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  5. ARROWHEAD RANCH

ARROWHEAD RANCH

Company Details

Entity Name: ARROWHEAD RANCH
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 08 Nov 1945
Company Number: CORP_28358954
File Number: 28358954
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
Z77ZG9KHTKD7 2024-10-23 12200 104TH ST, COAL VALLEY, IL, 61240, 9712, USA PO BOX 370, COAL VALLEY, IL, 61240, 0370, USA

Business Information
URL https://www.arrowheadyouth.org/
Congressional District 17
State/Country of Incorporation IL, USA
Activation Date 2023-10-26
Initial Registration Date 2011-06-29
Entity Start Date 1945-11-08
Fiscal Year End Close Date Jun 30

Service Classifications
NAICS Codes 623990, 624229

Points of Contacts
Electronic Business
Title PRIMARY POC
Name RICHARD CLAIBORNE
Role CFO
Address 12200 104TH ST, COAL VALLEY, IL, 61240, USA
Government Business
Title PRIMARY POC
Name RICHARD CLAIBORNE
Role CFO
Address 12200 104TH ST, COAL VALLEY, IL, 61240, USA
Past Performance
Title PRIMARY POC
Name RICHARD CLAIBORNE
Role CFO
Address 12200 104TH ST, COAL VALLEY, IL, 61240, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ARROWHEAD RANCH 403(B) RETIREMENT SAVINGS PLAN 2023 362192833 2024-06-07 ARROWHEAD RANCH 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 813000
Sponsor’s telephone number 3097997044
Plan sponsor’s address 12200 104TH STREET, COAL VALLEY, IL, 61240
ARROWHEAD RANCH 403(B) RETIREMENT SAVINGS PLAN 2022 362192833 2023-10-13 ARROWHEAD RANCH 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 813000
Sponsor’s telephone number 3097997044
Plan sponsor’s address 12200 104TH STREET, COAL VALLEY, IL, 61240

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing RICHARD CLAIBORNE
Valid signature Filed with authorized/valid electronic signature
ARROWHEAD RANCH 403(B) RETIREMENT SAVINGS PLAN 2021 362192833 2022-02-14 ARROWHEAD RANCH 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 813000
Sponsor’s telephone number 3097997044
Plan sponsor’s address PO BOX 370, 12200 104TH ST, COAL VALLEY, IL, 612409712

Signature of
Role Plan administrator
Date 2022-02-14
Name of individual signing MICHELLE MCAFEE
Valid signature Filed with authorized/valid electronic signature
ARROWHEAD RANCH 403(B) RETIREMENT SAVINGS PLAN 2020 362192833 2021-05-11 ARROWHEAD RANCH 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 813000
Sponsor’s telephone number 3097997044
Plan sponsor’s address PO BOX 370, 12200 104TH ST, COAL VALLEY, IL, 612409712

Signature of
Role Plan administrator
Date 2021-05-11
Name of individual signing GINA REED
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-11
Name of individual signing GINA REED
Valid signature Filed with authorized/valid electronic signature
ARROWHEAD RANCH 403(B) RETIREMENT SAVINGS PLAN 2019 362192833 2020-06-11 ARROWHEAD RANCH 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 813000
Sponsor’s telephone number 3097997044
Plan sponsor’s address 12200 104TH STREET, COAL VALLEY, IL, 61240

Signature of
Role Plan administrator
Date 2020-06-11
Name of individual signing TED KURT
Valid signature Filed with authorized/valid electronic signature
ARROWHEAD RANCH 403(B) RETIREMENT SAVINGS PLAN 2018 362192833 2019-07-29 ARROWHEAD RANCH 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 813000
Sponsor’s telephone number 3097997044
Plan sponsor’s address 12200 104TH STREET, COAL VALLEY, IL, 61240

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing TED KURT
Valid signature Filed with authorized/valid electronic signature
ARROWHEAD RANCH 403(B) RETIREMENT SAVINGS PLAN 2017 362192833 2018-05-21 ARROWHEAD RANCH 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 813000
Sponsor’s telephone number 3097997044
Plan sponsor’s address 12200 104TH STREET, COAL VALLEY, IL, 61240

