ATLANTIC GOLF CLUB RETIREMENT PLAN
|
2023
|
133491367
|
2024-05-23
|
ATLANTIC GOLF CLUB, INC.
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
6315371818
|
Plan sponsor’s
address |
P.O. BOX 1890, 1040 SCUTTLE HOLE ROAD, BRIDGEHAMPTON, NY, 119321890
|
Plan administrator’s name and address
Administrator’s EIN |
133491367 |
Plan administrator’s name |
ATLANTIC GOLF CLUB, INC. |
Plan administrator’s
address |
P.O. BOX 1890, BRIDGEHAMPTON, NY, 119321890 |
Administrator’s telephone number |
6315371818 |
Signature of
Role |
Plan administrator |
Date |
2024-05-23 |
Name of individual signing |
SCOTT M. KLOSTER |
|
|
ATLANTIC GOLF CLUB RETIREMENT PLAN
|
2022
|
133491367
|
2023-04-28
|
ATLANTIC GOLF CLUB, INC.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
6315371818
|
Plan sponsor’s
address |
P.O. BOX 1890, 1040 SCUTTLE HOLE ROAD, BRIDGEHAMPTON, NY, 119321890
|
Plan administrator’s name and address
Administrator’s EIN |
133491367 |
Plan administrator’s name |
ATLANTIC GOLF CLUB, INC. |
Plan administrator’s
address |
P.O. BOX 1890, BRIDGEHAMPTON, NY, 119321890 |
Administrator’s telephone number |
6315371818 |
Signature of
Role |
Plan administrator |
Date |
2023-04-28 |
Name of individual signing |
SCOTT M. KLOSTER |
|
|
ATLANTIC GOLF CLUB RETIREMENT PLAN
|
2021
|
133491367
|
2022-04-12
|
ATLANTIC GOLF CLUB, INC.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
6315371818
|
Plan sponsor’s
address |
P.O. BOX 1890, 1040 SCUTTLE HOLE ROAD, BRIDGEHAMPTON, NY, 119321890
|
Plan administrator’s name and address
Administrator’s EIN |
133491367 |
Plan administrator’s name |
ATLANTIC GOLF CLUB, INC. |
Plan administrator’s
address |
P.O. BOX 1890, BRIDGEHAMPTON, NY, 119321890 |
Administrator’s telephone number |
6315371818 |
Signature of
Role |
Plan administrator |
Date |
2022-04-12 |
Name of individual signing |
W. JAMES MATTHERS |
|
|
ATLANTIC GOLF CLUB RETIREMENT PLAN
|
2020
|
133491367
|
2021-05-07
|
ATLANTIC GOLF CLUB, INC.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
6315371818
|
Plan sponsor’s
address |
P.O. BOX 1890, 1040 SCUTTLE HOLE ROAD, BRIDGEHAMPTON, NY, 119321890
|
Plan administrator’s name and address
Administrator’s EIN |
133491367 |
Plan administrator’s name |
ATLANTIC GOLF CLUB, INC. |
Plan administrator’s
address |
P.O. BOX 1890, BRIDGEHAMPTON, NY, 119321890 |
Administrator’s telephone number |
6315371818 |
Signature of
Role |
Plan administrator |
Date |
2021-05-07 |
Name of individual signing |
W. JAMES MATTHERS |
|
|
ATLANTIC GOLF CLUB RETIREMENT PLAN
|
2019
|
133491367
|
2020-06-18
|
ATLANTIC GOLF CLUB, INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
6315371818
|
Plan sponsor’s
address |
P.O. BOX 1890, 1040 SCUTTLE HOLE ROAD, BRIDGEHAMPTON, NY, 119321890
|
Plan administrator’s name and address
Administrator’s EIN |
133491367 |
Plan administrator’s name |
ATLANTIC GOLF CLUB, INC. |
Plan administrator’s
address |
P.O. BOX 1890, BRIDGEHAMPTON, NY, 119321890 |
Administrator’s telephone number |
6315371818 |
Signature of
Role |
Plan administrator |
Date |
2020-06-18 |
Name of individual signing |
W. JAMES MATTHERS |
|
|
ATLANTIC GOLF CLUB RETIREMENT PLAN
|
2018
|
133491367
|
2019-06-03
|
ATLANTIC GOLF CLUB, INC.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
6315371818
|
Plan sponsor’s
address |
P.O. BOX 1890, 1040 SCUTTLE HOLE ROAD, BRIDGEHAMPTON, NY, 119321890
|
Plan administrator’s name and address
Administrator’s EIN |
133491367 |
Plan administrator’s name |
ATLANTIC GOLF CLUB, INC. |
Plan administrator’s
address |
P.O. BOX 1890, BRIDGEHAMPTON, NY, 119321890 |
Administrator’s telephone number |
6315371818 |
Signature of
Role |
Plan administrator |
Date |
2019-06-03 |
Name of individual signing |
W. JAMES MATTHERS |
|
|
ATLANTIC GOLF CLUB RETIREMENT PLAN
|
2017
|
133491367
|
2018-03-28
|
ATLANTIC GOLF CLUB, INC.
