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  5. COUNTRY CLUB OF PEORIA

COUNTRY CLUB OF PEORIA

Company Details

Entity Name: COUNTRY CLUB OF PEORIA
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 26 Jun 1897
Company Number: CORP_07647026
File Number: 07647026
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COUNTRY CLUB OF PEORIA 401(K) PLAN 2023 370230280 2024-10-07 COUNTRY CLUB OF PEORIA 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 3096862582
Plan sponsor’s address 4700 GRANDVIEW DRIVE, PEORIA HEIGHTS, IL, 61616

Signature of
Role Plan administrator
Date 2024-10-07
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF PEORIA 401(K) PLAN 2022 370230280 2023-07-05 COUNTRY CLUB OF PEORIA 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 3096862582
Plan sponsor’s address 4700 GRANDVIEW DRIVE, PEORIA HEIGHTS, IL, 61616

Signature of
Role Plan administrator
Date 2023-07-05
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-05
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF PEORIA 401(K) PLAN 2021 370230280 2022-07-12 COUNTRY CLUB OF PEORIA 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 3096862582
Plan sponsor’s address 4700 GRANDVIEW DRIVE, PEORIA HEIGHTS, IL, 61616

Signature of
Role Plan administrator
Date 2022-07-12
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-12
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF PEORIA 401(K) PLAN 2020 370230280 2021-06-11 COUNTRY CLUB OF PEORIA 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 3096862582
Plan sponsor’s address 4700 GRANDVIEW DRIVE, PEORIA HEIGHTS, IL, 61616

Signature of
Role Plan administrator
Date 2021-06-11
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-11
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF PEORIA 401(K) PLAN 2019 370230280 2020-05-06 COUNTRY CLUB OF PEORIA 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 3096862582
Plan sponsor’s address 4700 GRANDVIEW DRIVE, PEORIA HEIGHTS, IL, 61616

Signature of
Role Plan administrator
Date 2020-05-06
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-06
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF PEORIA 401(K) PLAN 2018 370230280 2019-10-01 COUNTRY CLUB OF PEORIA 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 3096862582
Plan sponsor’s address 4700 GRANDVIEW DRIVE, PEORIA HEIGHTS, IL, 61616

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-01
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF PEORIA 401(K) PLAN 2017 370230280 2018-05-07 COUNTRY CLUB OF PEORIA 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 3096862582
Plan sponsor’s address 4700 GRANDVIEW DRIVE, PEORIA HEIGHTS, IL, 61616

Signature of
Role Plan administrator
Date 2018-05-07
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF PEORIA 401(K) PLAN 2016 370230280 2017-06-26 COUNTRY CLUB OF PEORIA 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 3096862582
Plan sponsor’s address 4700 GRANDVIEW DRIVE, PEORIA HEIGHTS, IL, 61616

Signature of
Role Plan administrator
Date 2017-06-26
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF PEORIA 401(K) PLAN 2015 370230280 2016-06-07 COUNTRY CLUB OF PEORIA 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 3096862582
Plan sponsor’s address 4700 GRANDVIEW DRIVE, PEORIA HEIGHTS, IL, 61616

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
COUNTRY CLUB OF PEORIA 401(K) PLAN 2014 370230280 2015-06-23 COUNTRY CLUB OF PEORIA 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 3096862582
Plan sponsor’s address 4700 GRANDVIEW DRIVE, PEORIA HEIGHTS, IL, 61616

Signature of
Role Plan administrator
Date 2015-06-23
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-23
Name of individual signing MARY MERCER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARTIN BEST, 4700 GRANDVIEW DR, PEORIA HEIGHTS, 61616, PEORIA Agent 2021-06-30

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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