LAKE SHORE COUNTRY CLUB 401(K) PLAN
|
2012
|
361356630
|
2013-10-03
|
LAKE SHORE COUNTRY CLUB
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8478353000
|
Plan sponsor’s
address |
1255 SHERIDAN RD, GLENCOE, IL, 60022
|
Signature of
Role |
Plan administrator |
Date |
2013-10-03 |
Name of individual signing |
KIM FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE SHORE COUNTRY CLUB PENSION TRUST PLAN
|
2011
|
361356630
|
2013-02-15
|
LAKE SHORE COUNTRY CLUB
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-10-01
|
Business code |
713900
|
Sponsor’s telephone number |
8478353000
|
Plan sponsor’s
address |
1255 SHERIDAN RD, GLENCOE, IL, 600221256
|
Plan administrator’s name and address
Administrator’s EIN |
361356630 |
Plan administrator’s name |
LAKE SHORE COUNTRY CLUB |
Plan administrator’s
address |
1255 SHERIDAN RD, GLENCOE, IL, 600221256 |
Administrator’s telephone number |
8478353000 |
Signature of
Role |
Plan administrator |
Date |
2013-02-15 |
Name of individual signing |
TOM BARBROW, OFFICER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE SHORE COUNTRY CLUB 401(K) PLAN
|
2011
|
361356630
|
2012-10-03
|
LAKE SHORE COUNTRY CLUB
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8478353000
|
Plan sponsor’s
address |
1255 SHERIDAN RD, GLENCOE, IL, 60022
|
Plan administrator’s name and address
Administrator’s EIN |
361356630 |
Plan administrator’s name |
LAKE SHORE COUNTRY CLUB |
Plan administrator’s
address |
1255 SHERIDAN RD, GLENCOE, IL, 60022 |
Administrator’s telephone number |
8478353000 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
KIM FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE SHORE COUNTRY CLUB PENSION TRUST PLAN
|
2010
|
361356630
|
2012-06-27
|
LAKE SHORE COUNTRY CLUB
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-10-01
|
Business code |
713900
|
Sponsor’s telephone number |
8478353000
|
Plan sponsor’s
address |
1255 SHERIDAN RD, GLENCOE, IL, 600221256
|
Plan administrator’s name and address
Administrator’s EIN |
361356630 |
Plan administrator’s name |
LAKE SHORE COUNTRY CLUB |
Plan administrator’s
address |
1255 SHERIDAN RD, GLENCOE, IL, 600221256 |
Administrator’s telephone number |
8478353000 |
Signature of
Role |
Plan administrator |
Date |
2012-06-27 |
Name of individual signing |
TOM BARBROW, OFFICER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE SHORE COUNTRY CLUB 401(K) PLAN
|
2010
|
361356630
|
2011-09-02
|
LAKE SHORE COUNTRY CLUB
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8478353000
|
Plan sponsor’s
address |
1255 SHERIDAN RD, GLENCOE, IL, 60022
|
Plan administrator’s name and address
Administrator’s EIN |
361356630 |
Plan administrator’s name |
LAKE SHORE COUNTRY CLUB |
Plan administrator’s
address |
1255 SHERIDAN RD, GLENCOE, IL, 60022 |
Administrator’s telephone number |
8478353000 |
Signature of
Role |
Plan administrator |
Date |
2011-09-02 |
Name of individual signing |
KIM FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE SHORE COUNTRY CLUB PENSION TRUST PLAN
|
2009
|
361356630
|
2011-07-01
|
LAKE SHORE COUNTRY CLUB
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-10-01
|
Business code |
713900
|
Sponsor’s telephone number |
8478353000
|
Plan sponsor’s
address |
1255 SHERIDAN RD, GLENCOE, IL, 600221256
|
Plan administrator’s name and address
Administrator’s EIN |
361356630 |
Plan administrator’s name |
LAKE SHORE COUNTRY CLUB |
Plan administrator’s
address |
1255 SHERIDAN RD, GLENCOE, IL, 600221256 |
Administrator’s telephone number |
8478353000 |
Signature of
Role |
Plan administrator |
Date |
2011-07-01 |
Name of individual signing |
TOM BARBROW, OFFICER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE SHORE COUNTRY CLUB 401(K) PLAN
|
2009
|
361356630
|
2010-10-05
|
LAKE SHORE COUNTRY CLUB
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8478353000
|
Plan sponsor’s
address |
1255 SHERIDAN RD, GLENCOE, IL, 60022
|
Plan administrator’s name and address
Administrator’s EIN |
361356630 |
Plan administrator’s name |
LAKE SHORE COUNTRY CLUB |
Plan administrator’s
address |
1255 SHERIDAN RD, GLENCOE, IL, 60022 |
Administrator’s telephone number |
8478353000 |
Signature of
Role |
Plan administrator |
Date |
2010-10-05 |
Name of individual signing |
KIM FISCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|