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FORM 5500 DATA

A.J. Johns, Inc. 401k Profit Sharing Plan and Trust

Overview

Plan Information

  • Plan Year01/01/2012 — 12/31/2012
  • Date of Plan11/01/1979
  • Net Assets as of 12/31/2012 $4,169,625
  • 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? No
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2012

  • Active (Eligible) Participants85
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits70
  • Subtotal155
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits1
  • Total156
  • Total number of participants as of 01/01/2012168
  • Number of participants with account balances139
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested5

Expenses

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

Sponsor Information

  • Address3225 Anniston Road
  • CityJacksonville
  • StateFL
  • Zip32246-3696
  • Telephone(904) 641-2055
  • EIN59-1289863
  • Industry Code237990
  • Named AdministratorJohn Kirkland
  • Named Plan SponsorJohn Kirkland

Audit Information

  • Audit StatusAudited
  • AuditorPatrick & Robinson, LLC
  • Auditor EIN03-0464684
  • Audit Opinion Disclaimer
  • Audit TypeLimited Scope Audit

Benefits Provided Under the Plan

Code Benefit Description
2A Age/Service Weighted or New Comparability or Similar Plan Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New Comparability or Similar Plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the threshold or additional rate allowed under the permitted disparity rules of section 401(l)
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.
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.
3D Master plan A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
3H Controlled Group Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

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 $500,000
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 $535,312
Contributions $153,341
Cash Contributions $153,341
Cash from Employers $46,754
Cash from Participants $106,587
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $381,971
Total Interest $1,978
Interest-Bearing Cash $1,978
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $0
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 $0
Real Estate $0
Other $0
Net investment gain (loss) from common/collective trusts $0
Net investment gain (loss) from pooled separate accounts $379,993
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 $0
Expenses $863,860
Total Benefit Payments $828,985
Directly to participants or beneficiaries, including direct rollovers $828,985
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 $34,875
Professional Fees $19,910
Contract Administrator Fees $14,965
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $-328,548
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2012 12/31/2011 Change YOY
Total Assets $4,173,625 $4,498,173 -7.22%
Total noninterest-bearing cash $47,599 $14,289 233.12%
Receivables $0 $0 0.0%
Employer Contributions $0 $0 0.0%
Participant Contributions $0 $0 0.0%
Other Contributions $0 $0 0.0%
General Investments $0 $0 0.0%
Interest-bearing cash $0 $0 0.0%
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 $0 $0 0.0%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $0 $0 0.0%
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 $4,039,981 $4,397,410 -8.13%
Value of funds held in insurance co. general account $86,045 $86,474 -0.50%
Other Investments $0 $0 0.0%
Employer-related Investments $0 $0 0.0%
Employer Securities $0 $0 0.0%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $4,000 $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) $4,000 $0 0.0%
Net Assets $4,169,625 $4,498,173 -7.30%

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
Patrick & Robinson, LLC Accounting (including auditing) NONE $7,000 $0 $7,000
John Hancock Life Insurance Company Recordkeeping and information management (computing, tabulating, data processing, etc.), Investment management, Other services, Shareholder servicing fees, Sub-transfer agency fees, Float revenue, Distribution (12b-1) fees, Soft dollars commissions, Other insurance fees and expenses Recordkeeper $0 $0 $0
Total $7,000 $0 $7,000

