401k Plan data: MAVERIK, INC. 401(K) PROFIT SHARING PLAN plan

MAVERIK, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	MAVERIK, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	002

MAVERIK, INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
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.
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.
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 contribtions 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.
ESOP other than a leveraged ESOP - A completed Schedule E must be attached to a Form 5500 filed for an Employee Stock Ownership Plan (ESOP).
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
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.

401k Sponsoring company profile

MAVERIK INC. has sponsored the creation of one or more 401k plans.

Company Name: MAVERIK INC.

Employer identification number (EIN): 830197092

NAIC Classification: 447100
NAIC Description: Gasoline Stations, Gas

Additional information about MAVERIK INC.

Jurisdiction of Incorporation: Wyoming Corporations Division

Incorporation Date: 1959-07-08

Company Identification Number: 000080059

Legal Registered Office Address: 880 West Center Street

North Salt Lake
United States of America (USA)
84054

More information about MAVERIK INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAVERIK, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2015-01-01 PAUL DANSIE
002 2014-01-01 PAUL DANSIE AMANDA POITRA 2015-10-15
002 2013-04-01 MARK FARMER
002 2012-04-01 SPENCER HEWLETT
002 2011-04-01 SPENCER HEWLETT
002 2010-04-01 SPENCER HEWLETT
002 2009-04-01 SPENCER HEWLETT

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
002	2015-01-01	PAUL DANSIE
002	2014-01-01	PAUL DANSIE	AMANDA POITRA	2015-10-15
002	2013-04-01	MARK FARMER
002	2012-04-01	SPENCER HEWLETT
002	2011-04-01	SPENCER HEWLETT
002	2010-04-01	SPENCER HEWLETT
002	2009-04-01	SPENCER HEWLETT

Plan Statistics for MAVERIK, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for MAVERIK, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2015: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3,129
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 0
Number of participants with account balances 2015-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 549
2014: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 2,799
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 2,575
Number of retired or separated participants receiving benefits 2014-01-01 2
Number of other retired or separated participants entitled to future benefits 2014-01-01 388
Total of all active and inactive participants 2014-01-01 2,965
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 2,965
Number of participants with account balances 2014-01-01 1,874
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 559
2013: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-04-01 1,972
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 1,647
Number of retired or separated participants receiving benefits 2013-04-01 2
Number of other retired or separated participants entitled to future benefits 2013-04-01 107
Total of all active and inactive participants 2013-04-01 1,756
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-04-01 0
Total participants 2013-04-01 1,756
Number of participants with account balances 2013-04-01 463
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-04-01 0
2012: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-04-01 1,786
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 1,575
Number of retired or separated participants receiving benefits 2012-04-01 1
Number of other retired or separated participants entitled to future benefits 2012-04-01 65
Total of all active and inactive participants 2012-04-01 1,641
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-04-01 1
Total participants 2012-04-01 1,642
Number of participants with account balances 2012-04-01 468
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-04-01 11
2011: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 1,651
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 1,469
Number of retired or separated participants receiving benefits 2011-04-01 0
Number of other retired or separated participants entitled to future benefits 2011-04-01 67
Total of all active and inactive participants 2011-04-01 1,536
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-04-01 1
Total participants 2011-04-01 1,537
Number of participants with account balances 2011-04-01 444
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-04-01 28
2010: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-04-01 1,635
Total number of active participants reported on line 7a of the Form 5500 2010-04-01 1,368
Number of retired or separated participants receiving benefits 2010-04-01 1
Number of other retired or separated participants entitled to future benefits 2010-04-01 61
Total of all active and inactive participants 2010-04-01 1,430
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-04-01 1
Total participants 2010-04-01 1,431
Number of participants with account balances 2010-04-01 472
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-04-01 24
2009: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 1,489
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 1,354
Number of retired or separated participants receiving benefits 2009-04-01 0
Number of other retired or separated participants entitled to future benefits 2009-04-01 63
Total of all active and inactive participants 2009-04-01 1,417
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-04-01 2
Total participants 2009-04-01 1,419
Number of participants with account balances 2009-04-01 495
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-04-01 28

