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NORTHWESTERN ILLINOIS AREA AGENCY ON AGING, INC.

Company Details

Entity Name: NORTHWESTERN ILLINOIS AREA AGENCY ON AGING, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 24 Jun 1974
Company Number: CORP_50469778
File Number: 50469778
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF NORTHWESTERN ILLINOIS AREA AGENCY ON AGING 2021 362742719 2023-02-07 NORTHWESTERN ILLINOIS AREA AGENCY ON AGING 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8152264901
Plan sponsor’s address 1111 S ALPINE RD STE 600, ROCKFORD, IL, 611083948

Signature of

Role Plan administrator
Date 2023-02-07
Name of individual signing GRANT NYHAMMER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF NORTHWESTERN ILLINOIS AREA AGENCY ON AGING 2020 362742719 2021-07-06 NORTHWESTERN ILLINOIS AREA AGENCY ON AGING 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8152264901
Plan sponsor’s address 1111 S ALPINE RD STE 600, ROCKFORD, IL, 611083948

Signature of

Role Plan administrator
Date 2021-07-06
Name of individual signing GRANT NYHAMMER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF NORTHWESTERN ILLINOIS AREA AGENCY ON AGING 2019 362742719 2020-10-06 NORTHWESTERN ILLINOIS AREA AGENCY ON AGING 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8152264901
Plan sponsor’s address 1111 S ALPINE RD STE 600, ROCKFORD, IL, 611083948

Signature of

Role Plan administrator
Date 2020-10-06
Name of individual signing GRANT NYHAMMER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF NORTHWESTERN ILLINOIS AREA AGENCY ON AGING 2018 362742719 2019-07-31 NORTHWESTERN ILLINOIS AREA AGENCY ON AGING 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 8152264901
Plan sponsor’s address 1111 S ALPINE RD STE 600, ROCKFORD, IL, 611083948

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing GRANT NYHAMMER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN FOR NORTHWESTERN ILLINOIS AREA AGENCY ON AGING 2010 362742719 2011-08-10 NORTHWESTERN ILLINOIS AREA AGENCY ON AGING 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 624100
Sponsor’s telephone number 8152264901
Plan sponsor’s address 1111 SOUTH ALPINE ROAD, SUITE 600, ROCKFORD, IL, 61108

Plan administrator’s name and address

Administrator’s EIN 362742719
Plan administrator’s name NORTHWESTERN ILLINOIS AREA AGENCY ON AGING
Plan administrator’s address 1111 SOUTH ALPINE ROAD, SUITE 600, ROCKFORD, IL, 61108
Administrator’s telephone number 8152264901

Signature of

Role Plan administrator
Date 2011-08-10
Name of individual signing GRANT NYHAMMER
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN FOR NORTHWESTERN ILLINOIS AREA AGENCY ON AGING 2009 362742719 2010-12-01 NORTHWESTERN ILLINOIS AREA AGENCY ON AGING 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 624100
Sponsor’s telephone number 8152264901
Plan sponsor’s address 2576 CHARLES AVENUE, ROCKFORD, IL, 611081605

Plan administrator’s name and address

Administrator’s EIN 362742719
Plan administrator’s name NORTHWESTERN ILLINOIS AREA AGENCY ON AGING
Plan administrator’s address 2576 CHARLES AVENUE, ROCKFORD, IL, 611081605
Administrator’s telephone number 8152264901

Signature of

Role Plan administrator
Date 2010-12-01
Name of individual signing GRANT L. NYHAMMER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GRANT L NYHAMMER, 1111 S, ALPINE RD #600, ROCKFORD, 61108, WINNEBAGO Agent 2014-02-21

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State