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  5. CAMILLUS HILLS GOLF CLUB, INC

CAMILLUS HILLS GOLF CLUB, INC

Company Details

Name: CAMILLUS HILLS GOLF CLUB, INC
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 07 May 2015 (10 years ago)
Entity Number: 4755127
ZIP code: 13031
County: Onondaga
Place of Formation: New York
Address: 5690 BENNETTS CORNERS ROAD, CAMILLUS, NY, United States, 13031
Principal Address: 404 West High Terrace, Syracuse, NY, United States, 13219

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAMILLUS HILLS GOLF CLUB, INC. 401(K) PLAN 2021 474155378 2022-05-19 CAMILLUS HILLS GOLF CLUB, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 713900
Sponsor’s telephone number 3156723770
Plan sponsor’s address 5690 BENNETTS CORNERS RD, CAMILLUS, NY, 13031

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES,LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing TARA EVANS
CAMILLUS HILLS GOLF CLUB, INC. 401(K) PLAN 2021 474155378 2022-12-01 CAMILLUS HILLS GOLF CLUB, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 713900
Sponsor’s telephone number 3156723770
Plan sponsor’s address 5690 BENNETTS CORNERS RD, CAMILLUS, NY, 13031

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES, LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2022-12-01
Name of individual signing TARA EVANS
CAMILLUS HILLS GOLF CLUB, INC. 401(K) PLAN 2020 474155378 2021-09-23 CAMILLUS HILLS GOLF CLUB, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 713900
Sponsor’s telephone number 3156723770
Plan sponsor’s address 5690 BENNETTS CORNERS RD, CAMILLUS, NY, 13031

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES,LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2021-09-23
Name of individual signing PHIL TISUE
CAMILLUS HILLS GOLF CLUB, INC. 401(K) PLAN 2019 474155378 2020-06-10 CAMILLUS HILLS GOLF CLUB, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 713900
Sponsor’s telephone number 3156723770
Plan sponsor’s address 5690 BENNETTS CORNERS RD, CAMILLUS, NY, 13031

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES,LLC
Plan administrator’s address 6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2020-06-10
Name of individual signing PHIL TISUE
CAMILLUS HILLS GOLF CLUB, INC. 401(K) PLAN 2018 474155378 2019-04-02 CAMILLUS HILLS GOLF CLUB, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 713900
Sponsor’s telephone number 3156723770
Plan sponsor’s address 5690 BENNETTS CORNERS RD, CAMILLUS, NY, 13031

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES,LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, STE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2019-04-02
Name of individual signing PHIL TISUE
CAMILLUS HILLS GOLF CLUB, INC. 401(K) PLAN 2017 474155378 2018-05-21 CAMILLUS HILLS GOLF CLUB, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 713900
Sponsor’s telephone number 3156723770
Plan sponsor’s address 5690 BENNETTS CORNERS RD, CAMILLUS, NY, 13031

Plan administrator’s name and address
Administrator’s EIN 621874769
Plan administrator’s name TAG RESOURCES,LLC
Plan administrator’s address 6322 DEANE HILL DRIVE, STE 201, KNOXVILLE, TN, 37919
Administrator’s telephone number 8656701844

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing PHIL TISUE

DOS Process Agent

Name Role Address
JIVI GOVENDER DOS Process Agent 5690 BENNETTS CORNERS ROAD, CAMILLUS, NY, United States, 13031

Chief Executive Officer

Name Role Address
JIVINTHRA GOVENDER Chief Executive Officer 5690 BENNETTS CORNERS RD., CAMILLUS, NY, United States, 13031

History

Start date End date Type Value
2015-05-07 2025-02-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2015-05-07 2025-02-28 Address 5690 BENNETTS CORNERS ROAD, CAMILLUS, NY, 13031, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250228003009 2025-02-28 BIENNIAL STATEMENT 2025-02-28
150507010204 2015-05-07 CERTIFICATE OF INCORPORATION 2015-05-07

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5002448305 2021-01-23 0248 PPS 5690 Bennetts Corners Rd, Camillus, NY, 13031-8616
Loan Status Date 2022-01-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 86600
Loan Approval Amount (current) 86600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Camillus, ONONDAGA, NY, 13031-8616
Project Congressional District NY-22
Number of Employees 49
NAICS code 713910
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 87363.98
Forgiveness Paid Date 2021-12-16
8278907103 2020-04-15 0248 PPP 5690 Bennetts Corners Rd., Camillus, NY, 13031
Loan Status Date 2021-06-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 86600
Loan Approval Amount (current) 86600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434162
Servicing Lender Name Citizens Bank, National Association
Servicing Lender Address 1 Citizens Plaza, PROVIDENCE, RI, 02903-1344
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Camillus, ONONDAGA, NY, 13031-0001
Project Congressional District NY-22
Number of Employees 49
NAICS code 713910
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 434162
Originating Lender Name Citizens Bank, National Association
Originating Lender Address PROVIDENCE, RI
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 87530.06
Forgiveness Paid Date 2021-05-25

Related by officers

No related officers

Related by address

5690 BENNETTS CORNERS ROAD, CAMILLUS, NY, United States, 13031

CAMILLUS GOLF CLUB, INC.

Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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