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  5. THE BIRCHWOOD CLUB

THE BIRCHWOOD CLUB

Company Details

Entity Name: THE BIRCHWOOD CLUB
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 28 Oct 1957
Company Number: CORP_37326101
File Number: 37326101
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE BIRCHWOOD CLUB RETIREMENT SAVING PLAN AND TRUST 2022 362384836 2024-06-27 THE BIRCHWOOD CLUB 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-06-01
Business code 522130
Sponsor’s telephone number 8478312040
Plan sponsor’s address 1174 PARK AVENUE WEST, HIGHLAND PARK, IL, 600352203

Signature of
Role Plan administrator
Date 2024-06-27
Name of individual signing JOE PROVENZANO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-27
Name of individual signing IVAN CIPAK
Valid signature Filed with authorized/valid electronic signature
THE BIRCHWOOD CLUB RETIREMENT SAVING PLAN AND TRUST 2021 362384836 2023-04-20 THE BIRCHWOOD CLUB 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-06-01
Business code 522130
Sponsor’s telephone number 8478312040
Plan sponsor’s address 1174 PARK AVENUE WEST, HIGHLAND PARK, IL, 600352203

Signature of
Role Plan administrator
Date 2023-04-20
Name of individual signing DIANA DIPERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-20
Name of individual signing DIANA DIPERT
Valid signature Filed with authorized/valid electronic signature
THE BIRCHWOOD CLUB RETIREMENT SAVING PLAN AND TRUST 2020 362384836 2022-01-24 THE BIRCHWOOD CLUB 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-06-01
Business code 522130
Sponsor’s telephone number 8478312040
Plan sponsor’s address 1174 PARK AVENUE WEST, HIGHLAND PARK, IL, 600352203

Signature of
Role Plan administrator
Date 2022-01-24
Name of individual signing DIANA DIPERT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-24
Name of individual signing DIANA DIPERT
Valid signature Filed with authorized/valid electronic signature
THE BIRCHWOOD CLUB RETIREMENT SAVING PLAN AND TRUST 2019 362384836 2020-12-01 THE BIRCHWOOD CLUB 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-06-01
Business code 522130
Sponsor’s telephone number 8478312040
Plan sponsor’s address 1174 PARK AVENUE WEST, HIGHLAND PARK, IL, 600352203

Signature of
Role Plan administrator
Date 2020-12-01
Name of individual signing VANESSA WAGNER
Valid signature Filed with authorized/valid electronic signature
THE BIRCHWOOD CLUB RETIREMENT SAVINGS PLAN AND TRUST 2018 362384836 2019-10-11 THE BIRCHWOOD CLUB 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-06-01
Business code 522130
Sponsor’s telephone number 8478312040
Plan sponsor’s address 1174 PARK AVE W, HIGHLAND PARK, IL, 600352203

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing VANESSA SZYMCZAK
Valid signature Filed with authorized/valid electronic signature
THE BIRCHWOOD CLUB RETIREMENT SAVINGS PLAN AND TRUST 2017 362384836 2018-10-23 THE BIRCHWOOD CLUB 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-06-01
Business code 522130
Sponsor’s telephone number 8478312040
Plan sponsor’s address 1174 PARK AVE W, HIGHLAND PARK, IL, 600352203

Signature of
Role Plan administrator
Date 2018-10-23
Name of individual signing VANESSA SZYMCZAK
Valid signature Filed with authorized/valid electronic signature
THE BIRCHWOOD CLUB RETIREMENT SAVINGS PLAN AND TRUST 2016 362384836 2017-11-08 THE BIRCHWOOD CLUB 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-06-01
Business code 522130
Sponsor’s telephone number 8478312040
Plan sponsor’s address 1174 PARK AVE W, HIGHLAND PARK, IL, 600352203

Signature of
Role Plan administrator
Date 2017-11-08
Name of individual signing SAMANTHA KLAFF
Valid signature Filed with authorized/valid electronic signature
THE BIRCHWOOD CLUB RETIREMENT SAVINGS PLAN AND TRUST 2015 362384836 2017-04-21 THE BIRCHWOOD CLUB 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-06-01
Business code 522130
Sponsor’s telephone number 8478312040
Plan sponsor’s address 1174 PARK AVE W, HIGHLAND PARK, IL, 600352203

Signature of
Role Plan administrator
Date 2017-04-21
Name of individual signing BARBARA A WEISS
Valid signature Filed with authorized/valid electronic signature
THE BIRCHWOOD CLUB RETIREMENT SAVINGS PLAN AND TRUST 2014 362384836 2016-03-07 THE BIRCHWOOD CLUB 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-06-01
Business code 522130
Sponsor’s telephone number 8478312040
Plan sponsor’s address 1174 PARK AVE W, HIGHLAND PARK, IL, 600352203

Signature of
Role Plan administrator
Date 2016-03-07
Name of individual signing BARBARA A WEISS
Valid signature Filed with authorized/valid electronic signature
THE BIRCHWOOD CLUB RETIREMENT SAVINGS PLAN AND TRUST 2013 362384836 2015-07-10 THE BIRCHWOOD CLUB 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1973-06-01
Business code 813000
Sponsor’s telephone number 8478312040
Plan sponsor’s address 1174 PARK AVENUE WEST, HIGHLAND PARK, IL, 60035

Signature of
Role Plan administrator
Date 2015-07-10
Name of individual signing BOBBI WEISS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
IVAN CIPAK, 1174 PARK AVE W, HIGHLAND PARK, 60035, LAKE Agent 2023-09-18

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State

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