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  5. Mesaba Bancshares, Inc.

Mesaba Bancshares, Inc.

Company Details

Name: Mesaba Bancshares, Inc.
Jurisdiction: Minnesota
Legal type: Business Corporation (Domestic)
Status: Inactive
Date formed: 09 Feb 1994 (31 years ago)
Company Number: 02e8e111-b3d4-e011-a886-001ec94ffe7f
File Number: 8D-33
Registered Office Address: 1215 Pokegama Ave S PO Box 160, Grand Rapids, MN 55744, USA
ZIP code: 55744
County: Itasca County
Place of Formation: Minnesota

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MESABA BANCSHARES INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2020 411780929 2021-07-14 MESABA BANCSHARES INC 115
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1998-05-01
Business code 551111
Sponsor’s telephone number 2182470091
Plan sponsor’s mailing address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Plan sponsor’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716

Plan administrator’s name and address
Administrator’s EIN 411780929
Plan administrator’s name MESABA BANCSHARES INC
Plan administrator’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Administrator’s telephone number 2182470091

Number of participants as of the end of the plan year
Active participants 102
Retired or separated participants receiving benefits 3

Signature of
Role Plan administrator
Date 2021-07-13
Name of individual signing ROBBY MARWICK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-13
Name of individual signing ROBBY MARWICK
Valid signature Filed with authorized/valid electronic signature
MESABA BANCSHARES INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2019 411780929 2020-07-16 MESABA BANCSHARES INC 113
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1998-05-01
Business code 551111
Sponsor’s telephone number 2182470091
Plan sponsor’s mailing address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Plan sponsor’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716

Plan administrator’s name and address
Administrator’s EIN 411780929
Plan administrator’s name MESABA BANCSHARES INC
Plan administrator’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Administrator’s telephone number 2182470091

Number of participants as of the end of the plan year
Active participants 103
Retired or separated participants receiving benefits 4

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing SCOTT MAKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-16
Name of individual signing ROBBY MARWICK
Valid signature Filed with authorized/valid electronic signature
MESABA BANCSHARES INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2018 411780929 2019-07-02 MESABA BANCSHARES INC 125
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1998-05-01
Business code 551111
Sponsor’s telephone number 2182470091
Plan sponsor’s mailing address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Plan sponsor’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716

Plan administrator’s name and address
Administrator’s EIN 411780929
Plan administrator’s name MESABA BANCSHARES INC
Plan administrator’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Administrator’s telephone number 2182470091

Number of participants as of the end of the plan year
Active participants 109
Retired or separated participants receiving benefits 3

Signature of
Role Plan administrator
Date 2019-07-01
Name of individual signing SCOTT MAKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-01
Name of individual signing ROBBY MARWICK
Valid signature Filed with authorized/valid electronic signature
MESABA BANCSHARES INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2017 411780929 2018-07-16 MESABA BANCSHARES INC 108
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1998-05-01
Business code 551111
Sponsor’s telephone number 2182470091
Plan sponsor’s mailing address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Plan sponsor’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716

Plan administrator’s name and address
Administrator’s EIN 411780929
Plan administrator’s name MESABA BANCSHARES INC
Plan administrator’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Administrator’s telephone number 2182470091

Number of participants as of the end of the plan year
Active participants 118
Retired or separated participants receiving benefits 2

Signature of
Role Plan administrator
Date 2018-07-16
Name of individual signing SCOTT MAKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-12
Name of individual signing ROBBY MARWICK
Valid signature Filed with authorized/valid electronic signature
MESABA BANCSHARES INC DENTAL INSURANCE PLAN 2016 411780929 2018-05-17 MESABA BANCSHARES INC 105
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1998-02-01
Business code 551111
Sponsor’s telephone number 2182470091
Plan sponsor’s mailing address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Plan sponsor’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716

Plan administrator’s name and address
Administrator’s EIN 411780929
Plan administrator’s name MESABA BANCSHARES INC
Plan administrator’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Administrator’s telephone number 2182470091

Number of participants as of the end of the plan year
Active participants 91

Signature of
Role Plan administrator
Date 2018-05-16
Name of individual signing SCOTT MAKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-16
Name of individual signing ROBBY MARWICK
Valid signature Filed with authorized/valid electronic signature
MESABA BANCSHARES INC DENTAL INSURANCE PLAN 2016 411780929 2017-06-14 MESABA BANCSHARES INC 105
Three-digit plan number (PN) 503
Effective date of plan 1998-02-01
Business code 551111
Sponsor’s telephone number 2182470091
Plan sponsor’s mailing address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Plan sponsor’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716

