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  5. Northern Industrial Sands, LLC

Northern Industrial Sands, LLC

Company Details

Name: Northern Industrial Sands, LLC
Jurisdiction: Minnesota
Legal type: Limited Liability Company (Foreign)
Status: Inactive
Date formed: 10 Sep 2014 (10 years ago)
Company Number: 33c35d17-1239-e411-ae2a-001ec94ffe7f
File Number: 780598100025
Registered Office Address: 1010 Dale St N, St Paul, MN 55117–5603, USA
Principal Executive Office Address: 4165 Shoreline Drive, Suite 200, Spring Park, MN 55384, United States
Principal Place of Business Address: 1000 Parkers Lake Rd, Wayzata, MN 55391, USA
ZIP code: 55117
County: Ramsey County
Place of Formation: Delaware

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHERN INDUSTRIAL SANDS 401(K) PLAN 2021 300809944 2022-01-25 NORTHERN INDUSTRIAL SANDS LLC 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 212320
Sponsor’s telephone number 6128060559
Plan sponsor’s address 4165 SHORELINE DR. SUITE 200, SPRING PARK, MN, 55384

Signature of
Role Plan administrator
Date 2022-01-12
Name of individual signing MICHAEL POLSKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-12
Name of individual signing MICHAEL POLSKY
Valid signature Filed with authorized/valid electronic signature
NORTHERN INDUSTRIAL SANDS 401(K) PLAN 2020 300809944 2021-07-07 NORTHERN INDUSTRIAL SANDS LLC 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 212320
Sponsor’s telephone number 6128060559
Plan sponsor’s address 4165 SHORELINE DR. SUITE 200, SPRING PARK, MN, 55384

Signature of
Role Plan administrator
Date 2021-07-07
Name of individual signing MICHAEL POLSKY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-07
Name of individual signing MICHAEL POLSKY
Valid signature Filed with authorized/valid electronic signature
NORTHERN INDUSTRIAL SANDS 401(K) PLAN 2018 300809944 2019-10-10 NORTHERN INDUSTRIAL SANDS LLC 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 212320
Sponsor’s telephone number 6128060559
Plan sponsor’s address 4165 SHORELINE DR. SUITE 200, SPRING PARK, MN, 55384

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing BRIAN GILBERTSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-10
Name of individual signing BRIAN GILBERTSON
Valid signature Filed with authorized/valid electronic signature
NORTHERN INDUSTRIAL SANDS 401(K) PLAN 2017 300809944 2018-10-03 NORTHERN INDUSTRIAL SANDS LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 212320
Sponsor’s telephone number 6128060559
Plan sponsor’s address 4165 SHORELINE DR. SUITE 200, SPRING PARK, MN, 55384

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing BRIAN GILBERTSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-03
Name of individual signing BRIAN GILBERTSON
Valid signature Filed with authorized/valid electronic signature
NORTHERN INDUSTRIAL SANDS 401(K) PLAN 2016 300809944 2017-08-16 NORTHERN INDUSTRIAL SANDS LLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 212320
Sponsor’s telephone number 6128060559
Plan sponsor’s address 1000 PARKERS LAKE ROAD, WAYZATA, MN, 55391

Signature of
Role Plan administrator
Date 2017-08-15
Name of individual signing BRIAN GILBERTSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-15
Name of individual signing BRIAN GILBERTSON
Valid signature Filed with authorized/valid electronic signature
NORTHERN INDUSTRIAL SANDS 401(K) PLAN 2015 300809944 2016-08-15 NORTHERN INDUSTRIAL SANDS LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 212320
Sponsor’s telephone number 6128060559
Plan sponsor’s address 1000 PARKERS LAKE ROAD, WAYZATA, MN, 55391

Signature of
Role Plan administrator
Date 2016-08-15
Name of individual signing BRIAN GILBERTSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-15
Name of individual signing BRIAN GILBERTSON
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Brian Gilbertson Manager 4165 Shoreline Drive, Suite 200, Spring Park, MN 55384, United States

Filing

Filing Name Filing date
Revocation Due to Resignation of Agent - Limited Liability Company (Foreign) 2021-10-06
Resignation of Agent - Limited Liability Company (Foreign) 2021-07-28
Conversion to 322C Due to Statute Mandate – Limited Liability Company (Foreign) 2018-01-01
Registered Office and/or Agent - Limited Liability Company (Foreign) 2016-09-16
Original Filing - Limited Liability Company (Foreign) (Business Name: Northern Industrial Sands, LLC) 2014-09-10

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1010 Dale St N, St Paul, MN 55117–5603, USA

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Date of last update: 31 Dec 2024

Sources: Minnesota's Official State Website

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