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
Jh Short Term Federal John Hancock USA DFE: Pooled Separate Account $949,620
Jh Lifestyle Balanced John Hancock USA DFE: Pooled Separate Account $804,726
Jh Lifestyle Growth John Hancock USA DFE: Pooled Separate Account $725,836
Jh Lifestyle Conservative John Hancock USA DFE: Pooled Separate Account $244,828
Jh Money Market John Hancock USA DFE: Pooled Separate Account $223,696
Jh Pimco Total Return John Hancock USA DFE: Pooled Separate Account $135,412
Jh Lifestyle Moderate John Hancock USA DFE: Pooled Separate Account $125,521
Jh Real Estate Securitites Fund John Hancock USA DFE: Pooled Separate Account $121,449
Jh T Rowe Price Science & Technolog John Hancock USA DFE: Pooled Separate Account $113,141
Jh T Rowe Price Health Science John Hancock USA DFE: Pooled Separate Account $95,950
Jh Lifestyle Aggressive John Hancock USA DFE: Pooled Separate Account $63,234
Jh Energy John Hancock USA DFE: Pooled Separate Account $57,880
Jh T Rowe Price Spectrum Income John Hancock USA DFE: Pooled Separate Account $54,449
Jh Jpm Midcap Value John Hancock USA DFE: Pooled Separate Account $50,661
Jh Value Fund John Hancock USA DFE: Pooled Separate Account $42,332
Jh Blue Chip Growth John Hancock USA DFE: Pooled Separate Account $29,669
Jh Science & Technology John Hancock USA DFE: Pooled Separate Account $28,918
Jh Davis New York Venture John Hancock USA DFE: Pooled Separate Account $24,771
Jh Capital Appreciation John Hancock USA DFE: Pooled Separate Account $22,685
Jh All Cap Value John Hancock USA DFE: Pooled Separate Account $20,112
Jh Mutual Beacon John Hancock USA DFE: Pooled Separate Account $18,167
Jh Mutual Global Discovery John Hancock USA DFE: Pooled Separate Account $13,047
Jh Fidelity Advisor Gold Fund John Hancock USA DFE: Pooled Separate Account $9,654
Jh Ivy Asset Strategy John Hancock USA DFE: Pooled Separate Account $9,128
Jh Oppenheimer Developing Markets John Hancock USA DFE: Pooled Separate Account $8,878
Jh Europacific Growth John Hancock USA DFE: Pooled Separate Account $7,701
Jh Financial Services John Hancock USA DFE: Pooled Separate Account $6,997
Retirement Living At 2030 John Hancock USA DFE: Pooled Separate Account $4,609
Jh American Balanced John Hancock USA DFE: Pooled Separate Account $4,103
Jh Domini Social Equity John Hancock USA DFE: Pooled Separate Account $3,673
Jh Fundamental Large Cap Value John Hancock USA DFE: Pooled Separate Account $3,295
Jh Royce Opportunity John Hancock USA DFE: Pooled Separate Account $2,445
Jh Mid Cap Index John Hancock USA DFE: Pooled Separate Account $2,396
Jh International Small Cap John Hancock USA DFE: Pooled Separate Account $2,126
Jh Natural Resources Fund John Hancock USA DFE: Pooled Separate Account $1,825
Retirement Living At 2025 John Hancock USA DFE: Pooled Separate Account $1,799
Jh Fundamental All Cap Core John Hancock USA DFE: Pooled Separate Account $1,588
Jh High Yield Fund John Hancock USA DFE: Pooled Separate Account $1,423
Jh Dfa Emerging Markets Value John Hancock USA DFE: Pooled Separate Account $1,158
Jh Dfa International Value John Hancock USA DFE: Pooled Separate Account $957
Jh Oppenheimer Global John Hancock USA DFE: Pooled Separate Account $47
Jh Inv Small Cap Growth John Hancock USA DFE: Pooled Separate Account $45
Jh Franklin Small-Mid Growth John Hancock USA DFE: Pooled Separate Account $30
Total $4,039,981

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
John Hancock Life Insurance Company 0
EIN 01-0233346
Industry Code 65838
Contract Number 19149
Contract Year 01/01/2012 — 12/31/2012
Value in General Account at Year End $86,045
Value in Separate Accounts at Year End $4,039,981
Insurance Fees and Commissions $23,866
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Planning Corporation of America 131 2nd Avenue North, Suite 100 Jacksonville Beach, FL 32250 Insurance Agent or Broker $14,956 $0
Kemp Qualified Plan Administration 1885 Osprey Bluff Blvd. Orange Park, FL 32003 Third Party Administrator $0 $8,910 TPA 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 Guaranteed Investment
Balance at the end of the previous year $84,597
Additions $3,952
Contributions Deposited during the year $1,974
Dividends and credits $0
Interest credited during the year $1,978
Transferred from separate account $0
Other $0
Total of Balance and Additions $88,549
Deductions $3,787
Disbursed from fund to pay benefits or purchase annuities during the year $3,497
Administration charge made by carrier $290
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $84,762