BROOKFIELD COUNTRY CLUB 401(K) PLAN
|
2023
|
160701605
|
2024-05-07
|
BROOKFIELD COUNTRY CLUB, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
7166322500
|
Plan sponsor’s
address |
5120 SHIMERVILLE ROAD, CLARENCE, NY, 14031
|
Plan administrator’s name and address
Administrator’s EIN |
823719843 |
Plan administrator’s name |
FUTUREPLAN FIDUCIARY SERVICES LLC |
Plan administrator’s
address |
PO BOX 55757, BOSTON, MA, 02205 |
Administrator’s telephone number |
8557115283 |
Signature of
Role |
Plan administrator |
Date |
2024-05-07 |
Name of individual signing |
ALICIA M. TURNER |
|
|
BROOKFIELD COUNTRY CLUB 401(K) PLAN
|
2022
|
160701605
|
2023-06-05
|
BROOKFIELD COUNTRY CLUB, INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
7166322500
|
Plan sponsor’s
address |
5120 SHIMERVILLE ROAD, CLARENCE, NY, 14031
|
Plan administrator’s name and address
Administrator’s EIN |
823719843 |
Plan administrator’s name |
FUTUREPLAN FIDUCIARY SERVICES |
Plan administrator’s
address |
PO BOX 55757, BOSTON, MA, 02205 |
Administrator’s telephone number |
8557115283 |
Signature of
Role |
Plan administrator |
Date |
2023-06-05 |
Name of individual signing |
LAURA J. MACCHIETTO |
|
|
BROOKFIELD COUNTRY CLUB 401(K) PLAN
|
2021
|
160701605
|
2022-08-30
|
BROOKFIELD COUNTRY CLUB, INC.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
7166322500
|
Plan sponsor’s
address |
5120 SHIMERVILLE ROAD, CLARENCE, NY, 14031
|
Plan administrator’s name and address
Administrator’s EIN |
823719843 |
Plan administrator’s name |
FUTUREPLAN FIDUCIARY SERVICES |
Plan administrator’s
address |
PO BOX 55757, BOSTON, MA, 02205 |
Administrator’s telephone number |
9169180316 |
Signature of
Role |
Plan administrator |
Date |
2022-08-30 |
Name of individual signing |
LAURA J. MACCHIETTO |
|
|
BROOKFIELD COUNTRY CLUB 401(K) PLAN
|
2020
|
160701605
|
2021-07-22
|
BROOKFIELD COUNTRY CLUB, INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
7166322500
|
Plan sponsor’s
address |
5120 SHIMERVILLE ROAD, CLARENCE, NY, 14031
|
Plan administrator’s name and address
Administrator’s EIN |
463943208 |
Plan administrator’s name |
PENSYS FIDUCIARY SERVICES, INC. |
Plan administrator’s
address |
3000 LAVA RIDGE COURT, SUITE 130, ROSEVILLE, CA, 95661 |
Administrator’s telephone number |
9169180316 |
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
WILLIAM C. PARKS |
|
|
BROOKFIELD COUNTRY CLUB 401(K) PLAN
|
2019
|
160701605
|
2020-07-23
|
BROOKFIELD COUNTRY CLUB, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
7166322500
|
Plan sponsor’s
address |
5120 SHIMERVILLE ROAD, CLARENCE, NY, 14031
|
Plan administrator’s name and address
Administrator’s EIN |
463943208 |
Plan administrator’s name |
PENSYS FIDUCIARY SERVICES, INC. |
Plan administrator’s
address |
3000 LAVA RIDGE COURT, SUITE 130, ROSEVILLE, CA, 95661 |
Administrator’s telephone number |
9169180316 |
Signature of
Role |
Plan administrator |
Date |
2020-07-23 |
Name of individual signing |
WILLIAM C. PARKS |
|
|
BROOKFIELD COUNTRY CLUB INC 401K PLAN
|
2017
|
160701605
|
2018-02-16
|
BROOKFIELD COUNTRY CLUB INC
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
713900
|
Sponsor’s telephone number |
7166322500
|
Plan sponsor’s
address |
5120 SHIMERVILLE RD, CLARENCE, NY, 140311428
|
Signature of
Role |
Plan administrator |
Date |
2018-02-16 |
Name of individual signing |
SUZANNE MIS |
|
Role |
Employer/plan sponsor |
Date |
2018-02-16 |
Name of individual signing |
SUZANNE MIS |
|
|
BROOKFIELD COUNTRY CLUB INC 401K PLAN
|
2016
|
160701605
|
2017-02-20
|
BROOKFIELD COUNTRY CLUB INC
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
713900
|
Sponsor’s telephone number |
7166322500
|
Plan sponsor’s
address |
5120 SHIMERVILLE RD, CLARENCE, NY, 140311428
|
Signature of
Role |
Plan administrator |
Date |
2017-02-20 |
Name of individual signing |
SUZANNE MIS |
|
Role |
Employer/plan sponsor |
Date |
2017-02-20 |
Name of individual signing |
SUZANNE MIS |
|
|
BROOKFIELD COUNTRY CLUB INC 401K PLAN
|
2015
|
160701605
|
2016-03-23
|
BROOKFIELD COUNTRY CLUB INC
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
713900
|
Sponsor’s telephone number |
7166322500
|
Plan sponsor’s
address |
5120 SHIMERVILLE RD, CLARENCE, NY, 140311428
|
Signature of
Role |
Plan administrator |
Date |
2016-03-23 |
Name of individual signing |
SUZANNE MIS |
|
Role |
Employer/plan sponsor |
Date |
2016-03-23 |
Name of individual signing |
SUZANNE MIS |
|
|
BROOKFIELD COUNTRY CLUB INC 401K PLAN
|
2014
|
160701605
|
2015-03-09
|
BROOKFIELD COUNTRY CLUB INC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
713900
|
Sponsor’s telephone number |
7166322500
|
Plan sponsor’s
address |
5120 SHIMERVILLE RD, CLARENCE, NY, 140311428
|
Signature of
Role |
Plan administrator |
Date |
2015-03-09 |
Name of individual signing |
SUZANNE MIS |
|
Role |
Employer/plan sponsor |
Date |
2015-03-09 |
Name of individual signing |
SUZANNE MIS |
|
|
BROOKFIELD COUNTRY CLUB INC 401K PLAN
|
2013
|
160701605
|
2014-02-24
|
BROOKFIELD COUNTRY CLUB INC
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-05-01
|
Business code |
713900
|
Sponsor’s telephone number |
7166322500
|
Plan sponsor’s
address |
5120 SHIMERVILLE RD, CLARENCE, NY, 140311428
|
Signature of
Role |
Plan administrator |
Date |
2014-02-24 |
Name of individual signing |
SUZANNE MIS |
|
Role |
Employer/plan sponsor |
Date |
2014-02-24 |
Name of individual signing |
SUZANNE MIS |
|
|