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FORM 5500 DATA

Express Oil Change, LLC 401k Plan

Overview

Plan Information

  • Plan Year01/01/2015 — 12/31/2015
  • Date of Plan01/01/1988
  • Net Assets as of 12/31/2015 $9,358,540
  • 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 12/31/2015

  • Active (Eligible) Participants839
  • Retired or separated participants receiving benefits0
  • Other retired or separated participants entitled to future benefits61
  • Subtotal900
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
  • Total900
  • Total number of participants as of 01/01/2015663
  • Number of participants with account balances340
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested114

Expenses

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

Sponsor Information

  • Address1880 South Park Drive
  • CityHoover
  • StateAL
  • Zip35244
  • Telephone(205) 945-1771
  • EIN63-1164048
  • Industry Code811190
  • Named AdministratorKathy Palmer

Plan Administrator Information

  • Administrator NameExpress Oil Change, LLC
  • Address1880 South Park Drive
  • CityHoover
  • StateAL
  • Zip35244
  • Telephone(205) 945-1771
  • Administrator EIN63-1164048

Audit Information

  • Audit StatusAudited
  • AuditorBlack & Pinckard, LLC
  • Auditor EIN26-0079381
  • 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.
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.
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.
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.

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 $35,481
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 $790,864
Contributions $988,890
Cash Contributions $988,890
Cash from Employers $245,878
Cash from Participants $743,012
Others (including rollovers) $0
Noncash Contributions $0
Total Earnings on Investments $-198,026
Total Interest $1,950
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $0
Interest from Other Investments $1,950
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 $-199,976
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 $1,020,661
Total Benefit Payments $1,020,402
Directly to participants or beneficiaries, including direct rollovers $1,020,402
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 $259
Professional Fees $0
Contract Administrator Fees $259
Investment Advisory and management fees $0
Other Administrative Fees $0
Net Income $-229,797
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2015 12/31/2014 Change YOY
Total Assets $9,431,744 $7,221,347 30.61%
Total noninterest-bearing cash $9,119 $4,542 100.77%
Receivables $78,723 $0 0.0%
Employer Contributions $7,188 $0 0.0%
Participant Contributions $20,701 $0 0.0%
Other Contributions $50,834 $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 $9,217,255 $7,129,438 29.28%
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 $126,647 $87,367 44.96%
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 $73,204 $10,937 569.32%
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) $73,204 $10,937 569.32%
Net Assets $9,358,540 $7,210,410 29.79%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • John Hancock

Other Service Providers Receiving Direct or Indirect Compensation

There are no service providers listed for this plan.

