KNOLLWOOD COUNTRY CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	541990
Sponsor’s telephone number	9145927411
Plan sponsor’s address	200 KNOLLWOOD ROAD EXT, ELMSFORD, NY, 105232849

Signature of

Role	Plan administrator
Date	2024-09-27
Name of individual signing	ERI GJOCAJ
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	541990
Sponsor’s telephone number	9145927411
Plan sponsor’s address	200 KNOLLWOOD ROAD EXT, ELMSFORD, NY, 105232849

Signature of

Role	Plan administrator
Date	2023-07-28
Name of individual signing	ERI GJOCAJ

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	541990
Sponsor’s telephone number	9145927411
Plan sponsor’s address	200 KNOLLWOOD ROAD EXT, ELMSFORD, NY, 105232849

Signature of

Role	Plan administrator
Date	2022-05-18
Name of individual signing	ERI GJOCAJ

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	541990
Sponsor’s telephone number	9145927411
Plan sponsor’s address	200 KNOLLWOOD ROAD EXT, ELMSFORD, NY, 105232849

Signature of

Role	Plan administrator
Date	2021-07-26
Name of individual signing	ERIOLA GJOCAJ

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	541990
Sponsor’s telephone number	9145927411
Plan sponsor’s address	200 KNOLLWOOD ROAD EXT, ELMSFORD, NY, 105232849

Signature of

Role	Plan administrator
Date	2020-05-29
Name of individual signing	ERIOLA GJOCAJ

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	541990
Sponsor’s telephone number	9145927411
Plan sponsor’s address	200 KNOLLWOOD ROAD EXT, ELMSFORD, NY, 105232849

Signature of

Role	Plan administrator
Date	2019-03-08
Name of individual signing	ERIOLA GJOCAJ

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	541990
Sponsor’s telephone number	9145927411
Plan sponsor’s address	200 KNOLLWOOD ROAD EXT, ELMSFORD, NY, 105232849

Signature of

Role	Plan administrator
Date	2018-05-22
Name of individual signing	LESLIE COSTELLOE

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	541990
Sponsor’s telephone number	9145923477
Plan sponsor’s address	200 KNOLLWOOD ROAD EXT, ELMSFORD, NY, 105232849

Signature of

Role	Plan administrator
Date	2017-08-21
Name of individual signing	LESLIE COSTELLOE

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	541990
Sponsor’s telephone number	9145927411
Plan sponsor’s address	200 KNOLLWOOD ROAD EXT, ELMSFORD, NY, 105232849

Signature of

Role	Plan administrator
Date	2018-05-22
Name of individual signing	LESLIE COSTELLOE

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	541990
Sponsor’s telephone number	9145927411
Plan sponsor’s address	200 KNOLLWOOD ROAD EXT, ELMSFORD, NY, 105232849

Signature of

Role	Plan administrator
Date	2015-05-29
Name of individual signing	RINA ACCOSTA

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	2021-12
Asset	1,000,000 to 4,999,999
Income	0
Filing Requirement	990 - Required to file Form 990-N - Income less than $50,000 per year
PF Filing Requirement	No 990-PF return
Accounting Period	Dec
Asset Amount	-
Income Amount	-
Form 990 Revenue Amount	-
National Taxonomy of Exempt Entities	-
Sort Name	-

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

Organization Name	KNOLLWOOD COUNTRY CLUB
EIN	13-1715650
Tax Period	202112
Filing Type	E
Return Type	990O
File	View File
Organization Name	KNOLLWOOD COUNTRY CLUB
EIN	13-1715650
Tax Period	202012
Filing Type	E
Return Type	990O
File	View File
Organization Name	KNOLLWOOD COUNTRY CLUB
EIN	13-1715650
Tax Period	201812
Filing Type	E
Return Type	990O
File	View File
Organization Name	KNOLLWOOD COUNTRY CLUB
EIN	13-1715650
Tax Period	201712
Filing Type	P
Return Type	990O
File	View File
Organization Name	KNOLLWOOD COUNTRY CLUB
EIN	13-1715650
Tax Period	201612
Filing Type	P
Return Type	990O
File	View File
Organization Name	KNOLLWOOD COUNTRY CLUB
EIN	13-1715650
Tax Period	201512
Filing Type	E
Return Type	990O
File	View File