| Entity Name: | SAMSON'S WHITETAIL MOUNTAIN, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 24 May 2005 |
| Company Number: | LLC_01521888 |
| File Number: | 01521888 |
| Type of Management: | Member Managed |
| Date Status Change: | 01 Mar 2024 |
| Expiration Date: | 15 Apr 2025 |
| Address | 305 PALO PINTO LN., VIENNA, 62995, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAMSON'S WHITETAIL MOUNTAIN 401(K) PLAN | 2022 | 371516053 | 2023-07-13 | SAMSON'S WHITETAIL MOUNTAIN, LLC | 18 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2023-07-13 |
| Name of individual signing | AUSTIN ADAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 713900 |
| Sponsor’s telephone number | 6187713992 |
| Plan sponsor’s address | 305 PALO PINTO LANE, VIENNA, IL, 62995 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-14 |
| Name of individual signing | AUSTIN ADAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JERRY STAFFORD, 305 PALO PINTO LN., VIENNA, 62995, UNION | Agent | 2019-03-29 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| STAFFORD, JERRY, 305 PALO PINTO LN., VIENNA, IL, 62995 | Manager | 2024-03-01 |
| STAFFORD, HAYLEIGH, 305 PALO PINTO LN, VIENNA, IL, 62995 | Manager | 2024-03-01 |
Date of last update: 27 Jan 2025
