BLACKLEDGE COUNTRY CLUB, INC. 401(K) PS PLAN
|
2023
|
060791060
|
2024-07-31
|
BLACKLEDGE COUNTRY CLUB, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8602280250
|
Plan sponsor’s
address |
180 W ST, HEBRON, CT, 06248
|
Signature of
Role |
Plan administrator |
Date |
2024-07-31 |
Name of individual signing |
KEVIN HIGGINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-31 |
Name of individual signing |
KEVIN HIGGINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKLEDGE COUNTRY CLUB, INC. 401(K) P/S PLAN
|
2022
|
060791060
|
2023-05-15
|
BLACKLEDGE COUNTRY CLUB, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8602280250
|
Plan sponsor’s
address |
180 WEST STREET, HEBRON, CT, 06248
|
Plan administrator’s name and address
Administrator’s EIN |
060791060 |
Plan administrator’s name |
BLACKLEDGE COUNTRY CLUB, INC. |
Plan administrator’s
address |
180 WEST STREET, HEBRON, CT, 06248 |
Administrator’s telephone number |
8602280250 |
Signature of
Role |
Plan administrator |
Date |
2023-05-15 |
Name of individual signing |
KEVIN HIGGINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKLEDGE COUNTRY CLUB, INC. 401(K) P/S PLAN
|
2021
|
060791060
|
2022-06-15
|
BLACKLEDGE COUNTRY CLUB, INC.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8602280250
|
Plan sponsor’s
address |
180 WEST STREET, HEBRON, CT, 06248
|
Plan administrator’s name and address
Administrator’s EIN |
060791060 |
Plan administrator’s name |
BLACKLEDGE COUNTRY CLUB, INC. |
Plan administrator’s
address |
180 WEST STREET, HEBRON, CT, 06248 |
Administrator’s telephone number |
8602280250 |
Signature of
Role |
Plan administrator |
Date |
2022-06-15 |
Name of individual signing |
KEVIN HIGGINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKLEDGE COUNTRY CLUB, INC. 401(K) P/S PLAN
|
2020
|
060791060
|
2021-04-07
|
BLACKLEDGE COUNTRY CLUB, INC.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8602280250
|
Plan sponsor’s
address |
180 WEST STREET, HEBRON, CT, 06248
|
Plan administrator’s name and address
Administrator’s EIN |
060791060 |
Plan administrator’s name |
BLACKLEDGE COUNTRY CLUB, INC. |
Plan administrator’s
address |
180 WEST STREET, HEBRON, CT, 06248 |
Administrator’s telephone number |
8602280250 |
Signature of
Role |
Plan administrator |
Date |
2021-04-07 |
Name of individual signing |
KEVIN HIGGINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKLEDGE COUNTRY CLUB, INC. 401(K) P/S PLAN
|
2019
|
060791060
|
2020-06-18
|
BLACKLEDGE COUNTRY CLUB, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8602280250
|
Plan sponsor’s
address |
180 WEST STREET, HEBRON, CT, 06248
|
Plan administrator’s name and address
Administrator’s EIN |
060791060 |
Plan administrator’s name |
BLACKLEDGE COUNTRY CLUB, INC. |
Plan administrator’s
address |
180 WEST STREET, HEBRON, CT, 06248 |
Administrator’s telephone number |
8602280250 |
Signature of
Role |
Plan administrator |
Date |
2020-06-18 |
Name of individual signing |
KEVIN HIGGINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKLEDGE COUNTRY CLUB, INC. 401(K) P/S PLAN
|
2018
|
060791060
|
2019-05-01
|
BLACKLEDGE COUNTRY CLUB, INC.
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8602280250
|
Plan sponsor’s
address |
180 WEST STREET, HEBRON, CT, 06248
|
Plan administrator’s name and address
Administrator’s EIN |
060791060 |
Plan administrator’s name |
BLACKLEDGE COUNTRY CLUB, INC. |
Plan administrator’s
address |
180 WEST STREET, HEBRON, CT, 06248 |
Administrator’s telephone number |
8602280250 |
Signature of
Role |
Plan administrator |
Date |
2019-05-01 |
Name of individual signing |
KEVIN HIGGINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKLEDGE COUNTRY CLUB, INC. 401(K) P/S PLAN
|
2017
|
060791060
|
2018-03-14
|
BLACKLEDGE COUNTRY CLUB, INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8602280250
|
Plan sponsor’s
address |
180 WEST STREET, HEBRON, CT, 06248
|
Plan administrator’s name and address
Administrator’s EIN |
060791060 |
Plan administrator’s name |
BLACKLEDGE COUNTRY CLUB, INC. |
Plan administrator’s
address |
180 WEST STREET, HEBRON, CT, 06248 |
Administrator’s telephone number |
8602280250 |
Signature of
Role |
Plan administrator |
Date |
2018-03-14 |
Name of individual signing |
KEVIN HIGGINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKLEDGE COUNTRY CLUB, INC. 401(K) P/S PLAN
|
2016
|
060791060
|
2017-06-09
|
BLACKLEDGE COUNTRY CLUB, INC.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8602280250
|
Plan sponsor’s
address |
180 WEST STREET, HEBRON, CT, 06248
|
Plan administrator’s name and address
Administrator’s EIN |
060791060 |
Plan administrator’s name |
BLACKLEDGE COUNTRY CLUB, INC. |
Plan administrator’s
address |
180 WEST STREET, HEBRON, CT, 06248 |
Administrator’s telephone number |
8602280250 |
Signature of
Role |
Plan administrator |
Date |
2017-06-09 |
Name of individual signing |
KEVIN HIGGINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKLEDGE COUNTRY CLUB, INC. 401(K) P/S PLAN
|
2015
|
060791060
|
2016-05-14
|
BLACKLEDGE COUNTRY CLUB, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8602280250
|
Plan sponsor’s
address |
180 WEST STREET, HEBRON, CT, 06248
|
Plan administrator’s name and address
Administrator’s EIN |
060791060 |
Plan administrator’s name |
BLACKLEDGE COUNTRY CLUB, INC. |
Plan administrator’s
address |
180 WEST STREET, HEBRON, CT, 06248 |
Administrator’s telephone number |
8602280250 |
Signature of
Role |
Plan administrator |
Date |
2016-05-14 |
Name of individual signing |
KEVIN HIGGINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKLEDGE COUNTRY CLUB, INC. 401(K) P/S PLAN
|
2014
|
060791060
|
2015-07-10
|
BLACKLEDGE COUNTRY CLUB, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
8602280250
|
Plan sponsor’s
address |
180 WEST STREET, HEBRON, CT, 06248
|
Plan administrator’s name and address
Administrator’s EIN |
060791060 |
Plan administrator’s name |
BLACKLEDGE COUNTRY CLUB, INC. |
Plan administrator’s
address |
180 WEST STREET, HEBRON, CT, 06248 |
Administrator’s telephone number |
8602280250 |
Signature of
Role |
Plan administrator |
Date |
2015-07-10 |
Name of individual signing |
KEVIN HIGGINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|