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SILVER LAKE COUNTRY CLUB, INC.

Company Details

Entity Name: SILVER LAKE COUNTRY CLUB, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 18 Dec 1958
Company Number: CORP_38315145
File Number: 38315145
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SILVER LAKE COUNTRY CLUB 401(K) PLAN 2023 362408816 2024-04-29 SILVER LAKE COUNTRY CLUB 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 713900
Sponsor’s telephone number 7083496940
Plan sponsor’s address 14700 SOUTH 82ND AVENUE, PO BOX 497, ORLAND PARK, IL, 60462

Signature of

Role Plan administrator
Date 2024-04-29
Name of individual signing JEFF WITHGOTT
Valid signature Filed with authorized/valid electronic signature
SILVER LAKE COUNTRY CLUB 401(K) PLAN 2022 362408816 2023-05-25 SILVER LAKE COUNTRY CLUB 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 713900
Sponsor’s telephone number 7083496940
Plan sponsor’s address 14700 SOUTH 82ND AVENUE, PO BOX 497, ORLAND PARK, IL, 60462

Signature of

Role Plan administrator
Date 2023-05-25
Name of individual signing JEFF WITHGOTT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-25
Name of individual signing JEFF WITHGOTT
Valid signature Filed with authorized/valid electronic signature
SILVER LAKE COUNTRY CLUB 401(K) PLAN 2021 362408816 2022-09-29 SILVER LAKE COUNTRY CLUB 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 713900
Sponsor’s telephone number 7083496940
Plan sponsor’s address 14700 SOUTH 82ND AVENUE, PO BOX 497, ORLAND PARK, IL, 60462

Signature of

Role Plan administrator
Date 2022-09-29
Name of individual signing JEFFREY L. WITHGOTT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-29
Name of individual signing JEFFREY WITHGOTT
Valid signature Filed with authorized/valid electronic signature
SILVER LAKE COUNTRY CLUB 401(K) PLAN 2020 362404165 2021-07-15 SILVER LAKE COUNTRY CLUB 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 713900
Sponsor’s telephone number 7083496940
Plan sponsor’s address 14700 SOUTH 82ND AVENUE, P O BOX 497, ORLAND PARK, IL, 60462

Signature of

Role Plan administrator
Date 2021-07-15
Name of individual signing JEFF WITHGOTT
Valid signature Filed with authorized/valid electronic signature
SILVER LAKE COUNTRY CLUB 401(K) PLAN 2019 362404165 2020-05-07 SILVER LAKE COUNTRY CLUB 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 713900
Sponsor’s telephone number 7083496940
Plan sponsor’s address 14700 SOUTH 82ND AVENUE, P O BOX 497, ORLAND PARK, IL, 60462

Signature of

Role Plan administrator
Date 2020-05-07
Name of individual signing JEFF WITHGOTT
Valid signature Filed with authorized/valid electronic signature
SILVER LAKE COUNTRY CLUB 401(K) PLAN 2018 362404165 2019-06-06 SILVER LAKE COUNTRY CLUB 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 713900
Sponsor’s telephone number 7083496940
Plan sponsor’s address 14700 SOUTH 82ND AVENUE, P O BOX 497, ORLAND PARK, IL, 60462

Signature of

Role Plan administrator
Date 2019-06-06
Name of individual signing JEFF WITHGOTT
Valid signature Filed with authorized/valid electronic signature
SILVER LAKE COUNTRY CLUB 401(K) PLAN 2017 362404165 2018-06-28 SILVER LAKE COUNTRY CLUB 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 713900
Sponsor’s telephone number 7083496940
Plan sponsor’s address 14700 SOUTH 82ND AVENUE, P O BOX 497, ORLAND PARK, IL, 60462

Signature of

Role Plan administrator
Date 2018-06-28
Name of individual signing JEFF WITHGOTT
Valid signature Filed with authorized/valid electronic signature
SILVER LAKE COUNTRY CLUB 401K PLAN 2016 362404165 2017-06-29 SILVER LAKE COUNTRY CLUB 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 713900
Sponsor’s telephone number 7083496940
Plan sponsor’s address 14700 SOUTH 82ND AVENUE, PO BOX 497, ORLAND PARK, IL, 60462

Signature of

Role Plan administrator
Date 2017-06-29
Name of individual signing JEFF WITHGOTT
Valid signature Filed with authorized/valid electronic signature
SILVER LAKE COUNTRY CLUB 401K PLAN 2015 362404165 2016-07-29 SILVER LAKE COUNTRY CLUB 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 713900
Sponsor’s telephone number 7083496940
Plan sponsor’s address 14700 SOUTH 82ND AVENUE, PO BOX 497, ORLAND PARK, IL, 604620497

Signature of

Role Plan administrator
Date 2016-07-29
Name of individual signing JEFF WITHGOTT
Valid signature Filed with authorized/valid electronic signature
SILVER LAKE COUNTRY CLUB 401K PLAN 2014 362404165 2015-09-09 SILVER LAKE COUNTRY CLUB 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 713900
Sponsor’s telephone number 7083496940
Plan sponsor’s address 14700 SOUTH 82ND AVENUE, PO BOX 497, ORLAND PARK, IL, 604620497

Signature of

Role Plan administrator
Date 2015-09-09
Name of individual signing JEFF WITHGOTT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN W DUBBS III, 151 N FRANKLIN ST STE 2500, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO Agent 2018-05-18

President

Name and Address Role
AMY G. COGHILL 14700 S. 82ND AVENUE ORLAND PARK IL 60462 President

Secretary

Name and Address Role
KELLI CALZARETTA 14700 S. 82ND AVENUE ORLAND PARK IL 60462 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
SILVER LAKE COUNTRY CLUB Assume Name 1999-08-11 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 25000 25000000 No data

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State