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 Ls Grow Active Strategy John Hancock USA DFE: Pooled Separate Account $1,653,183
Jh Ls Bal Active Strategy John Hancock USA DFE: Pooled Separate Account $1,299,371
Jh Ls Agg Active Strategy John Hancock USA DFE: Pooled Separate Account $1,011,462
Jh Thru 2030 Active Strategy John Hancock USA DFE: Pooled Separate Account $302,517
Fidelity Contrafund John Hancock USA DFE: Pooled Separate Account $269,749
Jh Ls Con Active Strategy John Hancock USA DFE: Pooled Separate Account $264,753
Jh Ls Mod Active Strategy John Hancock USA DFE: Pooled Separate Account $253,635
Jpmorgan Us Equity Fund John Hancock USA DFE: Pooled Separate Account $232,786
T. Rowe Price Sci & Tech John Hancock USA DFE: Pooled Separate Account $212,005
Value Fund John Hancock USA DFE: Pooled Separate Account $205,156
T. Rowe Price Health Sci John Hancock USA DFE: Pooled Separate Account $202,464
Jh Thru 2015 Active Strategy John Hancock USA DFE: Pooled Separate Account $194,040
Jh Thru 2035 Active Strategy John Hancock USA DFE: Pooled Separate Account $189,483
Jh Thru 2020 Active Strategy John Hancock USA DFE: Pooled Separate Account $180,093
American Century Heritage John Hancock USA DFE: Pooled Separate Account $175,542
Blue Chip Growth Fund John Hancock USA DFE: Pooled Separate Account $161,553
Oppenheimer Developing Mkt John Hancock USA DFE: Pooled Separate Account $138,730
Franklin Mutual Beacon Fund John Hancock USA DFE: Pooled Separate Account $135,548
Jh Thru 2025 Active Strategy John Hancock USA DFE: Pooled Separate Account $117,443
Mid Cap Stock Fund John Hancock USA DFE: Pooled Separate Account $113,862
Jh Thru 2045 Active Strategy John Hancock USA DFE: Pooled Separate Account $110,871
John Hancock Disciplined Value John Hancock USA DFE: Pooled Separate Account $104,591
Jh Thru 2055 Active Strategy John Hancock USA DFE: Pooled Separate Account $97,206
High Yield Fund John Hancock USA DFE: Pooled Separate Account $92,641
Jh Thru 2050 Active Strategy John Hancock USA DFE: Pooled Separate Account $92,057
Mutual Global Discovery John Hancock USA DFE: Pooled Separate Account $86,439
Vanguard Small Cap Grow Index John Hancock USA DFE: Pooled Separate Account $85,523
Fidelity Advisor Total Bond John Hancock USA DFE: Pooled Separate Account $83,028
Capital Appreciation Fund John Hancock USA DFE: Pooled Separate Account $82,708
Fundamental All Cap Core Fund John Hancock USA DFE: Pooled Separate Account $67,417
Jh Thru 2040 Active Strategy John Hancock USA DFE: Pooled Separate Account $65,338
Fundamental Large Cap Value John Hancock USA DFE: Pooled Separate Account $59,939
International Value Fund John Hancock USA DFE: Pooled Separate Account $54,270
T. Rowe Price Equity Inc John Hancock USA DFE: Pooled Separate Account $53,160
Legg Mason Clearbr Agg Growth John Hancock USA DFE: Pooled Separate Account $52,321
Massachusetts Investors Fund John Hancock USA DFE: Pooled Separate Account $39,036
Mid Value Fund John Hancock USA DFE: Pooled Separate Account $37,606
Europacific Growth Fund John Hancock USA DFE: Pooled Separate Account $37,162
American Balanced Fund John Hancock USA DFE: Pooled Separate Account $36,132
Jpmorgan Midcap Value Fund John Hancock USA DFE: Pooled Separate Account $35,188
Jh Thru 2010 Active Strategy John Hancock USA DFE: Pooled Separate Account $32,114
Franklin Small-Mid Growth John Hancock USA DFE: Pooled Separate Account $31,793
Money Market Fund John Hancock USA DFE: Pooled Separate Account $29,995
500 Index Fund John Hancock USA DFE: Pooled Separate Account $29,214
Investment Company of America John Hancock USA DFE: Pooled Separate Account $26,204
Science & Technology Fund John Hancock USA DFE: Pooled Separate Account $25,733
Templeton World John Hancock USA DFE: Pooled Separate Account $24,961
The Growth Fund of America John Hancock USA DFE: Pooled Separate Account $24,751
Invesco Small Cap Growth John Hancock USA DFE: Pooled Separate Account $22,991
Total Stock Market Index Fund John Hancock USA DFE: Pooled Separate Account $22,383
T. Rowe Price Sml Cap Val John Hancock USA DFE: Pooled Separate Account $19,934
Real Est. Securities Fund John Hancock USA DFE: Pooled Separate Account $16,721
Small Cap Value Fund John Hancock USA DFE: Pooled Separate Account $16,439
Capital World Growth & Income John Hancock USA DFE: Pooled Separate Account $13,900
Utilities Fund John Hancock USA DFE: Pooled Separate Account $13,015
Washington Mutual Investors John Hancock USA DFE: Pooled Separate Account $11,793
Vanguard Short-Term Federal John Hancock USA DFE: Pooled Separate Account $11,689
Blackrock Global Allocation John Hancock USA DFE: Pooled Separate Account $11,440
Vanguard Small Cap Value Index John Hancock USA DFE: Pooled Separate Account $11,200
Fundamental Investors John Hancock USA DFE: Pooled Separate Account $11,106
Strategic Income Opp Fund John Hancock USA DFE: Pooled Separate Account $10,978
Capital World Bond Fund John Hancock USA DFE: Pooled Separate Account $10,214
Vanguard Mid-Cap Growth Etf John Hancock USA DFE: Pooled Separate Account $10,027
T. Rowe Price Spectrum Inc John Hancock USA DFE: Pooled Separate Account $9,136
Oppenheimer Intl Growth Fund John Hancock USA DFE: Pooled Separate Account $7,649
Pimco Global Bond John Hancock USA DFE: Pooled Separate Account $6,790
New Perspective Fund John Hancock USA DFE: Pooled Separate Account $6,689
Income Fund of America John Hancock USA DFE: Pooled Separate Account $6,628
Vanguard Energy Fund John Hancock USA DFE: Pooled Separate Account $6,614
Fidelity Adv Leveraged Co Stk John Hancock USA DFE: Pooled Separate Account $6,412
Small Cap Growth Fund John Hancock USA DFE: Pooled Separate Account $5,047
Invesco International Growth John Hancock USA DFE: Pooled Separate Account $4,952
Smallcap World Fund John Hancock USA DFE: Pooled Separate Account $3,544
Fidelity Adv New Insights John Hancock USA DFE: Pooled Separate Account $3,165
Parnassus Core Equity Fund John Hancock USA DFE: Pooled Separate Account $2,997
Royce Opportunity John Hancock USA DFE: Pooled Separate Account $2,759
Vanguard Explorer Fund John Hancock USA DFE: Pooled Separate Account $2,693
U.S. High Yield Bond Fund John Hancock USA DFE: Pooled Separate Account $2,080
John Hancock Intl Growth John Hancock USA DFE: Pooled Separate Account $1,936
Pimco Real Return John Hancock USA DFE: Pooled Separate Account $1,421
Capital Income Builder John Hancock USA DFE: Pooled Separate Account $1,374
Active Bond Fund John Hancock USA DFE: Pooled Separate Account $1,219
Oppenheimer Global John Hancock USA DFE: Pooled Separate Account $1,186
Dfa Emerging Markets Value John Hancock USA DFE: Pooled Separate Account $1,118
Small Cap Index Fund John Hancock USA DFE: Pooled Separate Account $1,003
John Hancock Select Growth John Hancock USA DFE: Pooled Separate Account $805
Pimco All Asset John Hancock USA DFE: Pooled Separate Account $762
Investment Qual Bond Fund John Hancock USA DFE: Pooled Separate Account $689
Oppenheimer Intl Bond John Hancock USA DFE: Pooled Separate Account $677
Vanguard Value Index Fund John Hancock USA DFE: Pooled Separate Account $643
Dfa Us Targeted Value Fund John Hancock USA DFE: Pooled Separate Account $526
Ivy Asset Strategy Fund John Hancock USA DFE: Pooled Separate Account $349
Us Government Securities John Hancock USA DFE: Pooled Separate Account $348
Keeley Small Cap Value John Hancock USA DFE: Pooled Separate Account $309
Tocqueville Gold Fund John Hancock USA DFE: Pooled Separate Account $307
Intl Small Cap Fund John Hancock USA DFE: Pooled Separate Account $280
Domini Social Equity John Hancock USA DFE: Pooled Separate Account $217
Natural Resources Fund John Hancock USA DFE: Pooled Separate Account $205
Small Company Value Fund John Hancock USA DFE: Pooled Separate Account $82
Vanguard Growth Index Fund John Hancock USA DFE: Pooled Separate Account $38
New World Fund John Hancock USA DFE: Pooled Separate Account $0
Davis New York Venture John Hancock USA DFE: Pooled Separate Account $0
Pimco Total Return John Hancock USA DFE: Pooled Separate Account $0
Total Return Fund John Hancock USA DFE: Pooled Separate Account $0
Total $9,217,252

