401k Plan data: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN plan

TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 401k Plan overview

Plan Name	TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN
Plan identification number	506

TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Temporary disability (accident and sickness) Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

PROFESSIONAL LUBE MANAGEMENT INC. has sponsored the creation of one or more 401k plans.

Company Name: PROFESSIONAL LUBE MANAGEMENT INC.

Employer identification number (EIN): 752320404

NAIC Classification: 811190

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2016-01-01 VICKY DICLEMENTE
506 2015-01-01 VICKY DICLEMENTE
506 2014-01-01 VICKY DICLEMENTE
506 2013-01-01 VICKY DICLEMENTE
506 2012-01-01 VICKY DICLEMENTE
506 2011-01-01 VICKY DICLEMENTE
506 2009-01-01 VICKY DICLEMENTE

Plan id#	Filing Submission Date	Name of Administrator
506	2016-01-01	VICKY DICLEMENTE
506	2015-01-01	VICKY DICLEMENTE
506	2014-01-01	VICKY DICLEMENTE
506	2013-01-01	VICKY DICLEMENTE
506	2012-01-01	VICKY DICLEMENTE
506	2011-01-01	VICKY DICLEMENTE
506	2009-01-01	VICKY DICLEMENTE

Plan Statistics for TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN

401k plan membership statisitcs for TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN

Measure Date Value
2016: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 257
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Total participants 2016-01-01 0
2015: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 253
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 257
Total of all active and inactive participants 2015-01-01 257
Total participants 2015-01-01 257
2014: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 219
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 253
Total of all active and inactive participants 2014-01-01 253
Total participants 2014-01-01 253
2013: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 171
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 219
Total of all active and inactive participants 2013-01-01 219
Total participants 2013-01-01 219
2012: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 171
Total of all active and inactive participants 2012-01-01 171
Total participants 2012-01-01 171
2011: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 111
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 120
Total of all active and inactive participants 2011-01-01 120
Total participants 2011-01-01 120
2009: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 128
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 116
Total of all active and inactive participants 2009-01-01 116
Total participants 2009-01-01 116

Measure	Date	Value
2016: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	257
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Total participants	2016-01-01	0
2015: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	253
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	257
Total of all active and inactive participants	2015-01-01	257
Total participants	2015-01-01	257
2014: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	219
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	253
Total of all active and inactive participants	2014-01-01	253
Total participants	2014-01-01	253
2013: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	219
Total of all active and inactive participants	2013-01-01	219
Total participants	2013-01-01	219
2012: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	171
Total of all active and inactive participants	2012-01-01	171
Total participants	2012-01-01	171
2011: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	111
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	120
Total of all active and inactive participants	2011-01-01	120
Total participants	2011-01-01	120
2009: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	128
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	116
Total of all active and inactive participants	2009-01-01	116
Total participants	2009-01-01	116

Form 5500 Responses for TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN

2016: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: TEAM MEMBER SAFETY PROGRAM BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	PROFESSIONAL LUBE MANAGEMENT INC.
Employer identification number (EIN):	752320404
NAIC Classification:	811190