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  5. HURSTBOURNE COUNTRY CLUB, INC.

HURSTBOURNE COUNTRY CLUB, INC.

Company Details

Name: HURSTBOURNE COUNTRY CLUB, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 22 Jun 1970 (55 years ago)
Organization Date: 22 Jun 1970 (55 years ago)
Last Annual Report: 20 Jan 2025 (2 months ago)
Organization Number: 0080702
Industry: Membership Organizations
Number of Employees: Large (100+)
ZIP code: 40222
City: Louisville, Bancroft, Bellemeade, Crossgate, Glenvie...
Primary County: Jefferson County
Principal Office: 9000 HURSTBOURNE CLUB LANE, LOUISVILLE, KY 40222
Place of Formation: KENTUCKY
Authorized Shares: 2000

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HURSTBOURNE COUNTRY CLUB CBS BENEFIT PLAN 2023 610708294 2024-04-29 HURSTBOURNE COUNTRY CLUB 23
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2023-08-31
Business code 713900
Sponsor’s telephone number 5024250094
Plan sponsor’s address 9000 HURSTBOURNE CLUB LANE, LOUISVILLE, KY, 40222

Plan administrator’s name and address
Administrator’s EIN 846429706
Plan administrator’s name SHAWNA BURTON
Plan administrator’s address 464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number 5026954700

Signature of
Role Plan administrator
Date 2024-04-29
Name of individual signing SHAWNA BURTON
Valid signature Filed with authorized/valid electronic signature
HURSTBOURNE COUNTRY CLUB INC. 401(K) PLAN 2022 610708294 2023-07-10 HURSTBOURNE COUNTRY CLUB INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 5024201777
Plan sponsor’s address 9000 HURSTBOURNE CLUB LANE, LOUISVILLE, KY, 40222

Signature of
Role Plan administrator
Date 2023-07-10
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
HURSTBOURNE COUNTRY CLUB INC. 401K PLAN 2020 610708294 2021-06-17 HURSTBOURNE COUNTRY CLUB INC. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 5024201777
Plan sponsor’s address 9000 HURSTBOURNE CLUB LN, LOUISVILLE, KY, 40222

Signature of
Role Plan administrator
Date 2021-06-17
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
HURSTBOURNE COUNTRY CLUB INC. 401K PLAN 2020 610708294 2021-06-15 HURSTBOURNE COUNTRY CLUB INC. 61
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 5024201777
Plan sponsor’s address 9000 HURSTBOURNE CLUB LN, LOUISVILLE, KY, 40222

Signature of
Role Plan administrator
Date 2021-06-15
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
HURSTBOURNE COUNTRY CLUB INC. 401K PLAN 2019 610708294 2020-06-09 HURSTBOURNE COUNTRY CLUB INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 5024201777
Plan sponsor’s address 9000 HURSTBOURNE CLUB LN, LOUISVILLE, KY, 40222

Signature of
Role Plan administrator
Date 2020-06-09
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
HURSTBOURNE COUNTRY CLUB INC. 401K PLAN 2018 610708294 2019-10-07 HURSTBOURNE COUNTRY CLUB INC. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 5024201777
Plan sponsor’s address 9000 HURSTBOURNE CLUB LN, LOUISVILLE, KY, 40222

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
HURSTBOURNE COUNTRY CLUB INC. 401K PLAN 2017 610708294 2018-08-30 HURSTBOURNE COUNTRY CLUB INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 5024201763
Plan sponsor’s address 9000 HURSTBOURNE CLUB LN, LOUISVILLE, KY, 40222

Signature of
Role Plan administrator
Date 2018-08-30
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
HURSTBOURNE COUNTRY CLUB INC. 401K PLAN 2016 610708294 2017-07-12 HURSTBOURNE COUNTRY CLUB INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 5024201777
Plan sponsor’s address 9000 HURSTBOURNE CLUB LN, LOUISVILLE, KY, 40222

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
HURSTBOURNE COUNTRY CLUB INC. 401K PLAN 2015 610708294 2016-09-29 HURSTBOURNE COUNTRY CLUB INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 5024201777
Plan sponsor’s address 9000 HURSTBOURNE CLUB LN, LOUISVILLE, KY, 40222

Signature of
Role Plan administrator
Date 2016-09-29
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
HURSTBOURNE COUNTRY CLUB INC. 401K PLAN 2014 610708294 2015-09-17 HURSTBOURNE COUNTRY CLUB INC. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 5024201777
Plan sponsor’s address 9000 HURSTBOURNE CLUB LN, LOUISVILLE, KY, 40222

Signature of
Role Plan administrator
Date 2015-09-17
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-17
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/24/20140924152330P030005865023001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 5024201777
Plan sponsor’s address 9000 HURSTBOURNE CLUB LN, LOUISVILLE, KY, 40222

Signature of
Role Plan administrator
Date 2014-09-24
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-24
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/03/20131003112432P040017815571001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 5024201777
Plan sponsor’s address 9000 HURSTBOURNE CLUB LN, LOUISVILLE, KY, 40222

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-03
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/07/20120807150539P030024979522001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 5024201777
Plan sponsor’s address 9000 HURSTBOURNE CLUB LN, LOUISVILLE, KY, 40222

Plan administrator’s name and address
Administrator’s EIN 610708294
Plan administrator’s name HURSTBOURNE COUNTRY CLUB INC.
Plan administrator’s address 9000 HURSTBOURNE CLUB LN, LOUISVILLE, KY, 40222
Administrator’s telephone number 5024201777

