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  5. CRYSTAL LAKE COUNTRY CLUB

CRYSTAL LAKE COUNTRY CLUB

Company Details

Entity Name: CRYSTAL LAKE COUNTRY CLUB
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 05 Feb 1946
Company Number: CORP_28560354
File Number: 28560354
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CRYSTAL LAKE COUNTRY CLUB 401(K) RETIREMENT PLAN 2022 362052014 2023-10-06 CRYSTAL LAKE COUNTRY CLUB 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 8154591237
Plan sponsor’s address 721 COUNTRY CLUB ROAD, CRYSTAL LAKE, IL, 600145608

Signature of
Role Plan administrator
Date 2023-10-06
Name of individual signing PETE SMOK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-06
Name of individual signing PETE SMOK
Valid signature Filed with authorized/valid electronic signature
CRYSTAL LAKE COUNTRY CLUB 401(K) RETIREMENT PLAN 2021 362052014 2022-10-12 CRYSTAL LAKE COUNTRY CLUB 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 8154591237
Plan sponsor’s address 721 COUNTRY CLUB ROAD, CRYSTAL LAKE, IL, 600145608

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing PETER SMOK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing PETER SMOK
Valid signature Filed with authorized/valid electronic signature
CRYSTAL LAKE COUNTRY CLUB 401(K) RETIREMENT PLAN 2020 362052014 2021-10-08 CRYSTAL LAKE COUNTRY CLUB 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 8154591237
Plan sponsor’s address 721 COUNTRY CLUB ROAD, CRYSTAL LAKE, IL, 600145608

Signature of
Role Plan administrator
Date 2021-10-08
Name of individual signing PETER SMOK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-08
Name of individual signing PETER SMOK
Valid signature Filed with authorized/valid electronic signature
CRYSTAL LAKE COUNTRY CLUB 401(K) RETIREMENT PLAN 2019 362052014 2020-06-27 CRYSTAL LAKE COUNTRY CLUB 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 8154591237
Plan sponsor’s address 721 COUNTRY CLUB ROAD, CRYSTAL LAKE, IL, 600145608

Signature of
Role Plan administrator
Date 2020-06-27
Name of individual signing MARY BARTOSH
Valid signature Filed with authorized/valid electronic signature
CRYSTAL LAKE COUNTRY CLUB 401(K) RETIREMENT PLAN 2018 362052014 2019-07-05 CRYSTAL LAKE COUNTRY CLUB 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 8154591237
Plan sponsor’s address 721 COUNTRY CLUB ROAD, CRYSTAL LAKE, IL, 600145608

Signature of
Role Plan administrator
Date 2019-07-05
Name of individual signing MARY BARTOSH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-05
Name of individual signing MARY BARTOSH
Valid signature Filed with authorized/valid electronic signature
CRYSTAL LAKE COUNTRY CLUB 401(K) RETIREMENT PLAN 2017 362052014 2018-07-24 CRYSTAL LAKE COUNTRY CLUB 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 8154591237
Plan sponsor’s address 721 COUNTRY CLUB ROAD, CRYSTAL LAKE, IL, 600145608

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing MARY BARTOSH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-24
Name of individual signing MARY BARTOSH
Valid signature Filed with authorized/valid electronic signature
CRYSTAL LAKE COUNTRY CLUB 401(K) RETIREMENT PLAN 2016 362052014 2017-07-28 CRYSTAL LAKE COUNTRY CLUB 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 8154591237
Plan sponsor’s address 721 COUNTRY CLUB ROAD, CRYSTAL LAKE, IL, 600145608

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing MARY BARTOSH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-28
Name of individual signing MARY BARTOSH
Valid signature Filed with authorized/valid electronic signature
CRYSTAL LAKE COUNTRY CLUB 401K RETIREMENT PLAN 2015 362052014 2016-07-15 CRYSTAL LAKE COUNTRY CLUB 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 8154591237
Plan sponsor’s address 721 COUNTRY CLUB ROAD, CRYSTAL LAKE, IL, 60014

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing MARY BARTOSH
Valid signature Filed with authorized/valid electronic signature
CRYSTAL LAKE COUNTRY CLUB 401K RETIREMENT PLAN 2014 362052014 2015-08-14 CRYSTAL LAKE COUNTRY CLUB 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 8154591237
Plan sponsor’s address 721 COUNTRY CLUB ROAD, CRYSTAL LAKE, IL, 60014

Signature of
Role Plan administrator
Date 2015-08-14
Name of individual signing MARY BARTOSH
Valid signature Filed with authorized/valid electronic signature
CRYSTAL LAKE COUNTRY CLUB 401K RETIREMENT PLAN 2013 362052014 2014-06-13 CRYSTAL LAKE COUNTRY CLUB 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 8154591237
Plan sponsor’s address 721 COUNTRY CLUB ROAD, CRYSTAL LAKE, IL, 60014

Signature of
Role Plan administrator
Date 2014-06-13
Name of individual signing TERESA PATO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PETER SMOK, 721 COUNTRY CLUB RD, CRYSTAL LAKE, 60014, MC HENRY Agent 2021-01-25

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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