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PINE HOLLOW COUNTRY CLUB INC.

Company Details

Name: PINE HOLLOW COUNTRY CLUB INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 11 Oct 1960 (64 years ago)
Entity Number: 132296
County: Nassau
Place of Formation: New York

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PINE HOLLOW COUNTRY CLUB 401K PLAN 2020 111969547 2021-09-01 PINE HOLLOW COUNTRY CLUB 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 5169220300
Plan sponsor’s address 6601 ROUTE 25A, EAST NORWICH, NY, 11732

Signature of

Role Plan administrator
Date 2021-09-01
Name of individual signing BARBARA WILLIAMS
Role Employer/plan sponsor
Date 2021-09-01
Name of individual signing BARBARA WILLIAMS
PINE HOLLOW COUNTRY CLUB 401K PLAN 2019 111969547 2020-10-05 PINE HOLLOW COUNTRY CLUB 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 5169220300
Plan sponsor’s address 6601 ROUTE 25A, EAST NORWICH, NY, 11732

Signature of

Role Plan administrator
Date 2020-10-05
Name of individual signing BARBARA WILLIAMS
Role Employer/plan sponsor
Date 2020-10-05
Name of individual signing BARBARA WILLIAMS
PINE HOLLOW COUNTRY CLUB 401K PLAN 2018 111969547 2019-10-02 PINE HOLLOW COUNTRY CLUB 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 5169220300
Plan sponsor’s address 6601 ROUTE 25A, EAST NORWICH, NY, 11732

Signature of

Role Plan administrator
Date 2019-10-02
Name of individual signing BARBARA WILLIAMS
Role Employer/plan sponsor
Date 2019-10-02
Name of individual signing BARBARA WILLIAMS
PINE HOLLOW COUNTRY CLUB 401K PLAN 2017 111969547 2018-10-03 PINE HOLLOW COUNTRY CLUB 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 5169220300
Plan sponsor’s address 6601 ROUTE 25A, EAST NORWICH, NY, 11732

Signature of

Role Plan administrator
Date 2018-10-03
Name of individual signing BARBARA WILLIAMS
PINE HOLLOW COUNTRY CLUB 401K PLAN 2016 111969547 2017-10-06 PINE HOLLOW COUNTRY CLUB 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 812990
Sponsor’s telephone number 5169220300
Plan sponsor’s address 6601 ROUTE 25A, EAST NORWICH, NY, 11732

Signature of

Role Plan administrator
Date 2017-10-06
Name of individual signing BARBARA WILLIAMS
Role Employer/plan sponsor
Date 2017-10-06
Name of individual signing BARBARA WILLIAMS

Agent

Name Role Address
PINE HOLLOW COUNTRY CLUB INC. Agent NO ADDRESS STATED, E NORWICH, NY, 11732

Licenses

Number Type Date Last renew date End date Address Description
0340-23-131350 Alcohol sale 2023-03-03 2023-03-03 2025-02-28 6601 NORTHERN BLVD, EAST NORWICH, New York, 11732 Restaurant

Filings

Filing Number Date Filed Type Effective Date
C188968-2 1992-05-27 ASSUMED NAME CORP INITIAL FILING 1992-05-27
A103855-2 1973-09-25 CERTIFICATE OF AMENDMENT 1973-09-25
247041 1960-12-28 CERTIFICATE OF AMENDMENT 1960-12-28
235973 1960-10-11 CERTIFICATE OF INCORPORATION 1960-10-11

Date of last update: 08 Jan 2025

Sources: New York Secretary of State