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  5. COUNTRY CLUB GOLF, LLC

COUNTRY CLUB GOLF, LLC

Company Details

Name: COUNTRY CLUB GOLF, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 May 2000 (25 years ago)
Entity Number: 2509649
ZIP code: 12065
County: Saratoga
Place of Formation: New York
Address: 924 MAIN STREET, CLIFTON PARK, NY, United States, 12065

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300X3W3W7KLWWNZ76 2509649 US-NY GENERAL ACTIVE No data

Addresses
Legal 924 MAIN STREET, CLIFTON PARK, US-NY, US, 12065
Headquarters 924 Main Street, Clifton Park, US-NY, US, 12065

Registration details
Registration Date 2013-03-14
Last Update 2023-08-04
Status LAPSED
Next Renewal 2022-01-09
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 2509649

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COUNTRY CLUB GOLF LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 141824802 2021-05-12 COUNTRY CLUB GOLF LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5188775400
Plan sponsor’s address 924 MAIN ST, CLIFTON PARK, NY, 120651004

Signature of
Role Plan administrator
Date 2021-05-12
Name of individual signing ROBERT VAN PATTEN
COUNTRY CLUB GOLF LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 141824802 2020-06-01 COUNTRY CLUB GOLF LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5188775400
Plan sponsor’s address 924 MAIN ST, CLIFTON PARK, NY, 120651004

Signature of
Role Plan administrator
Date 2020-06-01
Name of individual signing ROBERT VAN PATTEN
COUNTRY CLUB GOLF LLC 401 K PROFIT SHARING PLAN TRUST 2018 141824802 2019-05-17 COUNTRY CLUB GOLF LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5188775400
Plan sponsor’s address 924 MAIN ST, CLIFTON PARK, NY, 120651004

Signature of
Role Plan administrator
Date 2019-05-17
Name of individual signing ROBERT VAN PATTEN
COUNTRY CLUB GOLF LLC 401 K PROFIT SHARING PLAN TRUST 2017 141824802 2018-07-23 COUNTRY CLUB GOLF LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5188775400
Plan sponsor’s address 924 MAIN ST, CLIFTON PARK, NY, 120651004

Signature of
Role Plan administrator
Date 2018-07-23
Name of individual signing ROBERT VAN PATTEN
COUNTRY CLUB GOLF LLC 401 K PROFIT SHARING PLAN TRUST 2016 141824802 2017-07-24 COUNTRY CLUB GOLF, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5188775400
Plan sponsor’s address 924 MAIN ST, CLIFTON PARK, NY, 120651004

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing ROBERT VAN PATTEN
COUNTRY CLUB GOLF LLC 401 K PROFIT SHARING PLAN TRUST 2015 141824802 2016-05-24 COUNTRY CLUB GOLF, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5188775400
Plan sponsor’s address 924 MAIN ST, CLIFTON PARK, NY, 120651004

Signature of
Role Plan administrator
Date 2016-05-24
Name of individual signing ROBERT VAN PATTEN
COUNTRY CLUB GOLF LLC 401 K PROFIT SHARING PLAN TRUST 2014 141824802 2015-06-15 COUNTRY CLUB GOLF, LLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5188775400
Plan sponsor’s address 924 MAIN ST, CLIFTON PARK, NY, 120651004

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing ROBERT VAN PATTEN
COUNTRY CLUB GOLF LLC 401 K PROFIT SHARING PLAN TRUST 2013 141824802 2014-05-05 COUNTRY CLUB GOLF, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5188775400
Plan sponsor’s address 924 MAIN ST, CLIFTON PARK, NY, 120651004

Signature of
Role Plan administrator
Date 2014-05-05
Name of individual signing ROBERT VAN PATTEN
COUNTRY CLUB GOLF LLC 401 K PROFIT SHARING PLAN TRUST 2012 141824802 2013-05-22 COUNTRY CLUB GOLF, LLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5188775400
Plan sponsor’s address 924 MAIN ST, CLIFTON PARK, NY, 120651004

Signature of
Role Plan administrator
Date 2013-05-22
Name of individual signing COUNTRY CLUB GOLF, LLC
COUNTRY CLUB GOLF LLC 401 K PROFIT SHARING PLAN TRUST 2011 141824802 2012-05-15 COUNTRY CLUB GOLF, LLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 5188775400
Plan sponsor’s address 924 MAIN ST, CLIFTON PARK, NY, 120651004

Plan administrator’s name and address
Administrator’s EIN 141824802
Plan administrator’s name COUNTRY CLUB GOLF, LLC
Plan administrator’s address 924 MAIN ST, CLIFTON PARK, NY, 120651004
Administrator’s telephone number 5188775400

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing COUNTRY CLUB GOLF, LLC

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 924 MAIN STREET, CLIFTON PARK, NY, United States, 12065

Licenses

Number Type Date Last renew date End date Address Description
0340-22-204943 Alcohol sale 2024-02-29 2024-02-29 2026-02-28 924 MAIN ST, CLIFTON PARK, New York, 12065 Restaurant
0423-22-205501 Alcohol sale 2024-02-29 2024-02-29 2026-02-28 924 MAIN ST, CLIFTON PARK, NY, 12065 Additional Bar

History

Start date End date Type Value
2004-02-25 2024-01-03 Address 924 MAIN STREET, CLIFTON PARK, NY, 12065, USA (Type of address: Service of Process)
2002-04-30 2004-02-25 Address 1 BARNEY RD CLUBHOUSE, CLIFTON PARK, NY, 12065, USA (Type of address: Service of Process)
2000-05-12 2002-04-30 Address BARNEY ROAD CLUBHOUSE, CLIFTON PARK, NY, 12065, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240103004976 2024-01-03 BIENNIAL STATEMENT 2024-01-03
200504060086 2020-05-04 BIENNIAL STATEMENT 2020-05-01
180503006215 2018-05-03 BIENNIAL STATEMENT 2018-05-01
160523006021 2016-05-23 BIENNIAL STATEMENT 2016-05-01
140505006019 2014-05-05 BIENNIAL STATEMENT 2014-05-05
120509006419 2012-05-09 BIENNIAL STATEMENT 2012-05-01
100520002705 2010-05-20 BIENNIAL STATEMENT 2010-05-01
080512002728 2008-05-12 BIENNIAL STATEMENT 2008-05-01
060421002315 2006-04-21 BIENNIAL STATEMENT 2006-05-01
040423002143 2004-04-23 BIENNIAL STATEMENT 2004-05-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3621537105 2020-04-11 0248 PPP 924 Main St, CLIFTON PARK, NY, 12065-1004
Loan Status Date 2020-12-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 125000
Loan Approval Amount (current) 125000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Unanswered
Project Address CLIFTON PARK, SARATOGA, NY, 12065-1004
Project Congressional District NY-20
Number of Employees 56
NAICS code 713910
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 125698.63
Forgiveness Paid Date 2020-11-12
7547118310 2021-01-28 0248 PPS 924 Main St, Clifton Park, NY, 12065-1004
Loan Status Date 2021-10-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 145000
Loan Approval Amount (current) 145000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Clifton Park, SARATOGA, NY, 12065-1004
Project Congressional District NY-20
Number of Employees 41
NAICS code 713910
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 145913.7
Forgiveness Paid Date 2021-09-22

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State

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