Plan administrator’s name and address
Administrator’s EIN 411780929
Plan administrator’s name MESABA BANCSHARES INC
Plan administrator’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Administrator’s telephone number 2182470091

Number of participants as of the end of the plan year
Active participants 91

Signature of
Role Plan administrator
Date 2017-06-13
Name of individual signing SCOTT MAKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-13
Name of individual signing ROBBY MARWICK
Valid signature Filed with authorized/valid electronic signature
MESABA BANCSHARES INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2016 411780929 2017-06-14 MESABA BANCSHARES INC 124
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1998-05-01
Business code 551111
Sponsor’s telephone number 2182470091
Plan sponsor’s mailing address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Plan sponsor’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716

Plan administrator’s name and address
Administrator’s EIN 411780929
Plan administrator’s name MESABA BANCSHARES INC
Plan administrator’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Administrator’s telephone number 2182470091

Number of participants as of the end of the plan year
Active participants 108

Signature of
Role Plan administrator
Date 2017-06-13
Name of individual signing SCOTT MAKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-13
Name of individual signing ROBBY MARWICK
Valid signature Filed with authorized/valid electronic signature
MESABA BANCSHARES INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2015 411780929 2016-06-27 MESABA BANCSHARES INC 124
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1998-05-01
Business code 551111
Sponsor’s telephone number 2182470091
Plan sponsor’s mailing address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Plan sponsor’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716

Plan administrator’s name and address
Administrator’s EIN 411780929
Plan administrator’s name MESABA BANCSHARES INC
Plan administrator’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Administrator’s telephone number 2182470091

Number of participants as of the end of the plan year
Active participants 124

Signature of
Role Plan administrator
Date 2016-05-26
Name of individual signing SCOTT MAKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-24
Name of individual signing ROBBY MARWICK
Valid signature Filed with authorized/valid electronic signature
MESABA BANCSHARES INC DENTAL INSURANCE PLAN 2015 411780929 2016-06-27 MESABA BANCSHARES INC 105
File View Page
Three-digit plan number (PN) 503
Effective date of plan 1998-02-01
Business code 551111
Sponsor’s telephone number 2182470091
Plan sponsor’s mailing address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Plan sponsor’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716

Plan administrator’s name and address
Administrator’s EIN 411780929
Plan administrator’s name MESABA BANCSHARES INC
Plan administrator’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Administrator’s telephone number 2182470091

Number of participants as of the end of the plan year
Active participants 105

Signature of
Role Plan administrator
Date 2016-05-26
Name of individual signing SCOTT MAKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-24
Name of individual signing ROBBY MARWICK
Valid signature Filed with authorized/valid electronic signature
MESABA BANCSHARES INC COMPREHENSIVE MAJOR MEDICAL HEALTH CARE PLAN 2014 411780929 2015-06-23 MESABA BANCSHARES INC 117
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1998-05-01
Business code 551111
Sponsor’s telephone number 2182470091
Plan sponsor’s mailing address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Plan sponsor’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716

Plan administrator’s name and address
Administrator’s EIN 411780929
Plan administrator’s name MESABA BANCSHARES INC
Plan administrator’s address 572 FIFTH AVE, PO BOX 377, CALUMET, MN, 55716
Administrator’s telephone number 2182470091

Number of participants as of the end of the plan year
Active participants 124

Signature of
Role Plan administrator
Date 2015-06-19
Name of individual signing SCOTT MAKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-22
Name of individual signing BRYAN RUDE
Valid signature Filed with authorized/valid electronic signature

Chief Executive Officer

Name Role Address
Robby Marwick Chief Executive Officer 2310 3rd Street NW, Grand Rapids, MN 55744, USA

Filing

Filing Name Filing date
Dissolution - Business Corporation (Domestic) 2021-12-16
Intent to Dissolve - Business Corporation (Domestic) 2021-09-09
Merger Survivor - Business Corporation (Domestic)Change of Shares 2012-05-21
Merger - Business Corporation (Domestic) 1994-05-26
Original Filing - Business Corporation (Domestic) 1994-02-09
Business Corporation (Domestic) Business Name (Business Name: Mesaba Bancshares, Inc.) 1994-02-09

Related by officers

No related officers

Related by address

1215 Pokegama Ave S PO Box 160, Grand Rapids, MN 55744, USA

Calumet Investment Company

Date of last update: 24 Sep 2024

Sources: Minnesota's Official State Website

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