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LAKE REGION MEN'S CLUB

LAKE REGION MEN'S CLUB

Company Details

Entity Name:	LAKE REGION MEN'S CLUB
Jurisdiction:	Illinois
Entity Type:	Corporation - Not-for-Profit
Status:	Dissolved
Date Formed:	05 Dec 1963
Date of Dissolution:	02 May 1988
Company Number:	CORP_43680188
File Number:	43680188
Date Status Change:	02 May 1988
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

TENEX CORPORATION 401 K PROFIT SHARING PLAN TRUST

2011

362531720

2012-07-19

TENEX CORPORATION

27

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1974-05-01
Business code	326100
Sponsor’s telephone number	8475040400
Plan sponsor’s address	1282 BARCLAY BOULEVARD, BUFFALO GROVE, IL, 60089

Plan administrator’s name and address

Administrator’s EIN	362531720
Plan administrator’s name	TENEX CORPORATION
Plan administrator’s address	1282 BARCLAY BOULEVARD, BUFFALO GROVE, IL, 60089
Administrator’s telephone number	8475040400

Signature of

Role	Plan administrator
Date	2012-07-19
Name of individual signing	TENEX CORPORATION
Valid signature	Filed with authorized/valid electronic signature

TENEX CORPORATION 401 K PROFIT SHARING PLAN TRUST

2010

362531720

2011-07-22

TENEX CORPORATION

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1974-05-01
Business code	326100
Sponsor’s telephone number	8475040400
Plan sponsor’s address	1001 GREEN BAY ROAD, #240, WINNETKA, IL, 600930000

Plan administrator’s name and address

Administrator’s EIN	362531720
Plan administrator’s name	TENEX CORPORATION
Plan administrator’s address	1001 GREEN BAY ROAD, #240, WINNETKA, IL, 600930000
Administrator’s telephone number	8475040400

Signature of

Role	Plan administrator
Date	2011-07-22
Name of individual signing	TENEX CORPORATION
Valid signature	Filed with authorized/valid electronic signature

TENEX CORPORATION

2009

362531720

2010-07-30

TENEX CORPORATION

27

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1974-05-01
Business code	326100
Sponsor’s telephone number	8475040400
Plan sponsor’s address	PAUL MONIUSZKO, 1001 GREEN BAY ROAD #240, WINNETKA, IL, 600930000

Plan administrator’s name and address

Administrator’s EIN	362531720
Plan administrator’s name	TENEX CORPORATION
Plan administrator’s address	PAUL MONIUSZKO, 1001 GREEN BAY ROAD #240, WINNETKA, IL, 600930000
Administrator’s telephone number	8475040400

Signature of

Role	Plan administrator
Date	2010-07-30
Name of individual signing	TENEX CORPORATION
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
JOSEPH VAVRUSA, 314 RYE ROAD, MUNDELEIN, 60060, LAKE	Agent	1985-11-08

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State