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
John Hancock Life Insurance Company USA 389
EIN 01-0233346
Industry Code 65838
Contract Number 98191
Contract Year 01/01/2015 — 12/31/2015
Value in General Account at Year End $126,647
Value in Separate Accounts at Year End $9,217,255
Insurance Fees and Commissions $32,369
Persons Receiving Commissions and Fees
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Benetech Administrators, Inc. P.O. Box 530967 Birmingham, AL 35253 Insurance Agent or Broker $26,337 $0
Benetech Administrators, Inc. P.O. Box 530967 Birmingham, AL 35253 Third Party Administrator $4,613 $0
Wilshire Associates Inc Investment Manager/Adviser $0 $1,394 3(21) INVESTMENT ADVISORY SERVICES
Benetech Administrators, Inc. P.O. Box 530967 Birmingham, AL 35253 Third Party Administrator $0 $25 DISTRIBUTION SERVICES
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 $87,367
Additions $42,758
Contributions Deposited during the year $11,035
Dividends and credits $0
Interest credited during the year $369
Transferred from separate account $31,325
Other $29
Total of Balance and Additions $130,125
Deductions $3,478
Disbursed from fund to pay benefits or purchase annuities during the year $646
Administration charge made by carrier $0
Transferred to Separate Account $124
Other $2,708
Balance at the end of the current year $126,647