Measure	Date	Value
2015: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3,129
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	0
Number of participants with account balances	2015-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	549
2014: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	2,799
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	2,575
Number of retired or separated participants receiving benefits	2014-01-01	2
Number of other retired or separated participants entitled to future benefits	2014-01-01	388
Total of all active and inactive participants	2014-01-01	2,965
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	2,965
Number of participants with account balances	2014-01-01	1,874
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	559
2013: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-04-01	1,972
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	1,647
Number of retired or separated participants receiving benefits	2013-04-01	2
Number of other retired or separated participants entitled to future benefits	2013-04-01	107
Total of all active and inactive participants	2013-04-01	1,756
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-04-01	0
Total participants	2013-04-01	1,756
Number of participants with account balances	2013-04-01	463
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-04-01	0
2012: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-04-01	1,786
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	1,575
Number of retired or separated participants receiving benefits	2012-04-01	1
Number of other retired or separated participants entitled to future benefits	2012-04-01	65
Total of all active and inactive participants	2012-04-01	1,641
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-04-01	1
Total participants	2012-04-01	1,642
Number of participants with account balances	2012-04-01	468
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-04-01	11
2011: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	1,651
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	1,469
Number of retired or separated participants receiving benefits	2011-04-01	0
Number of other retired or separated participants entitled to future benefits	2011-04-01	67
Total of all active and inactive participants	2011-04-01	1,536
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-04-01	1
Total participants	2011-04-01	1,537
Number of participants with account balances	2011-04-01	444
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-04-01	28
2010: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-04-01	1,635
Total number of active participants reported on line 7a of the Form 5500	2010-04-01	1,368
Number of retired or separated participants receiving benefits	2010-04-01	1
Number of other retired or separated participants entitled to future benefits	2010-04-01	61
Total of all active and inactive participants	2010-04-01	1,430
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-04-01	1
Total participants	2010-04-01	1,431
Number of participants with account balances	2010-04-01	472
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-04-01	24
2009: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	1,489
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	1,354
Number of retired or separated participants receiving benefits	2009-04-01	0
Number of other retired or separated participants entitled to future benefits	2009-04-01	63
Total of all active and inactive participants	2009-04-01	1,417
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-04-01	2
Total participants	2009-04-01	1,419
Number of participants with account balances	2009-04-01	495
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-04-01	28

