THE PARK COUNTRY CLUB OF BUFFALO, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-02-01
Business code	713900
Sponsor’s telephone number	7166322554
Plan sponsor’s address	4949 SHERIDAN DRIVE, WILLIAMSVILLE, NY, 142214549

Signature of

Role	Plan administrator
Date	2024-09-25
Name of individual signing	DAVID COLICCHIA
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2024-09-25
Name of individual signing	DAVID COLICCHIA
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-02-01
Business code	713900
Sponsor’s telephone number	7166322554
Plan sponsor’s address	4949 SHERIDAN DRIVE, WILLIAMSVILLE, NY, 142214549

Signature of

Role	Plan administrator
Date	2023-07-11
Name of individual signing	ROBERT STONE
Role	Employer/plan sponsor
Date	2023-07-11
Name of individual signing	ROBERT STONE

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-02-01
Business code	713900
Sponsor’s telephone number	7166322554
Plan sponsor’s address	4949 SHERIDAN DRIVE, WILLIAMSVILLE, NY, 142214549

Signature of

Role	Plan administrator
Date	2022-07-12
Name of individual signing	JEAN TAGGART
Role	Employer/plan sponsor
Date	2022-07-12
Name of individual signing	JEAN TAGGART

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-02-01
Business code	713900
Sponsor’s telephone number	7166322554
Plan sponsor’s address	4949 SHERIDAN DRIVE, WILLIAMSVILLE, NY, 142214549

Signature of

Role	Plan administrator
Date	2021-07-29
Name of individual signing	MICHAEL REILLY
Role	Employer/plan sponsor
Date	2021-07-29
Name of individual signing	MICHAEL REILLY

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-02-01
Business code	713900
Sponsor’s telephone number	7166322554
Plan sponsor’s address	4949 SHERIDAN DRIVE, WILLIAMSVILLE, NY, 142214549

Signature of

Role	Plan administrator
Date	2020-05-13
Name of individual signing	MICHAEL REILLY
Role	Employer/plan sponsor
Date	2020-05-13
Name of individual signing	MICHAEL REILLY

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-02-01
Business code	713900
Sponsor’s telephone number	7166322554
Plan sponsor’s address	4949 SHERIDAN DRIVE, WILLIAMSVILLE, NY, 142214549

Signature of

Role	Plan administrator
Date	2019-04-26
Name of individual signing	BRADLEY POLLAK
Role	Employer/plan sponsor
Date	2019-04-26
Name of individual signing	BRADLEY POLLAK

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-02-01
Business code	713900
Sponsor’s telephone number	7166322554
Plan sponsor’s address	4949 SHERIDAN DRIVE, WILLIAMSVILLE, NY, 142214549

Signature of

Role	Plan administrator
Date	2018-04-10
Name of individual signing	BRADLEY POLLAK
Role	Employer/plan sponsor
Date	2018-04-10
Name of individual signing	BRADLEY POLLAK

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-02-01
Business code	713900
Sponsor’s telephone number	7166322554
Plan sponsor’s address	4949 SHERIDAN DRIVE, WILLIAMSVILLE, NY, 142214549

Signature of

Role	Plan administrator
Date	2017-10-12
Name of individual signing	BRADLEY POLLAK
Role	Employer/plan sponsor
Date	2017-10-12
Name of individual signing	BRADLEY POLLAK

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-02-01
Business code	713900
Sponsor’s telephone number	7166322554
Plan sponsor’s address	4949 SHERIDAN DRIVE, WILLIAMSVILLE, NY, 142214549

Plan administrator’s name and address

Administrator’s EIN	160582510
Plan administrator’s name	THE PARK COUNTRY CLUB OF BUFFALO, INC.
Plan administrator’s address	4949 SHERIDAN DRIVE, WILLIAMSVILLE, NY, 142214549
Administrator’s telephone number	7166322554

Signature of

Role	Plan administrator
Date	2016-06-21
Name of individual signing	PAULA SZKUTAK

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-02-01
Business code	713900
Sponsor’s telephone number	7166322554
Plan sponsor’s address	4949 SHERIDAN DRIVE, WILLIAMSVILLE, NY, 142214549

Plan administrator’s name and address

Administrator’s EIN	160582510
Plan administrator’s name	THE PARK COUNTRY CLUB OF BUFFALO, INC.
Plan administrator’s address	4949 SHERIDAN DRIVE, WILLIAMSVILLE, NY, 142214549
Administrator’s telephone number	7166322554

Signature of

Role	Plan administrator
Date	2015-05-14
Name of individual signing	PAULA SZKUTAK

In Care of Name	-
Group Exemption Number	0000
Subsection	Pleasure, Recreational, or Social Club
Affiliation	Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification	Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility	Contributions are not deductible.
Foundation	All organizations except 501(c)(3)
Tax Period	2024-01
Asset	5,000,000 to 9,999,999
Income	5,000,000 to 9,999,999
Filing Requirement	990 (all other) or 990EZ return
PF Filing Requirement	No 990-PF return
Accounting Period	Jan
Asset Amount	9846185
Income Amount	9779008
Form 990 Revenue Amount	5633243
National Taxonomy of Exempt Entities	-
Sort Name	-

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name	PARK COUNTRY CLUB OF BUFFALO INC
EIN	16-0582510
Tax Period	202301
Filing Type	E
Return Type	990O
File	View File
Organization Name	PARK COUNTRY CLUB OF BUFFALO INC
EIN	16-0582510
Tax Period	202201
Filing Type	E
Return Type	990O
File	View File
Organization Name	PARK COUNTRY CLUB OF BUFFALO INC
EIN	16-0582510
Tax Period	202101
Filing Type	E
Return Type	990O
File	View File
Organization Name	PARK COUNTRY CLUB OF BUFFALO INC
EIN	16-0582510
Tax Period	202001
Filing Type	E
Return Type	990O
File	View File
Organization Name	PARK COUNTRY CLUB OF BUFFALO INC
EIN	16-0582510
Tax Period	201901
Filing Type	P
Return Type	990O
File	View File
Organization Name	PARK COUNTRY CLUB OF BUFFALO INC
EIN	16-0582510
Tax Period	201901
Filing Type	E
Return Type	990O
File	View File
Organization Name	PARK COUNTRY CLUB OF BUFFALO INC
EIN	16-0582510
Tax Period	201801
Filing Type	E
Return Type	990O
File	View File
Organization Name	PARK COUNTRY CLUB OF BUFFALO INC
EIN	16-0582510
Tax Period	201801
Filing Type	P
Return Type	990O
File	View File
Organization Name	PARK COUNTRY CLUB OF BUFFALO INC
EIN	16-0582510
Tax Period	201701
Filing Type	E
Return Type	990O
File	View File
Organization Name	PARK COUNTRY CLUB OF BUFFALO INC
EIN	16-0582510
Tax Period	201601
Filing Type	P
Return Type	990O
File	View File
Organization Name	PARK COUNTRY CLUB OF BUFFALO INC
EIN	16-0582510
Tax Period	201601
Filing Type	E
Return Type	990O
File	View File