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  5. BROOKVILLE COUNTRY CLUB, INC.

BROOKVILLE COUNTRY CLUB, INC.

Company Details

Name: BROOKVILLE COUNTRY CLUB, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 18 May 1922 (103 years ago)
Entity Number: 17843
ZIP code: 11545
County: Nassau
Place of Formation: New York
Address: (NO STREET ADD. STATED), GLEN HEAD, NY, United States, 11545

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROOKVILLE COUNTRY CLUB 401(K) PLAN 2014 110585380 2015-08-17 BROOKVILLE COUNTRY CLUB 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 5166715440
Plan sponsor’s address 210 CHICKEN VALLEY ROAD, OLD BROOKVILLE, NY, 11545

Signature of
Role Plan administrator
Date 2015-08-17
Name of individual signing MICHAEL BORGIA
BROOKVILLE COUNTRY CLUB 401(K) PLAN 2013 110585380 2014-10-02 BROOKVILLE COUNTRY CLUB 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 5166715440
Plan sponsor’s address 210 CHICKEN VALLEY ROAD, OLD BROOKVILLE, NY, 11545

Signature of
Role Plan administrator
Date 2014-10-02
Name of individual signing MICHAEL BORGIA
BROOKVILLE COUNTRY CLUB 401(K) PLAN 2012 110585380 2013-10-07 BROOKVILLE COUNTRY CLUB 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 5166715440
Plan sponsor’s address 210 CHICKEN VALLEY ROAD, OLD BROOKVILLE, NY, 11545

Signature of
Role Plan administrator
Date 2013-10-07
Name of individual signing MICHAEL BORGIA
BROOKVILLE COUNTRY CLUB 401(K) PLAN 2011 110585380 2012-10-09 BROOKVILLE COUNTRY CLUB 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 5166715440
Plan sponsor’s address 210 CHICKEN VALLEY ROAD, OLD BROOKVILLE, NY, 11545

Plan administrator’s name and address
Administrator’s EIN 110585380
Plan administrator’s name BROOKVILLE COUNTRY CLUB
Plan administrator’s address 210 CHICKEN VALLEY ROAD, OLD BROOKVILLE, NY, 11545
Administrator’s telephone number 5166715440

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing MICHAEL BORGIA
BROOKVILLE COUNTRY CLUB 401(K) PLAN 2010 110585380 2011-10-04 BROOKVILLE COUNTRY CLUB 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 5166715440
Plan sponsor’s address 210 CHICKEN VALLEY ROAD, OLD BROOKVILLE, NY, 11545

Plan administrator’s name and address
Administrator’s EIN 110585380
Plan administrator’s name BROOKVILLE COUNTRY CLUB
Plan administrator’s address 210 CHICKEN VALLEY ROAD, OLD BROOKVILLE, NY, 11545
Administrator’s telephone number 5166715440

Signature of
Role Plan administrator
Date 2011-10-04
Name of individual signing PAUL A. KELLER
BROOKVILLE COUNTRY CLUB 401(K) PLAN 2009 110585380 2010-09-01 BROOKVILLE COUNTRY CLUB 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 5166715440
Plan sponsor’s address 210 CHICKEN VALLEY ROAD, OLD BROOKVILLE, NY, 11545

Plan administrator’s name and address
Administrator’s EIN 110585380
Plan administrator’s name BROOKVILLE COUNTRY CLUB
Plan administrator’s address 210 CHICKEN VALLEY ROAD, OLD BROOKVILLE, NY, 11545
Administrator’s telephone number 5166715440

Signature of
Role Plan administrator
Date 2010-09-01
Name of individual signing PAUL A. KELLER

DOS Process Agent

Name Role Address
BROOKVILLE COUNTRY CLUB, INC. DOS Process Agent (NO STREET ADD. STATED), GLEN HEAD, NY, United States, 11545

Licenses

Number Type Date Last renew date End date Address Description
0349-23-124662 Alcohol sale 2023-03-02 2023-03-02 2025-02-28 210 CHICKEN VALLEY ROAD, BROOKVILLE, New York, 11545 Club
0423-23-131409 Alcohol sale 2023-03-02 2023-03-02 2025-02-28 210 CHICKEN VALLEY ROAD, BROOKVILLE, New York, 11545 Additional Bar

Filings

Filing Number Date Filed Type Effective Date
B053799-2 1983-12-29 ASSUMED NAME CORP INITIAL FILING 1983-12-29
A102398-2 1973-09-20 CERTIFICATE OF AMENDMENT 1973-09-20
18EX236 1951-05-22 CERTIFICATE OF AMENDMENT 1951-05-22
206Q-85 1922-05-18 CERTIFICATE OF INCORPORATION 1922-05-18

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
11-0585380 Corporation Unconditional Exemption 210 CHICKEN VALLEY RD, GLEN HEAD, NY, 11545-2307 1946-09
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 2023-12
Asset 1,000,000 to 4,999,999
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 Dec
Asset Amount 4656040
Income Amount 9787195
Form 990 Revenue Amount 8592133
National Taxonomy of Exempt Entities -
Sort Name -

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name BROOKVILLE COUNTRY CLUB INC
EIN 11-0585380
Tax Period 202212
Filing Type E
Return Type 990O
File View File
Organization Name BROOKVILLE COUNTRY CLUB INC
EIN 11-0585380
Tax Period 202112
Filing Type E
Return Type 990O
File View File
Organization Name BROOKVILLE COUNTRY CLUB INC
EIN 11-0585380
Tax Period 202012
Filing Type E
Return Type 990O
File View File
Organization Name BROOKVILLE COUNTRY CLUB INC
EIN 11-0585380
Tax Period 201812
Filing Type E
Return Type 990O
File View File
Organization Name BROOKVILLE COUNTRY CLUB INC
EIN 11-0585380
Tax Period 201712
Filing Type P
Return Type 990O
File View File
Organization Name BROOKVILLE COUNTRY CLUB INC
EIN 11-0585380
Tax Period 201612
Filing Type P
Return Type 990O
File View File
Organization Name BROOKVILLE COUNTRY CLUB INC
EIN 11-0585380
Tax Period 201512
Filing Type P
Return Type 990O
File View File

Related by officers

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Related by address

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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