PLANDOME COUNTRY CLUB 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
116030701
|
2024-05-03
|
PLANDOME COUNTRY CLUB
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5166271200
|
Plan sponsor’s
address |
145 STONYTOWN ROAD, PLANDOME, NY, 11030
|
Plan administrator’s name and address
Administrator’s EIN |
471637791 |
Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
Administrator’s telephone number |
6312490500 |
Signature of
Role |
Plan administrator |
Date |
2024-05-03 |
Name of individual signing |
ERISA FIDUCIARY SERVICES |
|
|
PLANDOME COUNTRY CLUB 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
116030701
|
2023-04-07
|
PLANDOME COUNTRY CLUB
|
88
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5166271200
|
Plan sponsor’s
address |
145 STONYTOWN ROAD, PLANDOME, NY, 11030
|
Plan administrator’s name and address
Administrator’s EIN |
471637791 |
Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
Administrator’s telephone number |
6312490500 |
Signature of
Role |
Plan administrator |
Date |
2023-04-07 |
Name of individual signing |
ERISA FIDUCIARY SERVICES |
|
|
PLANDOME COUNTRY CLUB 401(K) RETIREMENT PLAN
|
2019
|
116030701
|
2020-08-05
|
PLANDOME COUNTRY CLUB, INC.
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5166271200
|
Plan sponsor’s
address |
145 STONYTOWN RD., PLANDOME, NY, 11030
|
Signature of
Role |
Plan administrator |
Date |
2020-08-05 |
Name of individual signing |
JO ANN CARROLL |
|
Role |
Employer/plan sponsor |
Date |
2020-08-05 |
Name of individual signing |
JO ANN CARROLL |
|
|
PLANDOME COUNTRY CLUB 401(K) RETIREMENT PLAN
|
2018
|
116030701
|
2019-04-11
|
PLANDOME COUNTRY CLUB, INC.
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5166271200
|
Plan sponsor’s
address |
145 STONYTOWN RD., PLANDOME, NY, 11030
|
Signature of
Role |
Plan administrator |
Date |
2019-04-11 |
Name of individual signing |
JO ANN CARROLL |
|
Role |
Employer/plan sponsor |
Date |
2019-04-11 |
Name of individual signing |
JO ANN CARROLL |
|
|
PLANDOME COUNTRY CLUB 401(K) RETIREMENT PLAN
|
2017
|
116030701
|
2018-03-15
|
PLANDOME COUNTRY CLUB, INC.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5166271200
|
Plan sponsor’s
address |
145 STONYTOWN RD., PLANDOME, NY, 11030
|
Signature of
Role |
Plan administrator |
Date |
2018-03-15 |
Name of individual signing |
JO ANN CARROLL |
|
Role |
Employer/plan sponsor |
Date |
2018-03-15 |
Name of individual signing |
JO ANN CARROLL |
|
|
PLANDOME COUNTRY CLUB 401(K) RETIREMENT PLAN
|
2016
|
116030701
|
2017-05-17
|
PLANDOME COUNTRY CLUB, INC.
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5166271200
|
Plan sponsor’s
address |
145 STONYTOWN RD., PLANDOME, NY, 11030
|
Signature of
Role |
Plan administrator |
Date |
2017-05-17 |
Name of individual signing |
JO ANN CARROLL |
|
Role |
Employer/plan sponsor |
Date |
2017-05-17 |
Name of individual signing |
JO ANN CARROLL |
|
|
PLANDOME COUNTRY CLUB 401(K) RETIREMENT PLAN
|
2015
|
116030701
|
2016-07-26
|
PLANDOME COUNTRY CLUB, INC.
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5166271200
|
Plan sponsor’s
address |
145 STONYTOWN RD., PLANDOME, NY, 11030
|
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
KELLIANNE O'DONNELL |
|
|
PLANDOME COUNTRY CLUB 401(K) RETIREMENT PLAN
|
2014
|
116030701
|
2016-07-25
|
PLANDOME COUNTRY CLUB, INC.
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5166271200
|
Plan sponsor’s
address |
145 STONYTOWN RD., PLANDOME, NY, 110301131
|
Signature of
Role |
Plan administrator |
Date |
2016-07-25 |
Name of individual signing |
JOSEPH SCIORTINO JOANN CARROLL |
|
Role |
Employer/plan sponsor |
Date |
2016-07-25 |
Name of individual signing |
JOSEPH SCIORTINO JOANN CARROLL |
|
|
PLANDOME COUNTRY CLUB 401(K) RETIREMENT PLAN
|
2014
|
116030701
|
2015-05-20
|
PLANDOME COUNTRY CLUB, INC.
|
71
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5166271200
|
Plan sponsor’s
address |
145 STONYTOWN RD., PLANDOME, NY, 110301131
|
Signature of
Role |
Plan administrator |
Date |
2015-05-20 |
Name of individual signing |
JOSEPH SCIORTINO JOANN CARROLL |
|
Role |
Employer/plan sponsor |
Date |
2015-05-20 |
Name of individual signing |
JOSEPH SCIORTINO JOANN CARROLL |
|
|
PLANDOME COUNTRY CLUB 401(K) RETIREMENT PLAN
|
2013
|
116030701
|
2014-03-10
|
PLANDOME COUNTRY CLUB, INC.
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
5166271200
|
Plan sponsor’s
address |
145 STONYTOWN RD., PLANDOME, NY, 110301131
|
Signature of
Role |
Plan administrator |
Date |
2014-03-10 |
Name of individual signing |
JOSEPH SCIORTINO JOANN CARROLL |
|
Role |
Employer/plan sponsor |
Date |
2014-03-10 |
Name of individual signing |
JOSEPH SCIORTINO JOANN CARROLL |
|
|