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing SUSAN FULLMER
Valid signature Filed with authorized/valid electronic signature
ARROWHEAD RANCH INC. 403B RETIREMENT SAVINGS PLAN 2016 362192833 2017-08-11 ARROWHEAD RANCH 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 813000
Sponsor’s telephone number 3097997044
Plan sponsor’s address 12200 104TH STREET, COAL VALLEY, IL, 61240

Signature of
Role Plan administrator
Date 2017-08-11
Name of individual signing SUSAN FULLMER
Valid signature Filed with authorized/valid electronic signature
ARROWHEAD RANCH INC. 403B RETIREMENT SAVINGS PLAN 2015 362192833 2016-09-28 ARROWHEAD RANCH 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 813000
Sponsor’s telephone number 3097997044
Plan sponsor’s address 12200 104TH STREET, COAL VALLEY, IL, 61240

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing SUSAN FULLMER
Valid signature Filed with authorized/valid electronic signature
ARROWHEAD RANCH INC. 403B RETIREMENT SAVINGS PLAN 2014 362192833 2015-05-20 ARROWHEAD RANCH 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 813000
Sponsor’s telephone number 3097997044
Plan sponsor’s address 12200 104TH STREET, COAL VALLEY, IL, 61240

Signature of
Role Plan administrator
Date 2015-05-20
Name of individual signing ANGELA MOODY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-20
Name of individual signing ANGELA MOODY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LUIS S MORENO, 12200 104 ST PO BOX 370, COAL VALLEY, 61240, ROCK ISLAND Agent 2019-10-30

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ARROWHEAD YOUTH AND FAMILY SERVICES NFP Assume Name 2013-12-13 No data No data No data

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
36-2192833 Corporation Unconditional Exemption 12200 104TH ST, COAL VALLEY, IL, 61240-9712 1958-06
In Care of Name % TED P KURT
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
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, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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 deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2022-06
Asset 5,000,000 to 9,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Jun
Asset Amount 9327606
Income Amount 3086642
Form 990 Revenue Amount 3086642
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name ARROWHEAD RANCH INC
EIN 36-2192833
Tax Period 202206
Filing Type E
Return Type 990
File View File
Organization Name ARROWHEAD RANCH INC
EIN 36-2192833
Tax Period 202106
Filing Type E
Return Type 990
File View File
Organization Name ARROWHEAD RANCH INC
EIN 36-2192833
Tax Period 202006
Filing Type E
Return Type 990
File View File
Organization Name ARROWHEAD RANCH INC
EIN 36-2192833
Tax Period 201906
Filing Type E
Return Type 990
File View File
Organization Name ARROWHEAD RANCH INC
EIN 36-2192833
Tax Period 201806
Filing Type E
Return Type 990
File View File
Organization Name ARROWHEAD RANCH INC
EIN 36-2192833
Tax Period 201706
Filing Type E
Return Type 990
File View File
Organization Name ARROWHEAD RANCH INC
EIN 36-2192833
Tax Period 201606
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3383678308 2021-01-22 0507 PPS 12200 104th St, Coal Valley, IL, 61240-9712
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 416600
Loan Approval Amount (current) 416600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 21972
Servicing Lender Name Blackhawk Bank & Trust
Servicing Lender Address 301 W 4th St, MILAN, IL, 61264-2455
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Coal Valley, ROCK ISLAND, IL, 61240-9712
Project Congressional District IL-17
Number of Employees 55
NAICS code 623990
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 21972
Originating Lender Name Blackhawk Bank & Trust
Originating Lender Address MILAN, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 419145.25
Forgiveness Paid Date 2021-09-15
5145787107 2020-04-13 0507 PPP 12200 104TH ST, COAL VALLEY, IL, 61240-9712
Loan Status Date 2021-02-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 416600
Loan Approval Amount (current) 416600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 21972
Servicing Lender Name Blackhawk Bank & Trust
Servicing Lender Address 301 W 4th St, MILAN, IL, 61264-2455
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address COAL VALLEY, ROCK ISLAND, IL, 61240-9712
Project Congressional District IL-17
Number of Employees 55
NAICS code 624310
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 21972
Originating Lender Name Blackhawk Bank & Trust
Originating Lender Address MILAN, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 419578.98
Forgiveness Paid Date 2021-01-07

Related by officers

No related officers

Related by address

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Date of last update: 13 Mar 2025

Sources: Illinois Office of the Secretary of State

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