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  5. HAYDEN LAKE COUNTRY CLUB, INC.

HAYDEN LAKE COUNTRY CLUB, INC.

Company Details

Name: HAYDEN LAKE COUNTRY CLUB, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 27 Nov 1959 (65 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 106947
Place of Formation: IDAHO
File Number: 106947
ZIP code: 83835
County: Kootenai County
Mailing Address: 2362 E BOZANTA DR HAYDEN LAKE, ID 83835-9599

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAYDEN LAKE COUNTRY CLUB 401(K) P/S PLAN 2023 820250013 2024-09-05 HAYDEN LAKE COUNTRY CLUB 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 2087621706
Plan sponsor’s address 2362 E. BOZANTA DRIVE, HAYDEN LAKE, ID, 83835
HAYDEN LAKE COUNTRY CLUB 401(K) P/S PLAN 2022 820250013 2023-07-25 HAYDEN LAKE COUNTRY CLUB 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 2087621706
Plan sponsor’s address 2362 E. BOZANTA DRIVE, HAYDEN LAKE, ID, 83835
HAYDEN LAKE COUNTRY CLUB 401(K) P/S PLAN 2021 820250013 2022-07-26 HAYDEN LAKE COUNTRY CLUB 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 2087621706
Plan sponsor’s address 2362 E. BOZANTA DRIVE, HAYDEN LAKE, ID, 83835
HAYDEN LAKE COUNTRY CLUB 401(K) P/S PLAN 2020 820250013 2021-03-27 HAYDEN LAKE COUNTRY CLUB 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 2087621706
Plan sponsor’s address 2362 E. BOZANTA DRIVE, HAYDEN LAKE, ID, 83835
HAYDEN LAKE COUNTRY CLUB 401(K) P/S PLAN 2019 820250013 2020-04-22 HAYDEN LAKE COUNTRY CLUB 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 2087621706
Plan sponsor’s address 2362 E. BOZANTA DRIVE, HAYDEN LAKE, ID, 83835
HAYDEN LAKE COUNTRY CLUB 401(K) P/S PLAN 2018 820250013 2019-04-10 HAYDEN LAKE COUNTRY CLUB 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 2087621706
Plan sponsor’s address 2362 E. BOZANTA DRIVE, HAYDEN LAKE, ID, 83835
HAYDEN LAKE COUNTRY CLUB 401(K) P/S PLAN 2017 820250013 2018-07-16 HAYDEN LAKE COUNTRY CLUB 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 2087621706
Plan sponsor’s address 2362 E. BOZANTA DRIVE, HAYDEN LAKE, ID, 83835
HAYDEN LAKE COUNTRY CLUB 401(K) P/S PLAN 2016 820250013 2017-05-12 HAYDEN LAKE COUNTRY CLUB 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 2087621706
Plan sponsor’s address 2362 E. BOZANTA DRIVE, HAYDEN LAKE, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820250013
Plan administrator’s name HAYDEN LAKE COUNTRY CLUB
Plan administrator’s address 2362 E. BOZANTA DRIVE, HAYDEN LAKE, ID, 83835
Administrator’s telephone number 2087621706

Signature of
Role Plan administrator
Date 2017-05-12
Name of individual signing LESLIE HINTZ
Valid signature Filed with authorized/valid electronic signature
HAYDEN LAKE COUNTRY CLUB 401(K) P/S PLAN 2015 820250013 2016-06-17 HAYDEN LAKE COUNTRY CLUB 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 2087621706
Plan sponsor’s address 2362 E. BOZANTA DRIVE, HAYDEN LAKE, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820250013
Plan administrator’s name HAYDEN LAKE COUNTRY CLUB
Plan administrator’s address 2362 E. BOZANTA DRIVE, HAYDEN LAKE, ID, 83835
Administrator’s telephone number 2087621706

