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NORTHWESTERN ILLINOIS COMMUNITY ACTION AGENCY

Company Details

Entity Name: NORTHWESTERN ILLINOIS COMMUNITY ACTION AGENCY
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 29 Sep 1966
Company Number: CORP_46957415
File Number: 46957415
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
G5YRK6171986 2024-12-06 27 S STATE AVE, STE 102, FREEPORT, IL, 61032, 4210, USA 27 S. STATE ST., FREEPORT, IL, 61032, 4210, USA

Business Information

URL www.nicaa.org
Division Name NORTHWESTERN IL COMMUNITY ACTION AGENCY
Congressional District 17
State/Country of Incorporation IL, USA
Activation Date 2023-12-21
Initial Registration Date 2009-06-11
Entity Start Date 1966-09-29
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 624410

Points of Contacts

Electronic Business
Title PRIMARY POC
Name ELISHA M WALKER
Address 27 S. STATE AVE., SUITE 102, FREEPORT, IL, 61032, 4210, USA
Title ALTERNATE POC
Name BRENDA BULLOCK
Address 27 S. STATE AVE., SUITE 102, FREEPORT, IL, 61032, 4210, USA
Government Business
Title PRIMARY POC
Name ELISHA M WALKER
Address 27 S. STATE AVE., SUITE 102, FREEPORT, IL, 61032, 4210, USA
Title ALTERNATE POC
Name BRENDA BULLOCK
Address 27 S. STATE AVE., SUITE 102, FREEPORT, IL, 61032, 4210, USA
Past Performance
Title PRIMARY POC
Name MARCIA A DERRER
Address 27 S. STATE AVE., SUITE 102, FREEPORT, IL, 61032, 4210, USA
Title ALTERNATE POC
Name BRENDA BULLOCK
Address 27 S. STATE AVE., SUITE 102, FREEPORT, IL, 61032, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWESTERN ILLINOIS COMMUNITY ACTION AGENCY 2022 362598679 2023-08-10 NORTHWESTERN ILLINOIS COMMUNITY ACTION AGENCY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 624100
Sponsor’s telephone number 8152323141
Plan sponsor’s address 27 S STATE AVE STE 102, FREEPORT, IL, 610324210

Signature of

Role Plan administrator
Date 2023-08-10
Name of individual signing MARCIA DERRER
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF NORTHWESTERN ILLINOIS COMMUNITY ACTION AGENCY 2021 362598679 2022-07-13 NORTHWESTERN ILLINOIS COMMUNITY ACTION AGENCY 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 624100
Sponsor’s telephone number 8152323141
Plan sponsor’s address 27 S STATE AVE STE 102, FREEPORT, IL, 610324210

Signature of

Role Plan administrator
Date 2022-07-13
Name of individual signing MARCIA DERRER
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF NORTHWESTERN ILLINOIS COMMUNITY ACTION AGENCY 2020 362598679 2021-07-08 NORTHWESTERN ILLINOIS COMMUNITY ACTION AGENCY 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 624100
Sponsor’s telephone number 8152323141
Plan sponsor’s address 27 S STATE AVE STE 102, FREEPORT, IL, 610324210

Signature of

Role Plan administrator
Date 2021-07-08
Name of individual signing MARCIA DERRER
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF NORTHWESTERN ILLINOIS COMMUNITY ACTION AGENCY 2019 362598679 2020-08-06 NORTHWESTERN ILLINOIS COMMUNITY ACTION AGENCY 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 624100
Sponsor’s telephone number 8152323141
Plan sponsor’s address 27 S STATE AVE STE 102, FREEPORT, IL, 610324210

Signature of

Role Plan administrator
Date 2020-08-06
Name of individual signing MARCIA DERRER
Valid signature Filed with authorized/valid electronic signature
TAX DEFERRED ANNUITY PLAN OF NORTHWESTERN ILLINOIS COMMUNITY ACTION AGENCY 2018 362598679 2019-07-31 NORTHWESTERN ILLINOIS COMMUNITY ACTION AGENCY 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-02-01
Business code 624100
Sponsor’s telephone number 8152323141
Plan sponsor’s address 27 S STATE AVE STE 102, FREEPORT, IL, 610324210

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing MARCIA DERRER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ELISHA WALKER, 27 S STATE AVE STE 102, FREEPORT, 61032, STEPHENSON Agent 2024-01-18

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State