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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) (Companies founded in May 2015)
Entity Number: 4755127
ZIP code: 13031 (Companies in Onondaga, 13031)
County: Onondaga
Place of Formation: New York
Address: 5690 BENNETTS CORNERS ROAD, CAMILLUS, NY, United States, 13031

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

Filings

Filing Number Date Filed Type Effective Date
150507010204 2015-05-07 CERTIFICATE OF INCORPORATION 2015-05-07

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: 24 Nov 2024

Sources: New York Secretary of State

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