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  5. Beltrami Industrial Services, Inc.

Beltrami Industrial Services, Inc.

Company Details

Name: Beltrami Industrial Services, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 26 Aug 1986 (38 years ago)
Company Number: 21bdea5b-a9d4-e011-a886-001ec94ffe7f
File Number: 5I-192
Registered Office Address: 12297 Hwy 2 NW, Solway, MN 56678, USA
Principal Executive Office Address: 12297 Highway 2 NW, Solway, MN 56678, USA
ZIP code: 56678
County: Beltrami County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BELTRAMI INDUSTRIAL SERVICES INC. RETIREMENT PLAN 2023 411569430 2024-03-01 BELTRAMI INDUSTRIAL SERVICES INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 811310
Sponsor’s telephone number 2187517537
Plan sponsor’s address 12297 HIGHWAY 2 N.W., SOLWAY, MN, 56678

Signature of
Role Plan administrator
Date 2024-03-01
Name of individual signing JEFF FORSETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-03-01
Name of individual signing JEFF FORSETH
Valid signature Filed with authorized/valid electronic signature
BELTRAMI INDUSTRIAL SERVICES INC. RETIREMENT PLAN 2022 411569430 2023-04-03 BELTRAMI INDUSTRIAL SERVICES INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 811310
Sponsor’s telephone number 2187517537
Plan sponsor’s address 12297 HIGHWAY 2 N.W., SOLWAY, MN, 56678

Signature of
Role Plan administrator
Date 2023-04-03
Name of individual signing JEFF FORSETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-04-03
Name of individual signing JEFF FORSETH
Valid signature Filed with authorized/valid electronic signature
BELTRAMI INDUSTRIAL SERVICES, INC. RETIREMENT PLAN 2021 411569430 2022-05-11 BELTRAMI INDUSTRIAL SERVICES, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 811310
Sponsor’s telephone number 2187517537
Plan sponsor’s address 12297 HIGHWAY 2 N.W., SOLWAY, MN, 56678

Signature of
Role Plan administrator
Date 2022-05-11
Name of individual signing JEFF FORSETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-11
Name of individual signing JEFF FORSETH
Valid signature Filed with authorized/valid electronic signature
BELTRAMI INDUSTRIAL SERVICES, INC. RETIREMENT PLAN 2020 411569430 2021-03-04 BELTRAMI INDUSTRIAL SERVICES, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 811310
Sponsor’s telephone number 2187517537
Plan sponsor’s address 12297 HIGHWAY 2 N.W., SOLWAY, MN, 56678

Signature of
Role Plan administrator
Date 2021-03-04
Name of individual signing RANDY FORSETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-04
Name of individual signing RANDY FORSETH
Valid signature Filed with authorized/valid electronic signature
BELTRAMI INDUSTRIAL SERVICES, INC. RETIREMENT PLAN 2019 411569430 2020-03-12 BELTRAMI INDUSTRIAL SERVICES, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 811310
Sponsor’s telephone number 2187517537
Plan sponsor’s address 12297 HIGHWAY 2 N.W., SOLWAY, MN, 56678

Signature of
Role Plan administrator
Date 2020-03-12
Name of individual signing RANDY FORSETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-12
Name of individual signing RANDY FORSETH
Valid signature Filed with authorized/valid electronic signature
BELTRAMI INDUSTRIAL SERVICES, INC. RETIREMENT PLAN 2018 411569430 2019-05-30 BELTRAMI INDUSTRIAL SERVICES, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 811310
Sponsor’s telephone number 2187517537
Plan sponsor’s address 12297 HIGHWAY 2 N.W., SOLWAY, MN, 56678

Signature of
Role Plan administrator
Date 2019-05-30
Name of individual signing RANDY H FORSETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-30
Name of individual signing RANDY H FORSETH
Valid signature Filed with authorized/valid electronic signature
BELTRAMI INDUSTRIAL SERVICES, INC. RETIREMENT PLAN 2017 411569430 2018-05-21 BELTRAMI INDUSTRIAL SERVICES, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 811310
Sponsor’s telephone number 2187517537
Plan sponsor’s address 12297 HIGHWAY 2 N.W., SOLWAY, MN, 56678

Signature of
Role Plan administrator
Date 2018-05-21
Name of individual signing RANDY FORSETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-21
Name of individual signing RANDY FORSETH
Valid signature Filed with authorized/valid electronic signature
BELTRAMI INDUSTRIAL SERVICES, INC. RETIREMENT PLAN 2016 411569430 2017-07-27 BELTRAMI INDUSTRIAL SERVICES, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 811310
Sponsor’s telephone number 2187517537
Plan sponsor’s address 12297 HIGHWAY 2 N.W., SOLWAY, MN, 56678

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing RANDY FORSETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-27
Name of individual signing RANDY FORSETH
Valid signature Filed with authorized/valid electronic signature
BELTRAMI INDUSTRIAL SERVICES, INC. RETIREMENT PLAN 2015 411569430 2016-09-28 BELTRAMI INDUSTRIAL SERVICES, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 811310
Sponsor’s telephone number 2187517537
Plan sponsor’s address 12297 HIGHWAY 2 N.W., SOLWAY, MN, 56678

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing RANDY FORSETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-28
Name of individual signing RANDY FORSETH
Valid signature Filed with authorized/valid electronic signature
BELTRAMI INDUSTRIAL SERVICES, INC. RETIREMENT PLAN 2014 411569430 2015-07-17 BELTRAMI INDUSTRIAL SERVICES, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 811310
Sponsor’s telephone number 2187517537
Plan sponsor’s address 12297 HIGHWAY 2 N.W., SOLWAY, MN, 56678

Signature of
Role Plan administrator
Date 2015-07-17
Name of individual signing RANDY FORSETH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-17
Name of individual signing RANDY FORSETH
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Randy Forseth Chief Executive Officer 12297 Highway 2 NW, Solway, MN 56678, USA

Agent

Name Role
Mary Forseth Agent

Filing

Filing Name Filing date
Annual Reinstatement - Business Corporation (Domestic) 2009-03-27
Administrative Dissolution - Business Corporation (Domestic) 2009-01-07
Registered Office and/or Agent - Business Corporation (Domestic) 1993-03-15
Original Filing - Business Corporation (Domestic) 1986-08-26
Business Corporation (Domestic) Business Name (Business Name: Beltrami Industrial Services, Inc.) 1986-08-26

Related by officers

Randy Forseth

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Mary Forseth

No Rocks, LLC Moberg Air Base, LLC Perch Lake Land & Cattle Company, LLC

Related by address

12297 Highway 2 NW, Solway, MN 56678, USA

No Rocks, LLC Moberg Air Base, LLC

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website

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