PELHAM COUNTRY CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-06-01
Business code	713900
Sponsor’s telephone number	9147382730
Plan sponsor’s address	940 WYNNEWOOD RD, PELHAM MANOR, NY, 108033006

Signature of

Role	Plan administrator
Date	2024-09-19
Name of individual signing	RICHARD BINETTI
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2024-09-19
Name of individual signing	RICHARD BINETTI
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-06-01
Business code	713900
Sponsor’s telephone number	9147382730
Plan sponsor’s address	940 WYNNEWOOD RD, PELHAM MANOR, NY, 108033006

Signature of

Role	Plan administrator
Date	2023-09-19
Name of individual signing	WILLIAM CERIELLO
Role	Employer/plan sponsor
Date	2023-09-19
Name of individual signing	WILLIAM CERIELLO

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-06-01
Business code	713900
Sponsor’s telephone number	9147382730
Plan sponsor’s address	940 WYNNEWOOD RD, PELHAM MANOR, NY, 108033006

Signature of

Role	Plan administrator
Date	2022-09-29
Name of individual signing	BELINDA OCHOA
Role	Employer/plan sponsor
Date	2022-09-29
Name of individual signing	BELINDA OCHOA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-06-01
Business code	713900
Sponsor’s telephone number	9147382730
Plan sponsor’s address	940 WYNNEWOOD RD, PELHAM MANOR, NY, 108033006

Signature of

Role	Plan administrator
Date	2021-09-29
Name of individual signing	BELINDA OCHOA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-06-01
Business code	713900
Sponsor’s telephone number	9147382730
Plan sponsor’s address	940 WYNNEWOOD RD, PELHAM MANOR, NY, 108033006

Signature of

Role	Plan administrator
Date	2020-06-08
Name of individual signing	BELINDA OCHOA
Role	Employer/plan sponsor
Date	2020-06-08
Name of individual signing	BELINDA OCHOA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-06-01
Business code	713900
Sponsor’s telephone number	9147382730
Plan sponsor’s address	940 WYNNEWOOD RD, PELHAM MANOR, NY, 108033006

Signature of

Role	Plan administrator
Date	2019-07-01
Name of individual signing	BELINDA OCHOA
Role	Employer/plan sponsor
Date	2019-07-01
Name of individual signing	BELINDA OCHOA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-06-01
Business code	713900
Sponsor’s telephone number	9147382730
Plan sponsor’s address	940 WYNNEWOOD RD, PELHAM MANOR, NY, 108033006

Signature of

Role	Plan administrator
Date	2018-07-11
Name of individual signing	JENNIFER SYKEN
Role	Employer/plan sponsor
Date	2018-07-11
Name of individual signing	JENNIFER SYKEN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-06-01
Business code	713900
Sponsor’s telephone number	9147382730
Plan sponsor’s address	940 WYNNEWOOD RD, PELHAM MANOR, NY, 108033006

Signature of

Role	Plan administrator
Date	2017-07-17
Name of individual signing	JENNIFER SYKEN
Role	Employer/plan sponsor
Date	2017-07-17
Name of individual signing	JENNIFER SYKEN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-06-01
Business code	713900
Sponsor’s telephone number	9147382730
Plan sponsor’s address	WYNNEWOOD ROAD, PELHAM, NY, 108031477

Signature of

Role	Plan administrator
Date	2016-07-27
Name of individual signing	JENNIFER SYKEN
Role	Employer/plan sponsor
Date	2016-07-27
Name of individual signing	JENNIFER SYKEN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-06-01
Business code	713900
Sponsor’s telephone number	9147382730
Plan sponsor’s address	WYNNEWOOD ROAD, PELHAM, NY, 108031477

Signature of

Role	Plan administrator
Date	2015-10-28
Name of individual signing	JENNIFER SYKEN