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  5. TUPELO COUNTRY CLUB

TUPELO COUNTRY CLUB

Company Details

Name: TUPELO COUNTRY CLUB
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 09 Aug 1930 (94 years ago)
Business ID: 408710
ZIP code: 38826
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 4462 Winged Foot RoadBelden, MS 38826

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TUPELO COUNTRY CLUB 401(K) PLAN 2020 640284188 2021-09-13 TUPELO COUNTRY CLUB 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Signature of
Role Plan administrator
Date 2021-09-13
Name of individual signing JUSTIN FLAHERTY
Valid signature Filed with authorized/valid electronic signature
TUPELO COUNTRY CLUB 401(K) PLAN 2020 640284188 2021-09-22 TUPELO COUNTRY CLUB 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Signature of
Role Plan administrator
Date 2021-09-22
Name of individual signing MICHELE KENNEDY
Valid signature Filed with authorized/valid electronic signature
TUPELO COUNTRY CLUB 401(K) PLAN 2019 640284188 2020-10-08 TUPELO COUNTRY CLUB 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing JUSTIN FLAHERTY
Valid signature Filed with authorized/valid electronic signature
TUPELO COUNTRY CLUB 401(K) PLAN 2018 640284188 2019-07-31 TUPELO COUNTRY CLUB 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing JUSTIN FLAHERTY
Valid signature Filed with authorized/valid electronic signature
TUPELO COUNTRY CLUB 401(K) PLAN 2017 640284188 2018-06-27 TUPELO COUNTRY CLUB 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Signature of
Role Plan administrator
Date 2018-06-27
Name of individual signing JUSTIN FLAHERTY
Valid signature Filed with authorized/valid electronic signature
TUPELO COUNTRY CLUB 401(K) PLAN 2016 640284188 2017-10-13 TUPELO COUNTRY CLUB 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing JUSTIN FLAHERTY
Valid signature Filed with authorized/valid electronic signature
TUPELO COUNTRY CLUB 401(K) PLAN 2015 640284188 2016-07-18 TUPELO COUNTRY CLUB 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing JUSTIN FLAHERTY
Valid signature Filed with authorized/valid electronic signature
TUPELO COUNTRY CLUB 401(K) PLAN 2014 640284188 2015-07-30 TUPELO COUNTRY CLUB 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing JUSTIN FLAHERTY
Valid signature Filed with authorized/valid electronic signature
TUPELO COUNTRY CLUB 401(K) PLAN 2013 640284188 2014-05-29 TUPELO COUNTRY CLUB 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Signature of
Role Plan administrator
Date 2014-05-29
Name of individual signing JUSTIN FLAHERTY
Valid signature Filed with authorized/valid electronic signature
TUPELO COUNTRY CLUB 401(K) PLAN 2012 640284188 2013-07-09 TUPELO COUNTRY CLUB 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Signature of
Role Plan administrator
Date 2013-07-09
Name of individual signing JACK SAUERS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/07/20120607115146P040031193058001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Plan administrator’s name and address
Administrator’s EIN 640284188
Plan administrator’s name TUPELO COUNTRY CLUB
Plan administrator’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508
Administrator’s telephone number 6628403277

Signature of
Role Plan administrator
Date 2012-06-07
Name of individual signing WRAY CRIPPIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/21/20110721151153P030097840145001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Plan administrator’s name and address
Administrator’s EIN 640284188
Plan administrator’s name TUPELO COUNTRY CLUB
Plan administrator’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508
Administrator’s telephone number 6628403277

Signature of
Role Plan administrator
Date 2011-07-21
Name of individual signing WRAY CRIPPIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-21
Name of individual signing WRAY CRIPPIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/26/20100726085206P040398758977001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Plan administrator’s name and address
Administrator’s EIN 640284188
Plan administrator’s name TUPELO COUNTRY CLUB
Plan administrator’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508
Administrator’s telephone number 6628403277

Signature of
Role Plan administrator
Date 2010-07-16
Name of individual signing WRAY CRIPPIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-16
Name of individual signing WRAY CRIPPIN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Plan administrator’s name and address
Administrator’s EIN 640284188
Plan administrator’s name TUPELO COUNTRY CLUB
Plan administrator’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508
Administrator’s telephone number 6628403277

Signature of
Role Plan administrator
Date 2010-07-16
Name of individual signing WRAY CRIPPIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-16
Name of individual signing WRAY CRIPPIN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Plan administrator’s name and address
Administrator’s EIN 640284188
Plan administrator’s name TUPELO COUNTRY CLUB
Plan administrator’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508
Administrator’s telephone number 6628403277

Signature of
Role Plan administrator
Date 2010-07-16
Name of individual signing WRAY CRIPPIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-16
Name of individual signing WRAY CRIPPIN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 713900
Sponsor’s telephone number 6628403277
Plan sponsor’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508

Plan administrator’s name and address
Administrator’s EIN 640284188
Plan administrator’s name TUPELO COUNTRY CLUB
Plan administrator’s address 4462 WINGED FOOT ROAD, BELDEN, MS, 388269508
Administrator’s telephone number 6628403277

Signature of
Role Plan administrator
Date 2010-07-16
Name of individual signing WRAY CRIPPIN
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-07-16
Name of individual signing WRAY CRIPPIN
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
Justin Flaherty Agent 4462 Winged Foot Road, BELDEN, MS 38826

Incorporator

Name Role Address
MEDFORD LEAKE Incorporator T, TUPELO, MS
R G STRAIN Incorporator T, TUPELO, MS
W A BLAIR Incorporator T, TUPELO, MS

Director

Name Role Address
Justin Flaherty Director 4462 Winged Foot Road, Belden, MS 38826

Filings

Type Status Filed Date Description
Non-Profit Status Report Filed 2019-03-06 Status Report For TUPELO COUNTRY CLUB
Amendment Form Filed 1991-03-26 Amendment
See File Filed 1979-05-21 See File
Amendment Form Filed 1978-09-18 Amendment
Amendment Form Filed 1968-01-16 Amendment
Amendment Form Filed 1953-11-16 Amendment
See File Filed 1933-06-26 See File
Undetermined Event Filed 1931-06-24 Undetermined Event
Name Reservation Form Filed 1930-08-09 Name Reservation

Related by officers

MEDFORD LEAKE

TUPELO REALTY & INVESTMENT COMPANY NORTH MISSISSIPPI COMMUNITY HOSPITAL CORPORATION LEAKE & THOMAS COMPANY, INC. LEE ACRES, INC.

R G STRAIN

LEE COUNTY GIN COMPANY

W A BLAIR

TUPELO DREDGING COMPANY INSTANT CAR WASH, INC. NORTH MISSISSIPPI BROADCASTING CORPORATION

Related by address

4462 Winged Foot RoadBelden, MS 38826

Chris Harder Golf LLC Chris Jester Golf, LLC

Date of last update: 15 Dec 2024

Sources: Mississippi Secretary of State

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