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  5. MEDALIST GOLF CLUB, INC.

MEDALIST GOLF CLUB, INC.

Company Details

Entity Name: MEDALIST GOLF CLUB, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Not For Profit Corporation
Status: Active
Date Filed: 19 Sep 1994 (30 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 13 May 2024 (9 months ago)
Document Number: N94000004594
FEI/EIN Number 65-0530877
Address: 9908 SE COTTAGE LANE, HOBE SOUND, FL 33455
Mail Address: 9908 SE COTTAGE LANE, HOBE SOUND, FL 33455
ZIP code: 33455
County: Martin
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDALIST GOLF CLUB INC 401 K PROFIT SHARING PLAN TRUST 2015 650530877 2016-06-07 MEDALIST GOLF CLUB INC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 7725459700
Plan sponsor’s address 9908 S E COTTAGE LANE, HOBE SOUND, FL, 334550000

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing JILL BURNETT
Valid signature Filed with authorized/valid electronic signature
MEDALIST GOLF CLUB INC 401 K PROFIT SHARING PLAN TRUST 2014 650530877 2015-05-18 MEDALIST GOLF CLUB INC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 7725459700
Plan sponsor’s address 9908 S E COTTAGE LANE, HOBE SOUND, FL, 334550000

Signature of
Role Plan administrator
Date 2015-05-18
Name of individual signing JILL BURNETT
Valid signature Filed with authorized/valid electronic signature
MEDALIST GOLF CLUB INC 401 K PROFIT SHARING PLAN TRUST 2013 650530877 2014-05-13 MEDALIST GOLF CLUB INC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 7725459700
Plan sponsor’s address 9908 S E COTTAGE LANE, HOBE SOUND, FL, 334550000

Signature of
Role Plan administrator
Date 2014-05-13
Name of individual signing JILL BURNETT
Valid signature Filed with authorized/valid electronic signature
MEDALIST GOLF CLUB INC 401 K PROFIT SHARING PLAN TRUST 2012 650530877 2013-05-22 MEDALIST GOLF CLUB INC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 7725459700
Plan sponsor’s address 9908 SE COTTAGE LN, HOBE SOUND, FL, 334556355

Signature of
Role Plan administrator
Date 2013-05-22
Name of individual signing MEDALIST GOLF CLUB INC
Valid signature Filed with authorized/valid electronic signature
MEDALIST GOLF CLUB INC 401 K PROFIT SHARING PLAN TRUST 2011 650530877 2012-07-06 MEDALIST GOLF CLUB INC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 7725459700
Plan sponsor’s address 9908 SE COTTAGE LN, HOBE SOUND, FL, 334556355

Plan administrator’s name and address
Administrator’s EIN 650530877
Plan administrator’s name MEDALIST GOLF CLUB INC
Plan administrator’s address 9908 SE COTTAGE LN, HOBE SOUND, FL, 334556355
Administrator’s telephone number 7725459700

Signature of
Role Plan administrator
Date 2012-07-06
Name of individual signing MEDALIST GOLF CLUB INC
Valid signature Filed with authorized/valid electronic signature
MEDALIST GOLF CLUB INC 2009 650530877 2010-12-30 MEDALIST GOLF CLUB 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 7725459700
Plan sponsor’s address 9908 SE COTTAGE LANE, HOBE SOUND, FL, 33455

Plan administrator’s name and address
Administrator’s EIN 650530877
Plan administrator’s name MEDALIST GOLF CLUB
Plan administrator’s address 9908 SE COTTAGE LANE, HOBE SOUND, FL, 33455
Administrator’s telephone number 7725459700

Signature of
Role Plan administrator
Date 2010-12-30
Name of individual signing MEDALIST GOLF CLUB
Valid signature Filed with authorized/valid electronic signature
MEDALIST GOLF CLUB INC 2009 650530877 2010-07-16 MEDALIST GOLF CLUB 73
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 7725459700
Plan sponsor’s address 9908 SE COTTAGE LANE, HOBE SOUND, FL, 33455

Plan administrator’s name and address
Administrator’s EIN 650530877
Plan administrator’s name MEDALIST GOLF CLUB
Plan administrator’s address 9908 SE COTTAGE LANE, HOBE SOUND, FL, 33455
Administrator’s telephone number 7725459700