Financial Data on MAVERIK, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2015 : MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets from this plan	2015-12-31	$19,944,526
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$4,801,994
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$1,876,258
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$1,776,748
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$4,721,533
Value of total assets at end of year	2015-12-31	$0
Value of total assets at beginning of year	2015-12-31	$17,018,790
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$99,510
Total interest from all sources	2015-12-31	$77,993
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$2,732,129
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$129,887
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$2,925,736
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$17,018,790
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$12,550,515
Interest earned on other investments	2015-12-31	$77,993
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$4,468,275
Net investment gain/loss from pooled separate accounts	2015-12-31	$2,468
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$1,859,517
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,776,748
Contract administrator fees	2015-12-31	$99,510
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	WSRP, LLC
Accountancy firm EIN	2015-12-31	870517754
2014 : MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$3,930,475
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$2,663,147
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,475,518
Value of total corrective distributions	2014-12-31	$153,547
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$2,867,580
Value of total assets at end of year	2014-12-31	$17,018,790
Value of total assets at beginning of year	2014-12-31	$15,751,462
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$34,082
Total interest from all sources	2014-12-31	$78,162
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,940,088
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$37,277
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,267,328
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$17,018,790
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$15,751,462
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$12,550,515
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$11,465,332
Interest earned on other investments	2014-12-31	$78,162
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$4,468,275
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$4,286,130
Net investment gain/loss from pooled separate accounts	2014-12-31	$984,733
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$890,215
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,475,518
Contract administrator fees	2014-12-31	$34,082
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	WSRP, LLC
Accountancy firm EIN	2014-12-31	870517754
2013 : MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$164,016
Total income from all sources (including contributions)	2013-12-31	$3,065,505
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$2,063,906
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,058,239
Value of total corrective distributions	2013-12-31	$-2,081
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,150,739
Value of total assets at end of year	2013-12-31	$15,751,462
Value of total assets at beginning of year	2013-12-31	$14,913,879
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$7,748
Total interest from all sources	2013-12-31	$63,358
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$793,336
Participant contributions at beginning of year	2013-12-31	$40,979
Liabilities. Value of operating payables at beginning of year	2013-12-31	$164,016
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$1,001,599
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$15,751,462
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$14,749,863
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$11,465,332
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$9,833,684
Interest earned on other investments	2013-12-31	$63,358
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$4,286,130
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$5,020,358
Net investment gain/loss from pooled separate accounts	2013-12-31	$1,851,408
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$357,403
Employer contributions (assets) at beginning of year	2013-12-31	$18,858
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$2,058,239
Contract administrator fees	2013-12-31	$7,748
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	WISAN SMITH RACKER & PRESCOTT LLP
Accountancy firm EIN	2013-12-31	870517754
Total unrealized appreciation/depreciation of assets	2013-03-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-03-31	$164,016
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-03-31	$67,735
Total income from all sources (including contributions)	2013-03-31	$2,513,610
Total loss/gain on sale of assets	2013-03-31	$0
Total of all expenses incurred	2013-03-31	$1,140,726
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-03-31	$965,648
Value of total corrective distributions	2013-03-31	$164,016
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-03-31	$1,425,335
Value of total assets at end of year	2013-03-31	$14,913,879
Value of total assets at beginning of year	2013-03-31	$13,444,714
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-03-31	$11,062
Total interest from all sources	2013-03-31	$102,336
Total dividends received (eg from common stock, registered investment company shares)	2013-03-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-03-31	No
Was this plan covered by a fidelity bond	2013-03-31	Yes
Value of fidelity bond cover	2013-03-31	$500,000
If this is an individual account plan, was there a blackout period	2013-03-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-03-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-03-31	No
Contributions received from participants	2013-03-31	$975,346
Participant contributions at end of year	2013-03-31	$40,979
Participant contributions at beginning of year	2013-03-31	$33,695
Income. Received or receivable in cash from other sources (including rollovers)	2013-03-31	$6,337
Liabilities. Value of operating payables at end of year	2013-03-31	$164,016
Liabilities. Value of operating payables at beginning of year	2013-03-31	$67,735
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-03-31	No
Value of net income/loss	2013-03-31	$1,372,884
Value of net assets at end of year (total assets less liabilities)	2013-03-31	$14,749,863
Value of net assets at beginning of year (total assets less liabilities)	2013-03-31	$13,376,979
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-03-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-03-31	No
Were any leases to which the plan was party in default or uncollectible	2013-03-31	No
Value of interest in pooled separate accounts at end of year	2013-03-31	$9,833,684
Value of interest in pooled separate accounts at beginning of year	2013-03-31	$8,357,527
Interest earned on other investments	2013-03-31	$102,336
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-03-31	$5,020,358
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-03-31	$5,040,317
Net investment gain/loss from pooled separate accounts	2013-03-31	$985,939
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-03-31	No
Was there a failure to transmit to the plan any participant contributions	2013-03-31	No
Has the plan failed to provide any benefit when due under the plan	2013-03-31	No
Contributions received in cash from employer	2013-03-31	$443,652
Employer contributions (assets) at end of year	2013-03-31	$18,858
