THE LOXAHATCHEE CLUB, INC.

Addresses

Legal	c/o Grigg, Tara, 1350 Echo Drive, Jupiter, US-FL, US, 33458-7728
Headquarters	1350 Echo Drive, Jupiter, US-FL, US, 33458-7728

Registration details

Registration Date	2013-03-25
Last Update	2024-03-07
Status	ISSUED
Next Renewal	2025-03-07
LEI Issuer	5493001KJTIIGC8Y1R12
Corroboration Level	FULLY_CORROBORATED
Data Validated As	N04486

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	713900
Sponsor’s telephone number	5617446168
Plan sponsor’s address	1350 ECHO DRIVE, JUPITER, FL, 33458

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	713900
Sponsor’s telephone number	5617446168
Plan sponsor’s address	1350 ECHO DRIVE, JUPITER, FL, 33458

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	713900
Sponsor’s telephone number	5617446168
Plan sponsor’s address	1350 ECHO DRIVE, JUPITER, FL, 33458

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	713900
Sponsor’s telephone number	5617446168
Plan sponsor’s address	1350 ECHO DRIVE, JUPITER, FL, 33458

Signature of

Role	Plan administrator
Date	2017-03-30
Name of individual signing	TARA A. GRIGG
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	713900
Sponsor’s telephone number	5617446168
Plan sponsor’s address	1350 ECHO DRIVE, JUPITER, FL, 33458

Signature of

Role	Plan administrator
Date	2016-04-04
Name of individual signing	TARA A. GRIGG
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	713900
Sponsor’s telephone number	5617446168
Plan sponsor’s address	1350 ECHO DRIVE, JUPITER, FL, 33458

Signature of

Role	Plan administrator
Date	2015-03-31
Name of individual signing	TARA A. GRIGG
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	713900
Sponsor’s telephone number	5617446168
Plan sponsor’s address	1350 ECHO DRIVE, JUPITER, FL, 33458

Signature of

Role	Plan administrator
Date	2014-04-22
Name of individual signing	TARA A. GRIGG
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2014-04-22
Name of individual signing	TARA A. GRIGG
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	713900
Sponsor’s telephone number	5617446168
Plan sponsor’s address	1350 ECHO DRIVE, JUPITER, FL, 33458

Signature of

Role	Plan administrator
Date	2013-05-10
Name of individual signing	KEVIN E. CARROLL
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2013-05-10
Name of individual signing	KEVIN E. CARROLL
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	713900
Sponsor’s telephone number	5617446168
Plan sponsor’s address	1350 ECHO DRIVE, JUPITER, FL, 33458

Plan administrator’s name and address

Administrator’s EIN	592784038
Plan administrator’s name	THE LOXAHATCHEE CLUB, INC.
Plan administrator’s address	1350 ECHO DRIVE, JUPITER, FL, 33458
Administrator’s telephone number	5617446168

Signature of

Role	Plan administrator
Date	2012-06-22
Name of individual signing	KEVIN E. CARROLL
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2012-06-22
Name of individual signing	KEVIN E. CARROLL
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-01-01
Business code	713900
Sponsor’s telephone number	5617446168
Plan sponsor’s address	1350 ECHO DR, JUPITER, FL, 33458

Plan administrator’s name and address

Administrator’s EIN	592784038
Plan administrator’s name	THE LOXAHATCHEE CLUB, INC.
Plan administrator’s address	1350 ECHO DR, JUPITER, FL, 33458
Administrator’s telephone number	5617446168

Signature of

Role	Plan administrator
Date	2011-05-24
Name of individual signing	KEVIN E. CARROLL
Valid signature	Filed with authorized/valid electronic signature