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  5. FOREST HILLS COUNTRY CLUB

FOREST HILLS COUNTRY CLUB

Company Details

Entity Name: FOREST HILLS COUNTRY CLUB
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 15 Feb 1934
Company Number: CORP_23372240
File Number: 23372240
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOREST HILLS COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2012 361089495 2013-12-05 FOREST HILLS COUNTRY CLUB 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-02-01
Business code 713900
Sponsor’s telephone number 8158775733
Plan sponsor’s address 5135 FOREST HILLS ROAD, ROCKFORD, IL, 61111

Signature of
Role Plan administrator
Date 2013-12-05
Name of individual signing PAULA KESSMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-12-05
Name of individual signing PAULA KESSMAN
Valid signature Filed with authorized/valid electronic signature
FOREST HILLS COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2012 361089495 2013-06-17 FOREST HILLS COUNTRY CLUB 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-02-01
Business code 713900
Sponsor’s telephone number 8158775733
Plan sponsor’s address 5135 FOREST HILLS ROAD, ROCKFORD, IL, 61111

Signature of
Role Plan administrator
Date 2013-06-17
Name of individual signing PAULA KESSMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-17
Name of individual signing PAULA KESSMAN
Valid signature Filed with authorized/valid electronic signature
FOREST HILLS COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2011 361089495 2012-07-27 FOREST HILLS COUNTRY CLUB 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-02-01
Business code 713900
Sponsor’s telephone number 8158775733
Plan sponsor’s address 5135 FOREST HILLS ROAD, ROCKFORD, IL, 61111

Plan administrator’s name and address
Administrator’s EIN 361089495
Plan administrator’s name FOREST HILLS COUNTRY CLUB
Plan administrator’s address 5135 FOREST HILLS ROAD, ROCKFORD, IL, 61111
Administrator’s telephone number 8158775733

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing PAULA KESSMAN
Valid signature Filed with authorized/valid electronic signature
FOREST HILLS COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2010 361089495 2011-07-14 FOREST HILLS COUNTRY CLUB 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-02-01
Business code 713900
Sponsor’s telephone number 8158775733
Plan sponsor’s address 5135 FOREST HILLS ROAD, ROCKFORD, IL, 61111

Plan administrator’s name and address
Administrator’s EIN 361089495
Plan administrator’s name FOREST HILLS COUNTRY CLUB
Plan administrator’s address 5135 FOREST HILLS ROAD, ROCKFORD, IL, 61111
Administrator’s telephone number 8158775733

Signature of
Role Plan administrator
Date 2011-07-14
Name of individual signing PAULA KESSMAN
Valid signature Filed with authorized/valid electronic signature
FOREST HILLS COUNTRY CLUB 401(K) PROFIT SHARING PLAN 2009 361089495 2010-09-15 FOREST HILLS COUNTRY CLUB 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1997-02-01
Business code 713900
Sponsor’s telephone number 8158775733
Plan sponsor’s address 5135 FOREST HILLS ROAD, ROCKFORD, IL, 61111

Plan administrator’s name and address
Administrator’s EIN 361089495
Plan administrator’s name FOREST HILLS COUNTRY CLUB
Plan administrator’s address 5135 FOREST HILLS ROAD, ROCKFORD, IL, 61111
Administrator’s telephone number 8158775733

Signature of
Role Plan administrator
Date 2010-09-15
Name of individual signing PAULA KESSMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DONALD ALTMAN, 5135 FOREST HILLS RD, LOVES PARK, 61114, WINNEBAGO Agent 2005-03-29

Related by officers

No related officers

Related by address

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Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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