KINGSTON LODGE, LLC

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

C.J. ANDERSON & COMPANY 401(K) PLAN

2012

363324824

2013-09-25

C.J. ANDERSON & COMPANY

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1994-02-01
Business code	335900
Sponsor’s telephone number	8002521910
Plan sponsor’s address	4751 N. OLCOTT AVENUE, HARWOOD HEIGHTS, IL, 60706

Signature of

Role	Plan administrator
Date	2013-09-25
Name of individual signing	MILTON T. SYBERT
Valid signature	Filed with authorized/valid electronic signature

C.J. ANDERSON & COMPANY 401(K) PROFIT-SHARING

2011

363324824

2012-03-06

C.J. ANDERSON & COMPANY

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1994-02-01
Business code	335900
Sponsor’s telephone number	8002521910
Plan sponsor’s address	4751 N. OLCOTT AVENUE, HARDWOOD HEIGHTS, IL, 607064605

Plan administrator’s name and address

Administrator’s EIN	363324824
Plan administrator’s name	C.J. ANDERSON & COMPANY
Plan administrator’s address	4751 N. OLCOTT AVENUE, HARDWOOD HEIGHTS, IL, 607064605
Administrator’s telephone number	8002521910

Signature of

Role	Plan administrator
Date	2012-03-06
Name of individual signing	MILTON T. SYBERT
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703	Agent	2018-06-08

Name and Address	Role	Appointment Date
FOGELSON, GERALD W., SUITE 5103 950 N MICHIGAN AVE, CHICAGO, IL, 60611	Manager	2021-12-29

Date of last update: 27 Jan 2025