Employer contributions (assets) at beginning of year	2013-03-31	$13,175
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-03-31	$965,648
Contract administrator fees	2013-03-31	$11,062
Did the plan have assets held for investment	2013-03-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-03-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-03-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-03-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-03-31	Disclaimer
Accountancy firm name	2013-03-31	JONES SIMKINS, LLC
Accountancy firm EIN	2013-03-31	461592906
2012 : MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-03-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-03-31	$67,735
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-03-31	$66,782
Total income from all sources (including contributions)	2012-03-31	$1,822,915
Total loss/gain on sale of assets	2012-03-31	$0
Total of all expenses incurred	2012-03-31	$1,010,151
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-03-31	$932,442
Value of total corrective distributions	2012-03-31	$67,735
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-03-31	$1,344,014
Value of total assets at end of year	2012-03-31	$13,444,714
Value of total assets at beginning of year	2012-03-31	$12,630,997
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-03-31	$9,974
Total interest from all sources	2012-03-31	$104,104
Total dividends received (eg from common stock, registered investment company shares)	2012-03-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-03-31	No
Was this plan covered by a fidelity bond	2012-03-31	Yes
Value of fidelity bond cover	2012-03-31	$500,000
If this is an individual account plan, was there a blackout period	2012-03-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-03-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-03-31	No
Contributions received from participants	2012-03-31	$899,322
Participant contributions at end of year	2012-03-31	$33,695
Participant contributions at beginning of year	2012-03-31	$33,762
Income. Received or receivable in cash from other sources (including rollovers)	2012-03-31	$39,664
Liabilities. Value of operating payables at end of year	2012-03-31	$67,735
Liabilities. Value of operating payables at beginning of year	2012-03-31	$66,782
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-03-31	No
Value of net income/loss	2012-03-31	$812,764
Value of net assets at end of year (total assets less liabilities)	2012-03-31	$13,376,979
Value of net assets at beginning of year (total assets less liabilities)	2012-03-31	$12,564,215
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-03-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-03-31	No
Were any leases to which the plan was party in default or uncollectible	2012-03-31	No
Value of interest in pooled separate accounts at end of year	2012-03-31	$8,357,527
Value of interest in pooled separate accounts at beginning of year	2012-03-31	$7,872,340
Interest earned on other investments	2012-03-31	$104,104
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-03-31	$5,040,317
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-03-31	$4,709,619
Net investment gain/loss from pooled separate accounts	2012-03-31	$374,797
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-03-31	No
Was there a failure to transmit to the plan any participant contributions	2012-03-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-03-31	No
Contributions received in cash from employer	2012-03-31	$405,028
Employer contributions (assets) at end of year	2012-03-31	$13,175
Employer contributions (assets) at beginning of year	2012-03-31	$15,276
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-03-31	$932,442
Contract administrator fees	2012-03-31	$9,974
Did the plan have assets held for investment	2012-03-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-03-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-03-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-03-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-03-31	Disclaimer
Accountancy firm name	2012-03-31	JONES SIMKINS, P.C.
Accountancy firm EIN	2012-03-31	200568678
2011 : MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-03-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-03-31	$66,782
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-03-31	$32,495
Total income from all sources (including contributions)	2011-03-31	$2,508,040
Total loss/gain on sale of assets	2011-03-31	$0
Total of all expenses incurred	2011-03-31	$2,030,299
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-03-31	$1,952,370
Value of total corrective distributions	2011-03-31	$66,782
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-03-31	$1,256,415
Value of total assets at end of year	2011-03-31	$12,630,997
Value of total assets at beginning of year	2011-03-31	$12,118,969
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-03-31	$11,147
Total interest from all sources	2011-03-31	$117,755
Total dividends received (eg from common stock, registered investment company shares)	2011-03-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-03-31	No
Was this plan covered by a fidelity bond	2011-03-31	Yes
Value of fidelity bond cover	2011-03-31	$500,000
If this is an individual account plan, was there a blackout period	2011-03-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-03-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-03-31	No
Contributions received from participants	2011-03-31	$842,007
Participant contributions at end of year	2011-03-31	$33,762
Participant contributions at beginning of year	2011-03-31	$31,703
Income. Received or receivable in cash from other sources (including rollovers)	2011-03-31	$29,542
Liabilities. Value of operating payables at end of year	2011-03-31	$66,782
Liabilities. Value of operating payables at beginning of year	2011-03-31	$32,495
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-03-31	No
Value of net income/loss	2011-03-31	$477,741
Value of net assets at end of year (total assets less liabilities)	2011-03-31	$12,564,215
Value of net assets at beginning of year (total assets less liabilities)	2011-03-31	$12,086,474
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-03-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-03-31	No
Were any leases to which the plan was party in default or uncollectible	2011-03-31	No
Value of interest in pooled separate accounts at end of year	2011-03-31	$7,872,340
Value of interest in pooled separate accounts at beginning of year	2011-03-31	$6,685,650
Interest earned on other investments	2011-03-31	$117,755
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-03-31	$4,709,619
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-03-31	$5,386,993
Net investment gain/loss from pooled separate accounts	2011-03-31	$1,133,870
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-03-31	No
Was there a failure to transmit to the plan any participant contributions	2011-03-31	No
Has the plan failed to provide any benefit when due under the plan	2011-03-31	No
Contributions received in cash from employer	2011-03-31	$384,866
Employer contributions (assets) at end of year	2011-03-31	$15,276
Employer contributions (assets) at beginning of year	2011-03-31	$14,623
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-03-31	$1,952,370
Contract administrator fees	2011-03-31	$11,147
Did the plan have assets held for investment	2011-03-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-03-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-03-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-03-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-03-31	Disclaimer
Accountancy firm name	2011-03-31	JONES SIMKINS, P.C.
Accountancy firm EIN	2011-03-31	200568678
2010 : MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-03-31	$0

