KLOUSE CONSTRUCTION CO.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

LOUIS J. FOLEY, M.D. GYNECOLOGY, LTD. PROFIT SHARING TRUST

2012

362750025

2013-10-07

LOUIS J. FOLEY, M.D. GYNECOLOGY, LTD.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1973-10-15
Business code	621111
Sponsor’s telephone number	8158729491
Plan sponsor’s address	530 PARK AVENUE EAST STE 205, PRINCETON, IL, 61356

Signature of

Role	Plan administrator
Date	2013-10-07
Name of individual signing	LOUIS FOLEY
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2013-10-07
Name of individual signing	LOUIS FOLEY
Valid signature	Filed with authorized/valid electronic signature

LOUIS J. FOLEY, M.D. GYNECOLOGY, LTD. PENSION TRUST

2012

362750025

2013-10-05

LOUIS J. FOLEY, M.D. GYNECOLOGY, LTD.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1973-10-15
Business code	621111
Plan sponsor’s address	530 PARK AVENUE EAST STE 205, PRINCETON, IL, 61356

Signature of

Role	Plan administrator
Date	2013-10-05
Name of individual signing	LOUIS FOLEY
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2013-10-05
Name of individual signing	LOUIS FOLEY
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role
JOHN R KLOUSE, 4699 W CAL-SAG RD, CRESTWOOD, 60445, COOK-NOT IN CITY OF CHICAGO	Agent

Name and Address	Role
JOHN R KLOUSE, 16411 UNIVERSITY AVE SOUTH HOLLAND	President

Date of last update: 27 Jan 2025