401k Plan data: SUNRISE MEDICAL 401(K) PLAN plan

SUNRISE MEDICAL 401(K) PLAN 401k Plan overview

Plan Name	SUNRISE MEDICAL 401(K) PLAN
Plan identification number	001

SUNRISE MEDICAL 401(K) 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

SUNRISE MEDICAL, INC. has sponsored the creation of one or more 401k plans.

Company Name: SUNRISE MEDICAL, INC.

Employer identification number (EIN): 953836867

NAIC Classification: 339110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUNRISE MEDICAL 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2009-01-01 KURT RONSEN KURT RONSEN 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2009-01-01	KURT RONSEN		KURT RONSEN	2010-10-14

Plan Statistics for SUNRISE MEDICAL 401(K) PLAN

401k plan membership statisitcs for SUNRISE MEDICAL 401(K) PLAN

Measure Date Value
2009: SUNRISE MEDICAL 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,775
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 791
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 562
Total of all active and inactive participants 2009-01-01 1,353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 3
Total participants 2009-01-01 1,356
Number of participants with account balances 2009-01-01 1,332
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 114

Measure	Date	Value
2009: SUNRISE MEDICAL 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,775
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	791
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	562
Total of all active and inactive participants	2009-01-01	1,353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	3
Total participants	2009-01-01	1,356
Number of participants with account balances	2009-01-01	1,332
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	114

Form 5500 Responses for SUNRISE MEDICAL 401(K) PLAN

2009: SUNRISE MEDICAL 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Mulitple 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	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	SUNRISE MEDICAL, INC.
Employer identification number (EIN):	953836867
NAIC Classification:	339110