Form 5500 Responses for MAVERIK, INC. 401(K) PROFIT SHARING PLAN

2015: MAVERIK, INC. 401(K) PROFIT SHARING 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	Yes
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 – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: MAVERIK, INC. 401(K) PROFIT SHARING 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 – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
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)	Yes
2013-04-01	Plan is a collectively bargained plan	No
2013-04-01	Plan funding arrangement – Insurance	Yes
2013-04-01	Plan funding arrangement – Trust	Yes
2013-04-01	Plan benefit arrangement – Insurance	Yes
2013-04-01	Plan benefit arrangement - Trust	Yes
2012: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
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 funding arrangement – Trust	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement - Trust	Yes
2011: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Submission has been amended	No
2011-04-01	This submission is the final filing	No
2011-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-04-01	Plan is a collectively bargained plan	No
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan funding arrangement – Trust	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement - Trust	Yes
2010: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-04-01	Type of plan entity	Single employer plan
2010-04-01	Submission has been amended	No
2010-04-01	This submission is the final filing	No
2010-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-04-01	Plan is a collectively bargained plan	No
2010-04-01	Plan funding arrangement – Insurance	Yes
2010-04-01	Plan funding arrangement – Trust	Yes
2010-04-01	Plan benefit arrangement – Insurance	Yes
2010-04-01	Plan benefit arrangement - Trust	Yes
2009: MAVERIK, INC. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Submission has been amended	No
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – Insurance	Yes
2009-04-01	Plan funding arrangement – Trust	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes
2009-04-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

801869

Policy instance

Insurance contract or identification number	801869
Number of Individuals Covered	0
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $38,408
Total amount of fees paid to insurance company	USD $0
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	1
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	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $38,408
Insurance broker organization code?	3
Insurance broker name	LPL FINANCIAL LLC

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

801869

Policy instance

Insurance contract or identification number	801869
Number of Individuals Covered	2965
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $33,010
Total amount of fees paid to insurance company	USD $0
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	1
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	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $33,010
Insurance broker organization code?	3
Insurance broker name	LINSCO PRIVATE LEDGER CORP

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

801869

Policy instance

Insurance contract or identification number	801869
Number of Individuals Covered	1756
Insurance policy start date	2013-04-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $22,771
Total amount of fees paid to insurance company	USD $0
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	1
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	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $22,771
Insurance broker organization code?	3
Insurance broker name	LINSCO PRIVATE LEDGER CORP

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

801869

Policy instance

Insurance contract or identification number	801869
Number of Individuals Covered	1642
Insurance policy start date	2012-04-01
Insurance policy end date	2013-03-31
Total amount of commissions paid to insurance broker	USD $38,446
Total amount of fees paid to insurance company	USD $0
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	1
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	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25,981
Insurance broker organization code?	3
Insurance broker name	SHAWN C HEWLETT INS ENTERPRISES INC

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

801869

Policy instance

Insurance contract or identification number	801869
Number of Individuals Covered	1537
Insurance policy start date	2011-04-01
Insurance policy end date	2012-03-31
Total amount of commissions paid to insurance broker	USD $12,722
Total amount of fees paid to insurance company	USD $0
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	1
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	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

801869

Policy instance

Insurance contract or identification number	801869
Number of Individuals Covered	1431
Insurance policy start date	2010-04-01
Insurance policy end date	2011-03-31
Total amount of commissions paid to insurance broker	USD $12,205
Total amount of fees paid to insurance company	USD $0
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	1
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	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	MAVERIK INC.
Employer identification number (EIN):	830197092
NAIC Classification:	447100
NAIC Description:	Gasoline Stations, Gas

Jurisdiction of Incorporation:	Wyoming Corporations Division
Incorporation Date:	1959-07-08
Company Identification Number:	000080059
Legal Registered Office Address:	880 West Center Street North Salt Lake United States of America (USA) 84054