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  5. Wayzata Country Club

Wayzata Country Club

Company Details

Name: Wayzata Country Club
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 30 Jul 1956 (68 years ago)
Company Number: 1b89f93b-add4-e011-a886-001ec94ffe7f
File Number: B-716
Registered Office Address: 200 W Wayzata Blvd, Wayzata, MN 55391, USA
ZIP code: 55391
County: Hennepin County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WAYZATA COUNTRY CLUB RETIREMENT SAVINGS PLAN 2020 410778776 2021-11-15 WAYZATA COUNTRY CLUB 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 9524738846
Plan sponsor’s address 200 WAYZATA BOULEVARD WEST, WAYZATA, MN, 55391

Signature of
Role Plan administrator
Date 2021-11-15
Name of individual signing DAVE JOHNSEN
Valid signature Filed with authorized/valid electronic signature
WAYZATA COUNTRY CLUB RETIREMENT SAVINGS PLAN 2020 410778776 2021-11-15 WAYZATA COUNTRY CLUB 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 9524759753
Plan sponsor’s address 200 WAYZATA BLVD. WEST, WAYZATA, MN, 55391

Signature of
Role Plan administrator
Date 2021-11-15
Name of individual signing DAVE JOHNSEN
Valid signature Filed with authorized/valid electronic signature
WAYZATA COUNTRY CLUB RETIREMENT SAVINGS PLAN 2017 410778776 2018-12-13 WAYZATA COUNTRY CLUB 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 9524759753
Plan sponsor’s address 200 WAYZATA BLVD. WEST, WAYZATA, MN, 55391

Signature of
Role Plan administrator
Date 2018-12-13
Name of individual signing DAVE JOHNSEN
Valid signature Filed with authorized/valid electronic signature
WAYZATA COUNTRY CLUB RETIREMENT SAVINGS PLAN 2016 410778776 2017-11-20 WAYZATA COUNTRY CLUB 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 9524759753
Plan sponsor’s address 200 WAYZATA BLVD. WEST, WAYZATA, MN, 55391

Signature of
Role Plan administrator
Date 2017-11-20
Name of individual signing DAVE JOHNSEN
Valid signature Filed with authorized/valid electronic signature
WAYZATA COUNTRY CLUB RETIREMENT SAVINGS PLAN 2015 410778776 2017-07-14 WAYZATA COUNTRY CLUB 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 9524759755
Plan sponsor’s address 200 WAYZATA BLVD. WEST, WAYZATA, MN, 55391

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing DAVE JOHNSEN
Valid signature Filed with authorized/valid electronic signature
WAYZATA COUNTRY CLUB RETIREMENT SAVINGS PLAN 2014 410778776 2016-06-30 WAYZATA COUNTRY CLUB 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 9524759755
Plan sponsor’s address 200 WAYZATA BLVD. WEST, WAYZATA, MN, 55391

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing JUDITH A. PROELL
Valid signature Filed with authorized/valid electronic signature
WAYZATA COUNTRY CLUB RETIREMENT SAVINGS PLAN 2013 410778776 2014-10-30 WAYZATA COUNTRY CLUB 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 9524759755
Plan sponsor’s address 200 WAYZATA BLVD. WEST, WAYZATA, MN, 55391

Signature of
Role Plan administrator
Date 2014-10-30
Name of individual signing LEE T WALTERS
Valid signature Filed with authorized/valid electronic signature
WAYZATA COUNTRY CLUB RETIREMENT SAVINGS PLAN 2012 410778776 2013-10-25 WAYZATA COUNTRY CLUB 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 9524759755
Plan sponsor’s address 200 WAYZATA BLVD. WEST, WAYZATA, MN, 55391

Signature of
Role Plan administrator
Date 2013-10-25
Name of individual signing LEE T WALTERS
Valid signature Filed with authorized/valid electronic signature
WAYZATA COUNTRY CLUB RETIREMENT SAVINGS PLAN 2011 410778776 2012-12-06 WAYZATA COUNTRY CLUB 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 9524759753
Plan sponsor’s address 200 WAYZATA BLVD. WEST, WAYZATA, MN, 55391

Plan administrator’s name and address
Administrator’s EIN 410778776
Plan administrator’s name WAYZATA COUNTRY CLUB
Plan administrator’s address 200 WAYZATA BLVD. WEST, WAYZATA, MN, 55391
Administrator’s telephone number 9524759753

Signature of
Role Plan administrator
Date 2012-12-06
Name of individual signing LEE T WALTERS
Valid signature Filed with authorized/valid electronic signature
WAYZATA COUNTRY CLUB RETIREMENT SAVINGS PLAN 2010 410778776 2011-12-05 WAYZATA COUNTRY CLUB 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-10-01
Business code 713900
Sponsor’s telephone number 9524759753
Plan sponsor’s address 200 WAYZATA BLVD. WEST, WAYZATA, MN, 55391

Plan administrator’s name and address
Administrator’s EIN 410778776
Plan administrator’s name WAYZATA COUNTRY CLUB
Plan administrator’s address 200 WAYZATA BLVD. WEST, WAYZATA, MN, 55391
Administrator’s telephone number 9524759753

Signature of
Role Plan administrator
Date 2011-12-05
Name of individual signing LEE T WALTERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-12-05
Name of individual signing LEE T WALTERS
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
Kim Timmers President 200 WAYZATA BLVD W, WAYZATA, MN 55391–1557, USA

Filing

Filing Name Filing date
Registered Office - Nonprofit Corporation (Domestic) 2017-06-30
Annual Reinstatement - Nonprofit Corporation (Domestic) 2016-07-14
Nonprofit Corporation (Domestic) Other 2002-06-17
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 2002-06-17
Involuntary Dissolution - Nonprofit Corporation (Domestic) 1997-12-31
Nonprofit Corporation (Domestic) Business Name (Business Name: Wayzata Country Club) 1956-07-30
Original Filing - Nonprofit Corporation (Domestic) 1956-07-30

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Date of last update: 29 Dec 2024

Sources: Minnesota's Official State Website

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