|
MEDINAH COUNTRY CLUB 401(K) PLAN
|
2011
|
361461510
|
2012-10-10
|
MEDINAH COUNTRY CLUB
|
120
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1998-01-01
|
| Business code |
713900
|
| Sponsor’s telephone number |
6307731700
|
| Plan sponsor’s mailing address |
6 N 001 MEDINAH ROAD, MEDINAH, IL, 60157
|
| Plan sponsor’s
address |
6 N 001 MEDINAH ROAD, MEDINAH, IL, 60157
|
Plan administrator’s name and address
| Administrator’s EIN |
361461510 |
| Plan administrator’s name |
MEDINAH COUNTRY CLUB |
| Plan administrator’s
address |
6 N 001 MEDINAH ROAD, MEDINAH, IL, 60157 |
| Administrator’s telephone number |
6307731700 |
Number of participants as of the end of the plan year
| Active participants |
94 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
14 |
| 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 |
49 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-10 |
| Name of individual signing |
KEITH BODE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDINAH COUNTRY CLUB 401(K) PLAN
|
2010
|
361461510
|
2012-03-05
|
MEDINAH COUNTRY CLUB
|
131
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1998-01-01
|
| Business code |
713900
|
| Sponsor’s telephone number |
6307731700
|
| Plan sponsor’s mailing address |
6 N 001 MEDINAH ROAD, MEDINAH, IL, 60157
|
| Plan sponsor’s
address |
6 N 001 MEDINAH ROAD, MEDINAH, IL, 60157
|
Plan administrator’s name and address
| Administrator’s EIN |
361461510 |
| Plan administrator’s name |
MEDINAH COUNTRY CLUB |
| Plan administrator’s
address |
6 N 001 MEDINAH ROAD, MEDINAH, IL, 60157 |
| Administrator’s telephone number |
6307731700 |
Number of participants as of the end of the plan year
| Active participants |
103 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
16 |
| 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 |
51 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-05 |
| Name of individual signing |
KEITH BODE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDINAH COUNTRY CLUB 401(K) PLAN
|
2009
|
361461510
|
2010-10-15
|
MEDINAH COUNTRY CLUB
|
116
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1998-01-01
|
| Business code |
713900
|
| Sponsor’s telephone number |
6307731700
|
| Plan sponsor’s mailing address |
6 N 001 MEDINAH ROAD, MEDINAH, IL, 60157
|
| Plan sponsor’s
address |
6 N 001 MEDINAH ROAD, MEDINAH, IL, 60157
|
Plan administrator’s name and address
| Administrator’s EIN |
361461510 |
| Plan administrator’s name |
MEDINAH COUNTRY CLUB |
| Plan administrator’s
address |
6 N 001 MEDINAH ROAD, MEDINAH, IL, 60157 |
| Administrator’s telephone number |
6307731700 |
Number of participants as of the end of the plan year
| Active participants |
117 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
13 |
| 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 |
51 |
| 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 |
2010-10-15 |
| Name of individual signing |
JAMES NOVOTNY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
