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FORM 5500 DATA

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

Overview

Plan Information

  • Plan Year10/01/2015 — 09/30/2016
  • Date of Plan02/01/2001
  • Net Assets as of 09/30/2016 $10,951,346
  • 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 09/30/2016

  • Active (Eligible) Participants193
  • Retired or separated participants receiving benefits7
  • Other retired or separated participants entitled to future benefits113
  • Subtotal313
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits4
  • Total317
  • Total number of participants as of 10/01/2015303
  • Number of participants with account balances288
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested13

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? Yes $67,333
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 $1,688,686
Contributions $1,336,311
Cash Contributions $491,451
Cash from Employers $229,916
Cash from Participants $211,227
Others (including rollovers) $50,308
Noncash Contributions $844,860
Total Earnings on Investments $405,913
Total Interest $4,655
Interest-Bearing Cash $213
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $4,442
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 $178,640
Real Estate $0
Other $178,640
Net investment gain (loss) from common/collective trusts $402
Net investment gain (loss) from pooled separate accounts $222,216
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 $-53,538
Expenses $357,792
Total Benefit Payments $355,093
Directly to participants or beneficiaries, including direct rollovers $355,093
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $0
Certain deemed distributions of participant loans $0
Interest expense $0
Total Administrative Expenses $2,699
Professional Fees $0
Contract Administrator Fees $2,699
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $1,330,894
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

09/30/2016 09/30/2015 Change YOY
Total Assets $10,951,346 $9,620,452 13.83%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $10,682 $0 0.0%
Employer Contributions $0 $0 0.0%
Participant Contributions $10,682 $0 0.0%
Other Contributions $0 $0 0.0%
General Investments $426,757 $426,560 0.05%
Interest-bearing cash $426,757 $426,560 0.05%
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 $87,836 $101,485 -13.45%
Value of interest in common/collective trusts $85,948 $268,746 -68.02%
Value of interest in pooled separate accounts $2,910,424 $2,417,461 20.39%
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 $7,429,699 $6,406,200 15.98%
Employer Securities $7,429,699 $6,406,200 15.98%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $0 $0 0.0%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $0 $0 0.0%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $0 0.0%
Net Assets $10,951,346 $9,620,452 13.83%

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 $2,682 $0 $2,682
Stahl & Associates Other services, Other commissions, Other fees Other Services $0 $528 $528
Total $2,682 $528 $3,210

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 $295,154
Prin Smallcap Value II Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $272,077
Prin Midcap S&P 400 Idx Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $262,242
Prin U.S. Property Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $252,877
Prin Largecap Growth I Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $229,524
Prin Lifetime 2030 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $199,222
Prin Lifetime 2040 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $198,993
Prin Lifetime 2020 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $177,637
Prin Intl Smallcap Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $149,034
Prin Largecap Value III Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $148,066
Prin Lgcap S&P 500 Index Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $139,821
Prin Smcap S&P 600 Index Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $123,528
Prin Smallcap Growth I Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $99,583
Principal Stable Value Fund Union Bond & Trust Company DFE: Common/Collective Trust $85,948
Prin Lifetime 2010 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $68,624
Prin Real Estate Secs Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $63,363
Principal Smallcap Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $42,281
Prin Midcap Value I Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $39,366
Prin Lifetime 2050 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $33,416
Prin Diversified Intl Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $24,770
Prin Midcap Growth Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $21,642
Prin Midcap Growth III Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $20,920
Prin Intl Emerg Markets Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $11,142
Prin Capital Appr Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $9,959
Prin Pref Secs Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $7,394
Prin Lifetime Strat Inc Sa-R6 Principal Life Insurance Company DFE: Pooled Separate Account $6,694
Prin High Yield I Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $6,590
Prin Lifetime 2060 Sep Acct-R6 Principal Life Insurance Company DFE: Pooled Separate Account $6,506
Total $2,996,373

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Principal Life Insurance Company 0
EIN 42-0127290
Industry Code 61271
Contract Number 803310
Contract Year 10/01/2015 — 09/30/2016
Value in General Account at Year End $0
Value in Separate Accounts at Year End $2,910,424
Insurance Fees and Commissions $5,964
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 $5,769 $195 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