor’s telephone number 6303779000
Plan sponsor’s address 1250 COUNTRY CLUB ROAD, ST. CHARLES, IL, 60174

Signature of

Role Plan administrator
Date 2015-07-17
Name of individual signing POLLY DOHR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-17
Name of individual signing POLLY DOHR
Valid signature Filed with authorized/valid electronic signature
ST. CHARLES COUNTRY CLUB 401(K) PLAN 2013 361721450 2014-09-15 ST. CHARLES COUNTRY CLUB 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 713900
Sponsor’s telephone number 6303779000
Plan sponsor’s address 1250 COUNTRY CLUB ROAD, ST. CHARLES, IL, 60174

Signature of

Role Plan administrator
Date 2014-09-15
Name of individual signing POLLY DOHR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-15
Name of individual signing POLLY DOHR
Valid signature Filed with authorized/valid electronic signature
ST. CHARLES COUNTRY CLUB 401(K) PLAN 2012 361721450 2013-07-18 ST. CHARLES COUNTRY CLUB 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 713900
Sponsor’s telephone number 6303779000
Plan sponsor’s address 1250 COUNTRY CLUB ROAD, ST. CHARLES, IL, 60174

Signature of

Role Plan administrator
Date 2013-07-18
Name of individual signing POLLY DOHR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-18
Name of individual signing POLLY DOHR
Valid signature Filed with authorized/valid electronic signature
ST. CHARLES COUNTRY CLUB 401(K) PLAN 2011 361721450 2012-03-21 ST. CHARLES COUNTRY CLUB 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 713900
Sponsor’s telephone number 6303779000
Plan sponsor’s address 1250 COUNTRY CLUB ROAD, ST. CHARLES, IL, 60174

Plan administrator’s name and address

Administrator’s EIN 361721450
Plan administrator’s name ST. CHARLES COUNTRY CLUB
Plan administrator’s address 1250 COUNTRY CLUB ROAD, ST. CHARLES, IL, 60174
Administrator’s telephone number 6303779000

Signature of

Role Plan administrator
Date 2012-03-20
Name of individual signing MARY JONES
Valid signature Filed with authorized/valid electronic signature
ST. CHARLES COUNTRY CLUB 401(K) PLAN 2010 361721450 2011-03-31 ST. CHARLES COUNTRY CLUB 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 713900
Sponsor’s telephone number 6303779000
Plan sponsor’s address 1250 COUNTRY CLUB ROAD, ST. CHARLES, IL, 60174

Plan administrator’s name and address

Administrator’s EIN 361721450
Plan administrator’s name ST. CHARLES COUNTRY CLUB
Plan administrator’s address 1250 COUNTRY CLUB ROAD, ST. CHARLES, IL, 60174
Administrator’s telephone number 6303779000

Signature of

Role Plan administrator
Date 2011-03-31
Name of individual signing MARY JONES
Valid signature Filed with authorized/valid electronic signature
ST. CHARLES COUNTRY CLUB 401(K) PLAN 2009 361721450 2010-04-08 ST. CHARLES COUNTRY CLUB 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 713900
Sponsor’s telephone number 6303779000
Plan sponsor’s address 1250 COUNTRY CLUB ROAD, ST. CHARLES, IL, 60174

Plan administrator’s name and address

Administrator’s EIN 361721450
Plan administrator’s name ST. CHARLES COUNTRY CLUB
Plan administrator’s address 1250 COUNTRY CLUB ROAD, ST. CHARLES, IL, 60174
Administrator’s telephone number 6303779000

Signature of

Role Plan administrator
Date 2010-04-07
Name of individual signing MARY JONES
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAWN MUIR, 1250 COUNTRY CLUB ROAD, ST CHARLES, 60174, KANE Agent 2023-11-27

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State