401k Plan data: INDUSTRIAL OILS UNLIMITED, LLC

INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL 401k Plan overview

Plan Name	INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL
Plan identification number	502

INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Long-term disability cover

401k Sponsoring company profile

INDUSTRIAL OILS UNLIMITED LLC has sponsored the creation of one or more 401k plans.

Company Name: INDUSTRIAL OILS UNLIMITED LLC

Employer identification number (EIN): 731141983

NAIC Classification: 327900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2015-04-01 STACI ERWIN LEANNA VANEMAN 2016-10-31
502 2014-04-01 STACI ERWIN KELLEY EVANS 2015-10-29
502 2013-04-01 STACI ERWIN KELLEY EVANS 2015-09-02
502 2012-04-01 KELLEY EVANS RICK PAGE 2013-11-11

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2015-04-01	STACI ERWIN	LEANNA VANEMAN	2016-10-31
502	2014-04-01	STACI ERWIN	KELLEY EVANS	2015-10-29
502	2013-04-01	STACI ERWIN	KELLEY EVANS	2015-09-02
502	2012-04-01	KELLEY EVANS	RICK PAGE	2013-11-11

Plan Statistics for INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL

401k plan membership statisitcs for INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL

Measure Date Value
2015: INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL 2015 401k membership
Total participants, beginning-of-year 2015-04-01 150
Total number of active participants reported on line 7a of the Form 5500 2015-04-01 140
Total of all active and inactive participants 2015-04-01 140
Total participants 2015-04-01 140
2014: INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL 2014 401k membership
Total participants, beginning-of-year 2014-04-01 134
Total number of active participants reported on line 7a of the Form 5500 2014-04-01 149
Total of all active and inactive participants 2014-04-01 149
Total participants 2014-04-01 149
2013: INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL 2013 401k membership
Total participants, beginning-of-year 2013-04-01 110
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 128
Total of all active and inactive participants 2013-04-01 128
Total participants 2013-04-01 128
2012: INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL 2012 401k membership
Total participants, beginning-of-year 2012-04-01 103
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 107
Number of retired or separated participants receiving benefits 2012-04-01 2
Total of all active and inactive participants 2012-04-01 109
Total participants 2012-04-01 109

Measure	Date	Value
2015: INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL 2015 401k membership
Total participants, beginning-of-year	2015-04-01	150
Total number of active participants reported on line 7a of the Form 5500	2015-04-01	140
Total of all active and inactive participants	2015-04-01	140
Total participants	2015-04-01	140
2014: INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL 2014 401k membership
Total participants, beginning-of-year	2014-04-01	134
Total number of active participants reported on line 7a of the Form 5500	2014-04-01	149
Total of all active and inactive participants	2014-04-01	149
Total participants	2014-04-01	149
2013: INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL 2013 401k membership
Total participants, beginning-of-year	2013-04-01	110
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	128
Total of all active and inactive participants	2013-04-01	128
Total participants	2013-04-01	128
2012: INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL 2012 401k membership
Total participants, beginning-of-year	2012-04-01	103
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	107
Number of retired or separated participants receiving benefits	2012-04-01	2
Total of all active and inactive participants	2012-04-01	109
Total participants	2012-04-01	109

Form 5500 Responses for INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL

2015: INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL 2015 form 5500 responses
2015-04-01	Type of plan entity	Single employer plan
2015-04-01	Submission has been amended	No
2015-04-01	This submission is the final filing	No
2015-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-04-01	Plan is a collectively bargained plan	No
2015-04-01	Plan funding arrangement – Insurance	Yes
2015-04-01	Plan benefit arrangement – Insurance	Yes
2014: INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL 2014 form 5500 responses
2014-04-01	Type of plan entity	Single employer plan
2014-04-01	Submission has been amended	No
2014-04-01	This submission is the final filing	No
2014-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-04-01	Plan is a collectively bargained plan	No
2014-04-01	Plan funding arrangement – Insurance	Yes
2014-04-01	Plan benefit arrangement – Insurance	Yes
2013: INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	First time form 5500 has been submitted	Yes
2013-04-01	Submission has been amended	No
2013-04-01	This submission is the final filing	No
2013-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-04-01	Plan is a collectively bargained plan	No
2013-04-01	Plan funding arrangement – Insurance	Yes
2013-04-01	Plan benefit arrangement – Insurance	Yes
2012: INDUSTRIAL OILS UNLIMITED, LLC - DELTA DENTAL 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	First time form 5500 has been submitted	Yes
2012-04-01	Submission has been amended	No
2012-04-01	This submission is the final filing	No
2012-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-04-01	Plan is a collectively bargained plan	No
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )

Policy contract number

2279

Policy instance

Insurance contract or identification number	2279
Number of Individuals Covered	140
Insurance policy start date	2015-04-01
Insurance policy end date	2016-03-31
Total amount of commissions paid to insurance broker	USD $10,921
Total amount of fees paid to insurance company	USD $11,230
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $136,512
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,103
Insurance broker organization code?	3
Insurance broker name	JACK LENHART

DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )

Policy contract number

2279

Policy instance

Insurance contract or identification number	2279
Number of Individuals Covered	149
Insurance policy start date	2014-04-01
Insurance policy end date	2015-03-31
Total amount of commissions paid to insurance broker	USD $10,405
Total amount of fees paid to insurance company	USD $10,553
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $130,063
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,763
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	JACK LENHART

DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )

Policy contract number

2279

Policy instance

Insurance contract or identification number	2279
Number of Individuals Covered	128
Insurance policy start date	2013-04-01
Insurance policy end date	2014-03-31
Total amount of commissions paid to insurance broker	USD $8,855
Total amount of fees paid to insurance company	USD $8,633
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $110,689
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,756
Insurance broker organization code?	3
Insurance broker name	JACK LENHART

DELTA DENTAL (National Association of Insurance Commissioners NAIC id number: 53937 )

Policy contract number

2279

Policy instance

Insurance contract or identification number	2279
Number of Individuals Covered	109
Insurance policy start date	2012-04-01
Insurance policy end date	2013-03-31
Total amount of commissions paid to insurance broker	USD $7,367
Total amount of fees paid to insurance company	USD $7,635
Dental Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,578
Insurance broker organization code?	3
Insurance broker name	PLAN BENEFIT ANALYSTS OF TULSA, INC

Potentially related plans

INDUSTRIAL OILS, INC. [EIN = 751246024]

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Company Name:	INDUSTRIAL OILS UNLIMITED LLC
Employer identification number (EIN):	731141983
NAIC Classification:	327900