Signature of
Role Plan administrator
Date 2010-07-16
Name of individual signing MEDALIST GOLF CLUB
Valid signature Filed with authorized/valid electronic signature
MEDALIST GOLF CLUB INC 2009 650530877 2010-06-18 MEDALIST GOLF CLUB 73
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 7725459700
Plan sponsor’s address 9908 SE COTTAGE LANE, HOBE SOUND, FL, 33455

Plan administrator’s name and address
Administrator’s EIN 650530877
Plan administrator’s name MEDALIST GOLF CLUB
Plan administrator’s address 9908 SE COTTAGE LANE, HOBE SOUND, FL, 33455
Administrator’s telephone number 7725459700

Signature of
Role Plan administrator
Date 2010-06-18
Name of individual signing MEDALIST GOLF CLUB
Valid signature Filed with incorrect/unrecognized electronic signature
MEDALIST GOLF CLUB INC 2009 650530877 2010-06-18 MEDALIST GOLF CLUB 73
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 7725459700
Plan sponsor’s address 9908 SE COTTAGE LANE, HOBE SOUND, FL, 33455

Plan administrator’s name and address
Administrator’s EIN 650530877
Plan administrator’s name MEDALIST GOLF CLUB
Plan administrator’s address 9908 SE COTTAGE LANE, HOBE SOUND, FL, 33455
Administrator’s telephone number 7725459700

Signature of
Role Plan administrator
Date 2010-06-18
Name of individual signing MEDALIST GOLF CLUB
Valid signature Filed with incorrect/unrecognized electronic signature
MEDALIST GOLF CLUB INC 2009 650530877 2010-06-01 MEDALIST GOLF CLUB 73
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 713900
Sponsor’s telephone number 7725459700
Plan sponsor’s address 9908 SE COTTAGE LANE, HOBE SOUND, FL, 33455

Plan administrator’s name and address
Administrator’s EIN 650530877
Plan administrator’s name MEDALIST GOLF CLUB
Plan administrator’s address 9908 SE COTTAGE LANE, HOBE SOUND, FL, 33455
Administrator’s telephone number 7725459700

Signature of
Role Plan administrator
Date 2010-06-01
Name of individual signing MEDALIST GOLF CLUB
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
CARBONE, EDWARD J Agent 9908 SE COTTAGE LANE, HOBE SOUND, FL 33455

Secretary

Name Role Address
CARBONE, EDWARD J Secretary 9908 SE COTTAGE LANE, HOBE SOUND, FL 33455

President

Name Role Address
Lynch, Scott M President 9908 SE COTTAGE LANE, HOBE SOUND, FL 33455

Director

Name Role Address
Campbell, Andrew Director 9908 SE COTTAGE LANE, HOBE SOUND, FL 33455
Sullivan, William Director 9908 SE Cottage Lane, Hobe Sound, FL 33455
Silagy, Eric Director 9908 SE COTTAGE LANE, HOBE SOUND, FL 33455

Vice President

Name Role Address
PERKINS, ALAN Vice President 9908 SE Cottage Lane, Hobe Sound, FL 33455

DIRECTOR

Name Role Address
WEINS, DOUG DIRECTOR 9908 SE Cottage Lane, Hobe Sound, FL 33455

Treasurer

Name Role Address
Gilbert, William Treasurer 9908 SE COTTAGE LANE, HOBE SOUND, FL 33455

Events

Event Type Filed Date Value Description
AMENDED AND RESTATEDARTICLES 2024-05-13 No data No data
REGISTERED AGENT NAME CHANGED 2023-02-10 CARBONE, EDWARD J No data
CHANGE OF PRINCIPAL ADDRESS 2021-10-12 9908 SE COTTAGE LANE, HOBE SOUND, FL 33455 No data
CHANGE OF MAILING ADDRESS 2021-10-12 9908 SE COTTAGE LANE, HOBE SOUND, FL 33455 No data
AMENDED AND RESTATEDARTICLES 2008-11-24 No data No data
REGISTERED AGENT ADDRESS CHANGED 2008-04-15 9908 SE COTTAGE LANE, HOBE SOUND, FL 33455 No data
AMENDED AND RESTATEDARTICLES 2001-09-07 No data No data
AMENDMENT 1997-03-24 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-15
Amended and Restated Articles 2024-05-13
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-02-10
ANNUAL REPORT 2022-02-15
AMENDED ANNUAL REPORT 2021-10-12
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-05-07
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-04-05

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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