Signature of
Role Plan administrator
Date 2016-06-17
Name of individual signing LESLIE HINTZ
Valid signature Filed with authorized/valid electronic signature
HAYDEN LAKE COUNTRY CLUB 401(K) P/S PLAN 2014 820250013 2015-05-28 HAYDEN LAKE COUNTRY CLUB 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 713900
Sponsor’s telephone number 2087621706
Plan sponsor’s address 2362 E. BOZANTA DRIVE, HAYDEN LAKE, ID, 83835

Plan administrator’s name and address
Administrator’s EIN 820250013
Plan administrator’s name HAYDEN LAKE COUNTRY CLUB
Plan administrator’s address 2362 E. BOZANTA DRIVE, HAYDEN LAKE, ID, 83835
Administrator’s telephone number 2087621706

Signature of
Role Plan administrator
Date 2015-05-28
Name of individual signing LESLIE HINTZ
Valid signature Filed with authorized/valid electronic signature

Director

Name Role Address Appointed On Resigned On
Hank Martin Director 3091 E YORK CT, HAYDEN, ID 83835 2022-10-13 2023-10-18
Doyle W Jacklin Director 701 FRONT AVE, COEUR DALENE, ID 83814 2023-10-18 2023-10-18
James T McAndrew Director 1620 E NORTHWOOD DR, HAYDEN LAKE, ID 83835 2023-10-18 2023-10-18
Victoria Weber Director 10161 PINE RD, HAYDEN LAKE, ID 83835 2023-10-18 2023-10-18
Randall Kemp Director 11346 N TUDOR DR, HAYDEN, ID 83835 2023-10-18 No data
John Stevens Director 2935 E HAYDEN LAKE RD, HAYDEN LAKE, ID 83835 2023-10-18 2023-10-18
Tate Meier Director 9120 N FIELDSTONE DRIVE, HAYDEN, ID 83835 2023-10-18 No data
Edwin Reeser Director 2324 E WOODSTONE DR, HAYDEN, ID 83835 2023-10-18 No data
Janine Siwek Director 5201 S MUIRFIELD LN, SPOKANE, WA 99223 2023-10-18 No data

President

Name Role Address Appointed On Resigned On
Jason J Kelly President 1626 E LADY BUG LANE, HAYDEN, ID 83835 2021-10-08 2022-10-13
Jeffrey Anderson President 12049 N BRIGHTON CT, HAYDEN, ID 83835 2020-10-06 2021-10-08
Christopher Vincent President 9844 N COUNTRY CLUB DR, HAYDEN LAKE, ID 83835 2023-10-18 No data

Agent

Name Role Address
LESLIE J HINTZ Agent 2362 E BOZANTA DR, HAYDEN LAKE, ID 83835

Filing

Filing Name Filing Number Filing date
Annual Report 0005966109 2024-11-05
Annual Report 0005444169 2023-10-18
Annual Report Amendment 0005004715 2022-12-01
Annual Report 0004952164 2022-10-13
Annual Report 0004442325 2021-10-08
Annual Report 0004025376 2020-10-06
Annual Report 0003675984 2019-11-13
Annual Report 0003333659 2018-10-19
Annual Report 0001324094 2017-09-19
Annual Report 0001324093 2016-09-27

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Jeffrey Anderson

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Christopher Vincent

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John Stevens

HAYDEN LAKE COUNTRY CLUB CHARITABLE FUND, INC. HEARTFLOW, INC.

Tate Meier

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Edwin Reeser

FOREST HILLS HOMEOWNERS' ASSOCIATION, INC.

LESLIE J HINTZ

HAYDEN LAKE COUNTRY CLUB CHARITABLE FUND, INC.

Related by address

2362 E BOZANTA DR HAYDEN LAKE, ID 83835-9599

HAYDEN LAKE COUNTRY CLUB CHARITABLE FUND, INC.

Date of last update: 30 Nov 2024

Sources: Idaho Secretary of State

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