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  5. MOUNT KISCO COUNTRY CLUB, INC.

MOUNT KISCO COUNTRY CLUB, INC.

Company Details

Name: MOUNT KISCO COUNTRY CLUB, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 24 Sep 1941 (83 years ago)
Entity Number: 42336
ZIP code: 10549
County: Westchester
Place of Formation: New York
Address: NO STREET ADDRESS, MT KISCO, NY, United States, 10549

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOUNT KISCO COUNTRY CLUB EMPLOYEES 401(K) PLAN 2016 131722105 2017-09-28 MOUNT KISCO COUNTRY CLUB 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 9146662116
Plan sponsor’s address 10 TAYLOR RD., MT. KISCO, NY, 10549

Signature of
Role Plan administrator
Date 2017-09-28
Name of individual signing HARVEY ROSENBLUM
MOUNT KISCO COUNTRY CLUB EMPLOYEES 401(K) PLAN 2016 131722105 2017-06-30 MOUNT KISCO COUNTRY CLUB 50
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 9146662116
Plan sponsor’s address 10 TAYLOR RD., MT. KISCO, NY, 10549

Signature of
Role Plan administrator
Date 2017-06-30
Name of individual signing HARVEY ROSENBLUM
MOUNT KISCO COUNTRY CLUB EMPLOYEES 401(K) PLAN 2015 131722105 2016-06-24 MOUNT KISCO COUNTRY CLUB 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 9146662116
Plan sponsor’s address 10 TAYLOR RD., MT. KISCO, NY, 10549

Signature of
Role Plan administrator
Date 2016-06-24
Name of individual signing HARVEY ROSENBLUM
MOUNT KISCO COUNTRY CLUB EMPLOYEES 401(K) PLAN 2014 131722105 2015-07-02 MOUNT KISCO COUNTRY CLUB 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 9146662116
Plan sponsor’s address 10 TAYLOR RD., MT. KISCO, NY, 10549

Signature of
Role Plan administrator
Date 2015-07-02
Name of individual signing HARVEY ROSENBLUM
MOUNT KISCO COUNTRY CLUB EMPLOYEES 401(K) PLAN 2013 131722105 2014-07-22 MOUNT KISCO COUNTRY CLUB 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 9146662116
Plan sponsor’s address 10 TAYLOR RD., MT. KISCO, NY, 10549

Signature of
Role Plan administrator
Date 2014-07-22
Name of individual signing HARVEY ROSENBLUM
MOUNT KISCO COUNTRY CLUB EMPLOYEES 401(K) PLAN 2012 131722105 2013-07-31 MOUNT KISCO COUNTRY CLUB 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 9146662116
Plan sponsor’s address 10 TAYLOR RD., MT. KISCO, NY, 10549

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing HARVEY ROSENBLUM
MOUNT KISCO COUNTRY CLUB EMPLOYEES 401(K) PLAN 2011 131722105 2012-09-28 MOUNT KISCO COUNTRY CLUB 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 9146662116
Plan sponsor’s address 10 TAYLOR RD., MT. KISCO, NY, 10549

Plan administrator’s name and address
Administrator’s EIN 131722105
Plan administrator’s name MOUNT KISCO COUNTRY CLUB
Plan administrator’s address 10 TAYLOR RD., MT. KISCO, NY, 10549
Administrator’s telephone number 9146662116

Signature of
Role Plan administrator
Date 2012-09-28
Name of individual signing HARVEY ROSENBLUM
MOUNT KISCO COUNTRY CLUB EMPLOYEES 401(K) PLAN 2010 131722105 2011-07-26 MOUNT KISCO COUNTRY CLUB 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 9146662116
Plan sponsor’s address 10 TAYLOR RD., MT. KISCO, NY, 10549

Plan administrator’s name and address
Administrator’s EIN 131722105
Plan administrator’s name MOUNT KISCO COUNTRY CLUB
Plan administrator’s address 10 TAYLOR RD., MT. KISCO, NY, 10549
Administrator’s telephone number 9146662116

