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HILLCREST GOLF CENTER, INC.

Company Details

Entity Name: HILLCREST GOLF CENTER, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 25 Sep 2003
Date of Dissolution: 10 Feb 2023
Company Number: CORP_63133159
File Number: 63133159
Type of Business: All Inclusive Purpose
Date Status Change: 10 Feb 2023
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HILLCREST GOLF CENTER INC. PROFIT SHARING PLAN 2016 562401348 2017-07-25 HILLCREST GOLF CENTER INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 713900
Sponsor’s telephone number 3092568565
Plan sponsor’s address 816 SIMON ST, WASHINGTON, IL, 615719276

Plan administrator’s name and address

Administrator’s EIN 562401348
Plan administrator’s name BRIAN K BRUBAKER
Plan administrator’s address 816 SIMON ST, WASHINGTON, IL, 615719276
Administrator’s telephone number 3092568565

Signature of

Role Plan administrator
Date 2017-07-20
Name of individual signing BRIAN BRUBAKER
Valid signature Filed with authorized/valid electronic signature
HILLCREST GOLF CENTER INC. PROFIT SHARING PLAN 2015 562401348 2016-07-20 HILLCREST GOLF CENTER INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 713900
Sponsor’s telephone number 3092568565
Plan sponsor’s address 816 SIMON ST, WASHINGTON, IL, 615719276

Plan administrator’s name and address

Administrator’s EIN 562401348
Plan administrator’s name BRIAN K. BRUBAKER
Plan administrator’s address 816 SIMON ST, WASHINGTON, IL, 615719276
Administrator’s telephone number 3092568565

Signature of

Role Plan administrator
Date 2016-07-20
Name of individual signing BRIAN BRUBAKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-20
Name of individual signing BRIAN BRUBAKER
Valid signature Filed with authorized/valid electronic signature
HILLCREST GOLF CENTER INC. PROFIT SHARING PLAN 2014 562401348 2015-07-16 HILLCREST GOLF CENTER INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 713900
Sponsor’s telephone number 3092568565
Plan sponsor’s address 816 SIMON, WASHINGTON, IL, 61571

Plan administrator’s name and address

Administrator’s EIN 562401348
Plan administrator’s name BRIAN K. BRUBAKER
Plan administrator’s address 816 SIMON, WASHINGTON, IL, 61571
Administrator’s telephone number 3092568565

Signature of

Role Plan administrator
Date 2015-07-16
Name of individual signing BRIAN BRUBAKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-16
Name of individual signing BRIAN BRUBAKER
Valid signature Filed with authorized/valid electronic signature
HILLCREST GOLF CENTER INC. PROFIT SHARING PLAN 2013 562401348 2014-07-02 HILLCREST GOLF CENTER INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 713900
Sponsor’s telephone number 3092568565
Plan sponsor’s address 816 SIMON, WASHINGTON, IL, 61571

Plan administrator’s name and address

Administrator’s EIN 562401348
Plan administrator’s name BRIAN K BRUBAKER
Administrator’s telephone number 3092568565

Signature of

Role Plan administrator
Date 2014-07-02
Name of individual signing BRIAN BRUBAKER
Valid signature Filed with authorized/valid electronic signature
HILLCREST GOLF CENTER INC PROFIT SHARING PLAN 2012 562401348 2014-07-17 HILLCREST GOLF CENTER INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 713900
Sponsor’s telephone number 3092568565
Plan sponsor’s address 1829 WASHINGTON ROAD, WASHINGTON, IL, 61571

Plan administrator’s name and address

Administrator’s EIN 562401348
Plan administrator’s name BRIAN K BRUBAKER
Administrator’s telephone number 3092568565

Signature of

Role Plan administrator
Date 2014-07-16
Name of individual signing BRIAN BRUBAKER
Valid signature Filed with authorized/valid electronic signature
HILLCREST GOLF CENTER INC PROFIT SHARING PLAN 2012 562401348 2013-06-27 HILLCREST GOLF CENTER INC 2
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 713900
Sponsor’s telephone number 3094449033
Plan sponsor’s address 1829 WASHINGTON ROAD, WASHINGTON, IL, 61571

Plan administrator’s name and address

Administrator’s EIN 562401348
Plan administrator’s name BRIAN K BRUBAKER
Administrator’s telephone number 3094449033

Signature of

Role Plan administrator
Date 2013-06-27
Name of individual signing BRIAN BRUBAKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-27
Name of individual signing BRIAN BRUBAKER
Valid signature Filed with authorized/valid electronic signature
HILLCREST GOLF CENTER INC PROFIT SHARING PLAN 2011 562401348 2012-06-26 HILLCREST GOLF CENTER INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 713900
Sponsor’s telephone number 3094449033
Plan sponsor’s mailing address 1829 WASHINGTON ROAD, WASHINGTON, IL, 61571
Plan sponsor’s address 1829 WASHINGTON ROAD, WASHINGTON, IL, 61571

Plan administrator’s name and address

Administrator’s EIN 562401348
Plan administrator’s name BRIAN K BRUBAKER
Plan administrator’s address 1829 WASHINGTON ROAD, WASHINGTON, IL, 61571
Administrator’s telephone number 3094449033

Number of participants as of the end of the plan year

Active participants 2
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2012-06-26
Name of individual signing BRIAN BRUBAKER
Valid signature Filed with authorized/valid electronic signature
HILLCREST GOLF CENTER INC PROFIT SHARING PLAN 2010 562401348 2011-07-05 HILLCREST GOLF CENTER INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 713900
Sponsor’s telephone number 3094449033
Plan sponsor’s mailing address 1829 WASHINGTON ROAD, WASHINGTON, IL, 61571
Plan sponsor’s address 1829 WASHINGTON ROAD, WASHINGTON, IL, 61571

Plan administrator’s name and address

Administrator’s EIN 562401348
Plan administrator’s name BRIAN K BRUBAKER
Plan administrator’s address 1829 WASHINGTON ROAD, WASHINGTON, IL, 61571
Administrator’s telephone number 3094449033

Number of participants as of the end of the plan year

Active participants 2
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2011-07-02
Name of individual signing BRIAN BRUBAKER
Valid signature Filed with authorized/valid electronic signature
HILLCREST GOLF CENTER INC PROFIT SHARING PLAN 2009 562401348 2010-06-15 HILLCREST GOLF CENTER INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 713900
Sponsor’s telephone number 3094449033
Plan sponsor’s mailing address 1829 WASHINGTON ROAD, WASHINGTON, IL, 61571
Plan sponsor’s address 1829 WASHINGTON ROAD, WASHINGTON, IL, 61571

Plan administrator’s name and address

Administrator’s EIN 562401348
Plan administrator’s name BRIAN K. BRUBAKER
Plan administrator’s address 1829 WASHINGTON ROAD, WASHINGTON, IL, 61571
Administrator’s telephone number 3094449033

Number of participants as of the end of the plan year

Active participants 2
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2010-06-15
Name of individual signing BRIAN BRUBAKER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRIAN K BRUBAKER, 1829 WASHINGTON RD, WASHINGTON, 61571, TAZEWELL Agent 2003-09-25

President

Name and Address Role
BRIAN, K. BRUBAKER, 816 SIMON ST WASHINGTON IL 61571 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State