Signature of
Role Plan administrator
Date 2012-08-07
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-07
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/04/20110804095633P040109313905001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 5024201777
Plan sponsor’s address 9000 HURSTBOURNE CLUB LANE, LOUISVILLE, KY, 40222

Plan administrator’s name and address
Administrator’s EIN 610708294
Plan administrator’s name HURSTBOURNE COUNTRY CLUB INC.
Plan administrator’s address 9000 HURSTBOURNE CLUB LANE, LOUISVILLE, KY, 40222
Administrator’s telephone number 5024201777

Signature of
Role Plan administrator
Date 2011-08-04
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-04
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/28/20100928150404P040001385045001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 5024201777
Plan sponsor’s address 9000 HURSTBOURNE CLUB LANE, LOUISVILLE, KY, 40222

Plan administrator’s name and address
Administrator’s EIN 610708294
Plan administrator’s name HURSTBOURNE COUNTRY CLUB INC.
Plan administrator’s address 9000 HURSTBOURNE CLUB LANE, LOUISVILLE, KY, 40222
Administrator’s telephone number 5024201777

Signature of
Role Plan administrator
Date 2010-09-28
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-28
Name of individual signing TERRI GREENWELL
Valid signature Filed with authorized/valid electronic signature

President

Name Role
Eric Scott President

Treasurer

Name Role
Bill Jessee Treasurer

Director

Name Role
Steve Stallings Director
Mike Johnson Director
Kevin Wagner Director
Will Foley Director

Incorporator

Name Role
WILLIAM T. SMILEY Incorporator
L. J. KAISER Incorporator
DALE R. DETLEFS Incorporator

Registered Agent

Name Role
Rebecca Walter Registered Agent

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Alcoholic Beverage Control 056-RS-2698 Special Sunday Retail Drink License Active 2024-10-04 2013-06-25 - 2025-10-31 9000 Hurstbourne Club Ln, Louisville, Jefferson, KY 40222
Department of Alcoholic Beverage Control 056-SB-186667 Supplemental Bar License Active 2024-10-04 2021-10-18 - 2025-10-31 9000 Hurstbourne Club Ln, Louisville, Jefferson, KY 40222
Department of Alcoholic Beverage Control 056-SB-1874 Supplemental Bar License Active 2024-10-04 2019-11-19 - 2025-10-31 9000 Hurstbourne Club Ln, Louisville, Jefferson, KY 40222
Department of Alcoholic Beverage Control 056-NQ3-1104 NQ3 Retail Drink License Active 2024-10-04 2013-06-25 - 2025-10-31 9000 Hurstbourne Club Ln, Louisville, Jefferson, KY 40222

Permits

Agency Interest Id Program Activity Type Current Milestone Issued Date Milestone Date
50198 Wastewater KPDES Ind Storm Gen Const Approval Issued 2017-09-22 2017-09-22
Document Name KYR10L847 Coverage Letter.pdf
Date 2017-09-25
Document Download

Former Company Names

Name Action
HURSTBOURNE COUNTRY CLUB, INC., NO. 2 Old Name
HURSTBOURNE COUNTRY CLUB, INC. Merger

Filings

Name File Date
Annual Report 2025-01-20
Registered Agent name/address change 2025-01-20
Annual Report 2024-03-14
Annual Report 2023-03-08
Annual Report 2022-03-09
Annual Report 2021-03-17
Annual Report 2020-02-13
Annual Report 2019-02-06
Annual Report 2018-02-27
Annual Report 2017-03-01

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
301741781 0452110 1997-06-04 8222 SHELBYVILLE RD, LOUISVILLE, KY, 40252
Inspection Type Complaint
Scope Partial
Safety/Health Safety
Close Conference 1997-06-04
Case Closed 1997-06-04

Related Activity
Type Complaint
Activity Nr 201843653
Safety Yes

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-0708294 Corporation Unconditional Exemption 9000 HURSTBOURNE CLUB 2ND FL, LOUISVILLE, KY, 40222-5470 1972-07
In Care of Name -
Group Exemption Number 0000
Subsection Pleasure, Recreational, or Social Club
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are not deductible.
Foundation All organizations except 501(c)(3)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 5,000,000 to 9,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 14920976
Income Amount 8260273
Form 990 Revenue Amount 7473589
National Taxonomy of Exempt Entities -
Sort Name -

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name HURSTBOURNE COUNTRY CLUB INC
EIN 61-0708294
Tax Period 202212
Filing Type E
Return Type 990O
File View File
Organization Name HURSTBOURNE COUNTRY CLUB INC
EIN 61-0708294
Tax Period 202112
Filing Type E
Return Type 990O
File View File
Organization Name HURSTBOURNE COUNTRY CLUB INC
EIN 61-0708294
Tax Period 201912
Filing Type E
Return Type 990O
File View File
Organization Name HURSTBOURNE COUNTRY CLUB INC
EIN 61-0708294
Tax Period 201812
Filing Type E
Return Type 990O
File View File
Organization Name HURSTBOURNE COUNTRY CLUB INC
EIN 61-0708294
Tax Period 201712
Filing Type E
Return Type 990O
File View File
Organization Name HURSTBOURNE COUNTRY CLUB INC
EIN 61-0708294
Tax Period 201612
Filing Type E
Return Type 990O
File View File

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Related by address

9000 HURSTBOURNE CLUB LANE, LOUISVILLE, KY 40222

HURSTBOURNE FOUNDATION, INC. STEVE SHAFER GOLF PROFESSIONAL, LLC

Sources: Kentucky Secretary of State

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