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FORM 5500 DATA

A&M Supply Holdings, Inc. & Affiliates Employee Stock Ownership and Savings Plan

Overview

Plan Information

  • Plan Year10/01/2014 — 09/30/2015
  • Date of Plan02/01/2001
  • Net Assets as of 09/30/2015 $9,620,452
  • Plan Number1
  • Plan Type Single Employer
  • Is the plan collectively bargained? No
  • Did the plan file for an extension of time or the DFVC Program?Yes
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 09/30/2015

  • Active (Eligible) Participants176
  • Retired or separated participants receiving benefits22
  • Other retired or separated participants entitled to future benefits102
  • Subtotal300
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits3
  • Total303
  • Total number of participants as of 10/01/2014302
  • Number of participants with account balances272
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested9

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • Address6701 90th Ave
  • CityPinellas Park
  • StateFL
  • Zip33782-4535
  • Telephone(727) 541-6631
  • EIN54-1598875
  • Industry Code423300
  • Named AdministratorJeffrey Dooly
  • Named Plan SponsorJeffrey Dooly

Audit Information

  • Audit StatusAudited
  • AuditorRsm Us LLP
  • Auditor EIN42-0714325
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code Benefit Description
2E Profit-sharing A defined contribution plan that allows employer discretionary contributions. These plans often contain a 401(k) feature.
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
2G Total participant-directed account plan Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
2I Stock bonus A stock bonus plan is a type of profit-sharing by which a corporation uses its own stock to make contributions and distributions.
2J Code section 401(k) feature A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
2K Code section 401(m) arrangement Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contributions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
2O ESOP other than a leveraged ESOP An Employee Stock Ownership Plan (ESOP) is a type of employee benefit plan designed to invest primarily in employer stock.
2T Participant-directed Account Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
3H Controlled Group Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).
3I Employer Securities Limitations Plan requiring that all or part of employer contributions be invested and held, at least for a limited period, in employer securities.

Questions and Answers

Question Answer Amount
During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No
Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? Yes $1,000,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No
Has the plan failed to provide any benefit when due under the plan? No
If this is an individual account plan, was there a blackout period? No
If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3? No

Financials

Income and Expense Statement

Income $1,361,940
Contributions $1,171,099
Cash Contributions $965,614
Cash from Employers $603,400
Cash from Participants $241,203
Others (including rollovers) $121,011
Noncash Contributions $205,485
Total Earnings on Investments $189,982
Total Interest $5,769
Interest-Bearing Cash $93
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $5,676
Interest from Other Investments $0
Total Dividends $0
Preferred Stock $0
Common Stock $0
Rents $0
Net gain (loss) on sale of assets $0
Aggregate Proceeds $0
Aggregate Carrying Amount $0
Total Unrealized Appreciation (depreciation) of assets $159,782
Real Estate $0
Other $159,782
Net investment gain (loss) from common/collective trusts $3,118
Net investment gain (loss) from pooled separate accounts $21,313
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $0
Other Income $859
Expenses $423,024
Total Benefit Payments $393,030
Directly to participants or beneficiaries, including direct rollovers $392,534
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $496
Corrective Distributions $27,283
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $2,711
Professional Fees $0
Contract Administrator Fees $2,695
Investment Advisory and management fees $0
Other Administrative Fees $16
Net Income $938,916
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

09/30/2015 09/30/2014 Change YOY
Total Assets $9,620,452 $8,682,055 10.81%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $0 $38 -100.00%
Employer Contributions $0 $0 0.0%
Participant Contributions $0 $0 0.0%
Other Contributions $0 $38 -100.00%
General Investments $426,560 $126,483 237.25%
Interest-bearing cash $426,560 $126,483 237.25%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $101,485 $99,676 1.81%
Value of interest in common/collective trusts $268,746 $91,623 193.32%
Value of interest in pooled separate accounts $2,417,461 $2,323,302 4.05%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $0 $0 0.0%
Value of funds held in insurance co. general account $0 $0 0.0%
Other Investments $0 $0 0.0%
Employer-related Investments $6,406,200 $6,040,933 6.05%
Employer Securities $6,406,200 $6,040,933 6.05%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $0 $519 -100.00%
Benefit Claims Payable (1) $0 $519 -100.00%
Operating Payables (1) $0 $0 0.0%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $0 0.0%
Net Assets $9,620,452 $8,681,536 10.82%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

There is no information on eligible indirect compensation for this plan.

Other Service Providers Receiving Direct or Indirect Compensation

Name Nature of Service Relationship to Plan Sponsor Direct Compensation Paid by Plan Indirect Compensation Paid by Plan Total Compensation
Principal Life Insurance Company Contract Administrator, Participant loan processing, Direct payment from the plan, Recordkeeping fees Contract Administrator $2,695 $0 $2,695
Stahl & Associates Other services, Other commissions, Other fees Other Services $0 $213 $213
Total $2,695 $213 $2,908

Indirect Compensation

There are no service providers with indirect compensation listed for this plan.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information for this plan.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Prin Core Plus Bd Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $281,645
Principal Stable Value Fund Union Bond & Trust Company DFE: Common/Collective Trust $268,746
Prin Smallcap Value II Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $250,381
Prin Midcap S&P 400 Idx Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $223,319
Prin U.S. Property Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $212,749
Prin Largecap Growth I Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $207,523
Prin Lifetime 2030 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $166,541
Prin Intl Smallcap Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $164,473
Prin Lifetime 2040 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $161,765
Prin Lifetime 2020 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $148,455
Prin Largecap Value III Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $134,641
Prin Smallcap Growth I Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $88,630
Prin Lifetime 2050 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $80,806
Prin Lifetime 2010 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $63,421
Prin Lgcap S&P 500 Index Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $45,502
Prin Midcap Value I Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $35,853
Principal Smallcap Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $30,205
Prin Smcap S&P 600 Index Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $23,945
Prin Midcap Growth Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $20,421
Prin Diversified Intl Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $20,150
Prin Midcap Growth III Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $17,753
Prin Lifetime Strat Inc Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $11,461
Prin Intl Emerg Markets Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $8,799
Prin Capital Appr Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $7,318
Prin Pref Secs Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $6,092
Prin Lifetime 2060 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $5,040
Prin High Yield I Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $573
Total $2,686,207

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Principal Life Insurance Company 303
EIN 42-0127290
Industry Code 61271
Contract Number 803310
Contract Year 10/01/2014 — 09/30/2015
Value in General Account at Year End $0
Value in Separate Accounts at Year End $2,417,461
Insurance Fees and Commissions $6,118
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Stahl & Associates 110 Carillon Pkwy St Petersburg, FL 33716 -1201 Insurance Agent or Broker $5,934 $184 REFERRAL/SERVICE FEE
Allocated Funds
Type of Contract Unspecified
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
Unallocated Funds
Type of Contract Unspecified
Balance at the end of the previous year $0
Additions $0
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $0
Transferred from separate account $0
Other $0
Total of Balance and Additions $0
Deductions $0
Disbursed from fund to pay benefits or purchase annuities during the year $0
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $0