401k Plan data: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT plan

DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 401k Plan overview

Plan Name	DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT
Plan identification number	501

DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision

401k Sponsoring company profile

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

Company Name: DIVERSEY, INC.

Employer identification number (EIN): 391877511

NAIC Classification: 326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-01-01 MICHAELKONCHAN
501 2014-01-01 MICHAELKONCHAN
501 2013-01-01 MICHAEL KONCHAN MICHAEL KONCHAN 2014-10-12
501 2012-01-01 MICHAEL KONCHAN MICHAEL KONCHAN 2013-10-14
501 2011-01-01 DANIEL C. KLEIN DANIEL C. KLEIN 2012-12-14
501 2009-01-01 JULIE FELIX TOM KOSMICKI 2010-10-14

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2015-01-01	MICHAELKONCHAN
501	2014-01-01	MICHAELKONCHAN
501	2013-01-01	MICHAEL KONCHAN	MICHAEL KONCHAN	2014-10-12
501	2012-01-01	MICHAEL KONCHAN	MICHAEL KONCHAN	2013-10-14
501	2011-01-01	DANIEL C. KLEIN	DANIEL C. KLEIN	2012-12-14
501	2009-01-01	JULIE FELIX	TOM KOSMICKI	2010-10-14

Plan Statistics for DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT

401k plan membership statisitcs for DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT

Measure Date Value
2015: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,241
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 282
Number of retired or separated participants receiving benefits 2015-01-01 866
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 1,148
2014: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,267
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 391
Number of retired or separated participants receiving benefits 2014-01-01 850
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 1,241
2013: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,961
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 417
Number of retired or separated participants receiving benefits 2013-01-01 850
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 1,267
2012: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,981
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 464
Number of retired or separated participants receiving benefits 2012-01-01 1,497
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 1,961
2011: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,713
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 781
Number of retired or separated participants receiving benefits 2011-01-01 1,200
Total of all active and inactive participants 2011-01-01 1,981
2009: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,992
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 806
Number of retired or separated participants receiving benefits 2009-01-01 360
Number of other retired or separated participants entitled to future benefits 2009-01-01 1,211
Total of all active and inactive participants 2009-01-01 2,377

Measure	Date	Value
2015: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,241
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	282
Number of retired or separated participants receiving benefits	2015-01-01	866
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	1,148
2014: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,267
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	391
Number of retired or separated participants receiving benefits	2014-01-01	850
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	1,241
2013: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,961
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	417
Number of retired or separated participants receiving benefits	2013-01-01	850
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	1,267
2012: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,981
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	464
Number of retired or separated participants receiving benefits	2012-01-01	1,497
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	1,961
2011: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,713
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	781
Number of retired or separated participants receiving benefits	2011-01-01	1,200
Total of all active and inactive participants	2011-01-01	1,981
2009: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,992
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	806
Number of retired or separated participants receiving benefits	2009-01-01	360
Number of other retired or separated participants entitled to future benefits	2009-01-01	1,211
Total of all active and inactive participants	2009-01-01	2,377

Financial Data on DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT

Measure	Date	Value
2015 : DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
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	$1,915,942
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$2,744,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,704,919
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$2,105,775
Value of total assets at end of year	2015-12-31	$12,212,050
Value of total assets at beginning of year	2015-12-31	$13,040,755
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$39,728
Total interest from all sources	2015-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$673,912
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$673,912
Administrative expenses professional fees incurred	2015-12-31	$39,728
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$20,000,000
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
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	$-828,705
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$12,212,050
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$13,040,755
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 registered invesment companies (eg mutual funds) at end of year	2015-12-31	$12,212,050
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$13,040,755
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-863,745
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
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	$2,105,775
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$2,704,919
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	No
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	A.C. EVANS LLC.
Accountancy firm EIN	2015-12-31	263421158
2014 : DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 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	$2,862,968
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$2,460,410
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,442,318
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,906,337
Value of total assets at end of year	2014-12-31	$13,040,755
Value of total assets at beginning of year	2014-12-31	$12,638,197
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$18,092
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$625,041
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$625,041
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$20,000,000
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
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	$402,558
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$13,040,755
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$12,638,197
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
Investment advisory and management fees	2014-12-31	$18,092
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$13,040,755
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$12,638,197
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$331,590
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
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	$1,906,337
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,442,318
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	A.C. EVANS LLC.
Accountancy firm EIN	2014-12-31	263421158
2013 : DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 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	$0
Total income from all sources (including contributions)	2013-12-31	$3,018,997
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$2,445,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,409,185
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,916,959
Value of total assets at end of year	2013-12-31	$12,638,197
Value of total assets at beginning of year	2013-12-31	$12,065,025
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$36,640
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$826,984
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$826,984
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$20,000,000
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
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	$573,172
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$12,638,197
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$12,065,025
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
Investment advisory and management fees	2013-12-31	$36,640
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$12,638,197
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$12,065,025
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$275,054
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
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	$1,916,959
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$2,409,185
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	A.C. EVANS LLC.
Accountancy firm EIN	2013-12-31	263421158
2012 : DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$3,042,861
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$2,338,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,319,276
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,818,515
Value of total assets at end of year	2012-12-31	$12,065,025
Value of total assets at beginning of year	2012-12-31	$11,360,268
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$18,828
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$506,824
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$506,824
Administrative expenses professional fees incurred	2012-12-31	$18,828
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$20,000,000
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$704,757
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$12,065,025
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$11,360,268
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$12,065,025
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$11,360,268
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$717,522
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,818,515
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,319,276
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	A.C. EVANS LLC
Accountancy firm EIN	2012-12-31	263421158
2011 : DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$2,799,959
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$2,225,864
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,206,625
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,317,909
Value of total assets at end of year	2011-12-31	$11,360,268
Value of total assets at beginning of year	2011-12-31	$10,786,173
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$19,239
Total interest from all sources	2011-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$626,066
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$626,066
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$20,000,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$552,743
Administrative expenses (other) incurred	2011-12-31	$19,239
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$574,095
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$11,360,268
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$10,786,173
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$11,360,268
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$10,786,173
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-144,016
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$1,765,166
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,206,625
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	A.C. EVANS LLC
Accountancy firm EIN	2011-12-31	263421158
2010 : DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$3,006,444
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$1,793,855
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,774,730
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,003,431
Value of total assets at end of year	2010-12-31	$10,786,173
Value of total assets at beginning of year	2010-12-31	$9,573,584
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$19,125
Total interest from all sources	2010-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$558,646
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$558,646
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$20,000,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$598,015
Administrative expenses (other) incurred	2010-12-31	$19,125
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,212,589
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$10,786,173
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$9,573,584
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$10,786,173
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$9,573,584
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$444,367
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,405,416
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,774,730
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	ERNST & YOUNG LLP
Accountancy firm EIN	2010-12-31	346565596

Form 5500 Responses for DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT

2015: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 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 – Trust	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 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 – Trust	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 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 – Trust	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 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 – Trust	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
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 – Trust	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT 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 – Trust	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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DIVERSEY, INC. RETIREE MEDICAL SAVINGS ACCOUNT [EIN = 650654331]

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Company Name:	DIVERSEY, INC.
Employer identification number (EIN):	391877511
NAIC Classification:	326100