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OSIRIS COUNTRY CLUB, INC.

Company Details

Name: OSIRIS COUNTRY CLUB, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 28 Feb 1927 (98 years ago)
Entity Number: 21054
County: Montgomery
Place of Formation: New York

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OSIRIS COUNTRY CLUB, INC. 401(K) PLAN 2011 141275766 2012-10-15 OSIRIS COUNTRY CLUB, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 713900
Sponsor’s telephone number 8457785309
Plan sponsor’s mailing address P.O. BOX 286, WALDEN, NY, 12586
Plan sponsor’s address P.O. BOX 286, WALDEN, NY, 12586

Plan administrator’s name and address
Administrator’s EIN 141275766
Plan administrator’s name OSIRIS COUNTRY CLUB, INC.
Plan administrator’s address P.O. BOX 286, WALDEN, NY, 12586
Administrator’s telephone number 8457785309

Number of participants as of the end of the plan year
Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 9
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 11
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing LUDWIG BACH
Valid signature Filed with authorized/valid electronic signature
OSIRIS COUNTRY CLUB, INC. 401(K) PLAN 2010 141275766 2011-10-14 OSIRIS COUNTRY CLUB, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 713900
Sponsor’s telephone number 8457785309
Plan sponsor’s mailing address P.O. BOX 286, WALDEN, NY, 12586
Plan sponsor’s address P.O. BOX 286, WALDEN, NY, 12586

Plan administrator’s name and address
Administrator’s EIN 141275766
Plan administrator’s name OSIRIS COUNTRY CLUB, INC.
Plan administrator’s address P.O. BOX 286, WALDEN, NY, 12586
Administrator’s telephone number 8457785309

Number of participants as of the end of the plan year
Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 11
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing LUDWIG BACH
Valid signature Filed with authorized/valid electronic signature
OSIRIS COUNTRY CLUB, INC. 401(K) PLAN 2009 141275766 2010-12-22 OSIRIS COUNTRY CLUB INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-07-01
Business code 713900
Sponsor’s telephone number 8457785309
Plan sponsor’s mailing address PO BOX 286, WALDEN, NY, 12586
Plan sponsor’s address PO BOX 286, WALDEN, NY, 12586

Plan administrator’s name and address
Administrator’s EIN 141275766
Plan administrator’s name OSIRIS COUNTRY CLUB INC.
Plan administrator’s address PO BOX 286, WALDEN, NY, 12586
Administrator’s telephone number 8457785309

Number of participants as of the end of the plan year
Active participants 11
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 11

Signature of
Role Plan administrator
Date 2010-12-22
Name of individual signing LUDWIG BACH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
N/A: THE CORP. Agent P.O.BOX 285, WALDEN, NY, 12586

Filings

Filing Number Date Filed Type Effective Date
A786483-2 1981-07-31 ASSUMED NAME CORP INITIAL FILING 1981-07-31
A156566-3 1974-05-17 CERTIFICATE OF AMENDMENT 1974-05-17
10EX-253 1951-02-20 CERTIFICATE OF AMENDMENT 1951-02-20
260Q-104 1927-02-28 CERTIFICATE OF INCORPORATION 1927-02-28

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
14-1275766 Corporation Unconditional Exemption PO BOX 286, WALDEN, NY, 12586-0286 1973-02
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 2022-12
Asset 10,000 to 24,999
Income 100,000 to 499,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 10354
Income Amount 208559
Form 990 Revenue Amount -22028
National Taxonomy of Exempt Entities -
Sort Name -

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name OSIRIS COUNTRY CLUB INC
EIN 14-1275766
Tax Period 202212
Filing Type E
Return Type 990O
File View File
Organization Name OSIRIS COUNTRY CLUB INC
EIN 14-1275766
Tax Period 202112
Filing Type E
Return Type 990O
File View File
Organization Name OSIRIS COUNTRY CLUB INC
EIN 14-1275766
Tax Period 202012
Filing Type E
Return Type 990O
File View File
Organization Name OSIRIS COUNTRY CLUB INC
EIN 14-1275766
Tax Period 201812
Filing Type E
Return Type 990O
File View File
Organization Name OSIRIS COUNTRY CLUB INC
EIN 14-1275766
Tax Period 201712
Filing Type E
Return Type 990O
File View File
Organization Name OSIRIS COUNTRY CLUB INC
EIN 14-1275766
Tax Period 201612
Filing Type E
Return Type 990O
File View File
Organization Name OSIRIS COUNTRY CLUB INC
EIN 14-1275766
Tax Period 201512
Filing Type E
Return Type 990O
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4111387309 2020-04-29 0202 PPP 110 Country Club Rd, Walden, NY, 12586-2333
Loan Status Date 2022-04-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 16700
Loan Approval Amount (current) 16700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 224780
Servicing Lender Name New York Business Development Corporation
Servicing Lender Address 50 Beaver Street, Albany, NY, 12207-1538
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Walden, ORANGE, NY, 12586-2333
Project Congressional District NY-18
Number of Employees 2
NAICS code 713910
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 224780
Originating Lender Name New York Business Development Corporation
Originating Lender Address Albany, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 16926.94
Forgiveness Paid Date 2021-09-16
4502798808 2021-04-16 0202 PPS 110 Country Club Rd, Walden, NY, 12586
Loan Status Date 2022-05-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 14423
Loan Approval Amount (current) 14423
Undisbursed Amount 0
Franchise Name -
Lender Location ID 224780
Servicing Lender Name New York Business Development Corporation
Servicing Lender Address 50 Beaver Street, Albany, NY, 12207-1538
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Walden, ORANGE, NY, 12586
Project Congressional District NY-18
Number of Employees 3
NAICS code 722511
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 224780
Originating Lender Name New York Business Development Corporation
Originating Lender Address Albany, NY
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 14495.71
Forgiveness Paid Date 2021-10-25

Related by officers

N/A: THE CORP.

334 AUDUBON SOCIAL CLUB, INC. 336 RIFLE & PISTOL CLUB INC. 338 SOCIAL CLUB, INC. 360 SOCIAL CLUB, INC. 370 FRANKLIN CORPORATION A.T.W./USA, INC. ABE & EDITH ROSENBERG & JAMES & IDA MANDEL FAMILY CIRCLE, INC. ABRAHAM AND LILLIAN ROSENBERG FOUNDATION, INC. ADIRONDACK COMMUNITY ACTION PROGRAMS, INC. ALTERNATIVES COUNSELING SERVICES, INC.

Related by address

No related companies by address

Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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