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
6315371818
|
Plan sponsor’s
address |
P.O. BOX 1890, 1040 SCUTTLE HOLE ROAD, BRIDGEHAMPTON, NY, 119321890
|
Plan administrator’s name and address
Administrator’s EIN |
133491367 |
Plan administrator’s name |
ATLANTIC GOLF CLUB, INC. |
Plan administrator’s
address |
P.O. BOX 1890, BRIDGEHAMPTON, NY, 119321890 |
Administrator’s telephone number |
6315371818 |
Signature of
Role |
Plan administrator |
Date |
2018-03-28 |
Name of individual signing |
W. JAMES MATTHERS |
|
|
ATLANTIC GOLF CLUB RETIREMENT PLAN
|
2016
|
133491367
|
2017-06-23
|
ATLANTIC GOLF CLUB, INC.
|
67
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
6315371818
|
Plan sponsor’s mailing address |
P.O. BOX 1890, BRIDGEHAMPTON, NY, 119321890
|
Plan sponsor’s
address |
1040 SCUTTLE HOLE ROAD, BRIDGEHAMPTON, NY, 11932
|
Number of participants as of the end of the plan year
Active participants |
14 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
10 |
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 |
24 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2017-06-23 |
Name of individual signing |
W JAMES MATTHERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATLANTIC GOLF CLUB RETIREMENT PLAN
|
2015
|
133491367
|
2016-03-17
|
ATLANTIC GOLF CLUB, INC.
|
78
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
6315371818
|
Plan sponsor’s
address |
P.O. BOX 1890, BRIDGEHAMPTON, NY, 119321890
|
Plan administrator’s name and address
Administrator’s EIN |
133491367 |
Plan administrator’s name |
ATLANTIC GOLF CLUB, INC. |
Plan administrator’s
address |
P.O. BOX 1890, BRIDGEHAMPTON, NY, 119321890 |
Administrator’s telephone number |
6315371818 |
Signature of
Role |
Plan administrator |
Date |
2016-03-17 |
Name of individual signing |
W. JAMES MATTHERS |
|
|
ATLANTIC GOLF CLUB RETIREMENT PLAN
|
2014
|
133491367
|
2015-06-03
|
ATLANTIC GOLF CLUB, INC.
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
6315371818
|
Plan sponsor’s
address |
P.O. BOX 1890, BRIDGEHAMPTON, NY, 119321890
|
Plan administrator’s name and address
Administrator’s EIN |
133491367 |
Plan administrator’s name |
ATLANTIC GOLF CLUB, INC. |
Plan administrator’s
address |
P.O. BOX 1890, BRIDGEHAMPTON, NY, 119321890 |
Administrator’s telephone number |
6315371818 |
Signature of
Role |
Plan administrator |
Date |
2015-06-03 |
Name of individual signing |
W. JAMES MATTHERS |
|
|