2017-08-28T12:29:23-05:00 2016-12-31 560747981 DIXON HUGHES GOODMAN LLP 2501 BLUE RIDGE ROAD SUITE 500 RALEIGH NC 27607 990 2016-01-01 561804113 HENDRICK AUTOMOTIVE GROUP EMPLOYEE BENEFIT TRUST HEND 7045685550 6000 MONROE ROAD NO 100 CHARLOTTE NC 28212 I THOMAS YOPP III TRUSTEE 7045685550 2017-08-28 1 W GORDON DOUGLAS P00238579 9198764546 2017-08-28 204.15.98.225 2017-08-28 13:28:19 ED P C949BEA259C67526FD3879600FE02CA6A5E3A602 F1900B34A67D2FE29D2E51C179D17D553618A658 2016 2021-01-29 14:40:06Z VERONICA ZAYATZ 6000 MONROE ROAD SUITE 100 CHARLOTTE NC 28212 56678323 0 X N/A X 1994 NC PROVIDE HEALTH CARE AND LIFE INSURANCE BENEFITS 3 0 0 0 0 0 0 0 65812132 56678323 0 0 0 0 65812132 56678323 0 0 49466786 50627147 0 0 0 0 0 10431872 9948250 59898658 60575397 5913474 -3897074 23469968 19896348 744475 1067929 22725493 18828419 PROVIDE HEALTH CARE AND LIFE INSURANCE BENEFITS 0 0 60575397 56678323 THE HENDRICK AUTOMOTIVE GROUP EMPLOYEE BENEFIT TRUST WAS ESTABLISHED AS A VOLUNTARY EMPLOYEES BENEFICIARY ASSOCIATION USED FOR FUNDING AND PAYMENT OF PLAN BENEFITS FOR THE EMPLOYEES OF HENDRICK AUTOMOTIVE GROUP. PLAN BENEFITS INCLUDE MAJOR MEDICAL, DENTAL EXPENSE, SHORT-TERM DISABILITY, AND GROUP LIFE INSURANCE. 60575397 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X VERONICA ZAYATZ 7045685550 6000 MONROE ROAD SUITE 100 CHARLOTTE NC 28212 X KIRK HEPPLER BOARD MEMBER 1.00 X X 0 0 0 I THOMAS YOPP III BOARD MEMBER 1.00 X X 0 0 0 GARY DAVIS BOARD MEMBER 1.00 X X 0 0 0 0 0 0 0 0 0 0 CORESOURCE 5200 77 CENTER DRIVE STE 400 CHARLOTTE NC 28217 FACILITATES PLAN CLAIMS 1760588 1 EMPLOYER CONTRIBUTIONS 525100 44822801 44822801 EMPLOYEE CONTRIBUTIONS 525100 11855522 11855522 56678323 56678323 56678323 0 0 50627147 50627147 6296949 6296949 ADMINISTRATIVE EXPENSES 3651301 3651301 60575397 60575397 0 0 22764598 19406957 705370 489391 23469968 19896348 744475 1067929 744475 1067929 X 0 0 0 0 22725493 18828419 22725493 18828419 23469968 19896348 -3897074 0 X X 0 1 X 1 0 0 PAYABLE TO CLAIMS ADMINISTRATORS 1067929 1067929 X 56678323 0 56678323 0 56678323 60575397 0 60575397 0 60575397 PART X, LINE 2: THE FOLLOWING IS AN EXCERPT FROM THE FINANCIAL STATEMENT OF HENDRICK AUTOMOTIVE GROUP EMPLOYEE BENEFIT PLAN REGARDING THE ADOPTION OF FIN 48: THE VEBA TRUST FUNDING CERTAIN BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE ("IRS"), DATED JULY 22, 1994, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE ("IRC"). HOWEVER, AS A RESULT OF THE PLAN'S FUNDING PLOICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN 2016 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE EMPLOYER BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE IRC, AND THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2016 AND 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2013. FORM 990, PART VI, SECTION A, LINE 1 NONE OF THE TRUSTEES ARE INDEPENDENT AS THEY ARE ALL PAID EMPLOYEES OF HENDRICK AUTOMOTIVE GROUP, A RELATED PARTY. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF ACCOUNTING OFFICER AND THE CHIEF ADMINISTRATIVE OFFICER REVIEW THE FORM 990 ONCE IT IS PREPARED BY THE ORGANIZATION'S OUTSIDE ACCOUNTING FIRM. THE FORM 990 IS PROVIDED TO THE GOVERNING BODY, THE BOARD OF TRUSTEES, PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES COPIES UPON REQUEST. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. HENDRICK AUTOMOTIVE GROUP 6000 MONROE ROAD CHARLOTTE NC 28212 561794980 AUTOMOTIVE SALES NC N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0