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing HUSSEIN M. ALI
MOUNT KISCO COUNTRY CLUB EMPLOYEES 401(K) PLAN 2009 131722105 2010-07-22 MOUNT KISCO COUNTRY CLUB 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 9146662116
Plan sponsor’s address 10 TAYLOR RD., MT. KISCO, NY, 10549

Plan administrator’s name and address
Administrator’s EIN 131722105
Plan administrator’s name MOUNT KISCO COUNTRY CLUB
Plan administrator’s address 10 TAYLOR RD., MT. KISCO, NY, 10549
Administrator’s telephone number 9146662116

Signature of
Role Plan administrator
Date 2010-07-22
Name of individual signing HUSSEIN ALI

DOS Process Agent

Name Role Address
LAWRENCE FARMS DOS Process Agent NO STREET ADDRESS, MT KISCO, NY, United States, 10549

Licenses

Number Type Date Last renew date End date Address Description
0356-24-105050 Alcohol sale 2024-02-29 2024-02-29 2024-11-30 10 TAYLOR RD, MOUNT KISCO, New York, 10549 Summer Golf Club
0392-24-105053 Alcohol sale 2024-02-29 2024-02-29 2024-11-30 60 ANNANDALE RD, CHAPPAQUA, New York, 10514 Summer Golf Venue

Filings

Filing Number Date Filed Type Effective Date
C267359-2 1998-11-27 ASSUMED NAME CORP INITIAL FILING 1998-11-27
A165025-2 1974-06-25 CERTIFICATE OF AMENDMENT 1974-06-25
601Q-106 1955-02-10 CERTIFICATE OF ANNULMENT OF DISSOLUTION AND REINSTATEMENT OF CORPORATE EXISTENCE 1955-02-10
DP-2098 1952-10-15 DISSOLUTION BY PROCLAMATION 1952-10-15
421Q-11 1941-09-24 CERTIFICATE OF INCORPORATION 1941-09-24

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
13-1722105 Corporation Unconditional Exemption 10 TAYLOR RD, MOUNT KISCO, NY, 10549-4506 1943-05
In Care of Name % LAWRENCE FARMS
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 2023-10
Asset 10,000,000 to 49,999,999
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 Oct
Asset Amount 12128648
Income Amount 9307068
Form 990 Revenue Amount 8502780
National Taxonomy of Exempt Entities -
Sort Name -

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name MOUNT KISCO COUNTRY CLUB INC
EIN 13-1722105
Tax Period 202110
Filing Type E
Return Type 990O
File View File
Organization Name MOUNT KISCO COUNTRY CLUB INC
EIN 13-1722105
Tax Period 201910
Filing Type E
Return Type 990O
File View File
Organization Name MOUNT KISCO COUNTRY CLUB INC
EIN 13-1722105
Tax Period 201810
Filing Type E
Return Type 990O
File View File
Organization Name MOUNT KISCO COUNTRY CLUB INC
EIN 13-1722105
Tax Period 201710
Filing Type P
Return Type 990O
File View File
Organization Name MOUNT KISCO COUNTRY CLUB INC
EIN 13-1722105
Tax Period 201610
Filing Type P
Return Type 990O
File View File

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
3270789 Intrastate Non-Hazmat 2019-04-09 - - 1 2 Private(Property)
Legal Name MOUNT KISCO COUNTRY CLUB
DBA Name -
Physical Address 10 TAYLOR RD, MOUNT KISCO, NY, 10549-4506, US
Mailing Address 10 TAYLOR RD, MOUNT KISCO, NY, 10549-4506, US
Phone (914) 666-2116
Fax (914) 666-4173
E-mail AGNEWAJ@HOTMAIL.COM

Safety Measurement System - All Transportation
Total Number of Inspections for the measurement period (24 months) 0
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 0
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Related by officers

No related officers

Related by address

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Date of last update: 02 Mar 2025

Sources: New York Secretary of State

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