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NORBERG MEMORIAL HOME, INC.

Company Details

Entity Name: NORBERG MEMORIAL HOME, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 22 Oct 1968
Company Number: CORP_49146060
File Number: 49146060
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORBERG MH, INC., I-401K PSP 2014 362660787 2015-09-11 NORBERG MEMORIAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 812210
Sponsor’s telephone number 8158752425
Plan sponsor’s address 701 THOMPSON STREET, PRINCETON, IL, 613562505

Signature of

Role Plan administrator
Date 2015-09-11
Name of individual signing SHANNON SMALLWOOD
Valid signature Filed with authorized/valid electronic signature
NORBERG MH, INC., I-401K PSP 2013 362660787 2014-07-02 NORBERG MEMORIAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 812210
Sponsor’s telephone number 8158752425
Plan sponsor’s address 701 THOMPSON STREET, PRINCETON, IL, 613562505

Signature of

Role Plan administrator
Date 2014-07-02
Name of individual signing SHANNON SMALLWOOD
Valid signature Filed with authorized/valid electronic signature
NORBERG MH, INC., I-401K PSP 2012 362660787 2013-07-26 NORBERG MEMORIAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 812210
Sponsor’s telephone number 8158752425
Plan sponsor’s address 701 THOMPSON STREET, PRINCETON, IL, 613562505

Signature of

Role Plan administrator
Date 2013-07-26
Name of individual signing SHANNON SMALLWOOD
Valid signature Filed with authorized/valid electronic signature
NORBERG MH, INC., I-401K PSP 2011 362660787 2012-09-11 NORBERG MEMORIAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 812210
Sponsor’s telephone number 8158752425
Plan sponsor’s address 701 THOMPSON STREET, PRINCETON, IL, 613562505

Plan administrator’s name and address

Administrator’s EIN 362660787
Plan administrator’s name NORBERG MEMORIAL HOME, INC.
Plan administrator’s address 701 THOMPSON STREET, PRINCETON, IL, 613562505
Administrator’s telephone number 8158752425

Signature of

Role Plan administrator
Date 2012-09-11
Name of individual signing SHANNON SMALLWOOD
Valid signature Filed with authorized/valid electronic signature
NORBERG MH, INC., I-401K PSP 2010 362660787 2011-04-28 NORBERG MEMORIAL HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 812210
Sponsor’s telephone number 8158752425
Plan sponsor’s address 701 THOMPSON STREET, PRINCETON, IL, 613562505

Plan administrator’s name and address

Administrator’s EIN 362660787
Plan administrator’s name NORBERG MEMORIAL HOME, INC.
Plan administrator’s address 701 THOMPSON STREET, PRINCETON, IL, 613562505
Administrator’s telephone number 8158752425

Signature of

Role Plan administrator
Date 2011-04-28
Name of individual signing SHANNON SMALLWOOD
Valid signature Filed with authorized/valid electronic signature
NORBERG MH, INC., 401K PSP 2009 362660787 2010-06-17 NORBERG MEMORIAL HOME, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 812210
Sponsor’s telephone number 8158752425
Plan sponsor’s address 701 THOMPSON STREET, PRINCETON, IL, 613562505

Plan administrator’s name and address

Administrator’s EIN 362660787
Plan administrator’s name NORBERG MEMORIAL HOME, INC.
Plan administrator’s address 701 THOMPSON STREET, PRINCETON, IL, 613562505
Administrator’s telephone number 8158752425

Signature of

Role Plan administrator
Date 2010-06-17
Name of individual signing SHANNON SMALLWOOD
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES DOUGLAS SMALLWOOD, 701 THOMPSON STREET, PRINCETON, 61356, BUREAU Agent 2008-10-06

Secretary

Name and Address Role
JANICE SMALLWOOD 818 S. 5TH AVE PRINCETON, IL 61356 Secretary

President

Name and Address Role
JAMES D SMALLWOOD, 818 S 5TH AVE DR, PRINCETON, 61356 President

Historical Names

Name Change Date
PRS INC. 2002-04-09

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 120000 100

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2717958305 2021-01-21 0507 PPS 701 E Thompson St, Princeton, IL, 61356-2505
Loan Status Date 2021-07-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 29100
Loan Approval Amount (current) 29100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 21421
Servicing Lender Name Central Bank Illinois
Servicing Lender Address 101 N State St, GENESEO, IL, 61254-1345
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Princeton, BUREAU, IL, 61356-2505
Project Congressional District IL-16
Number of Employees 3
NAICS code 812210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 21421
Originating Lender Name Central Bank Illinois
Originating Lender Address GENESEO, IL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 29219.63
Forgiveness Paid Date 2021-06-23
5560697003 2020-04-05 0507 PPP 701 E THOMPSON ST, PRINCETON, IL, 61356-2505
Loan Status Date 2021-02-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 25100
Loan Approval Amount (current) 25100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 21421
Servicing Lender Name Central Bank Illinois
Servicing Lender Address 101 N State St, GENESEO, IL, 61254-1345
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PRINCETON, BUREAU, IL, 61356-2505
Project Congressional District IL-16
Number of Employees 2
NAICS code 812210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 21421
Originating Lender Name Central Bank Illinois
Originating Lender Address GENESEO, IL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 25288.95
Forgiveness Paid Date 2021-01-07

Date of last update: 17 Feb 2025

Sources: Illinois Office of the Secretary of State