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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 15
Certificate and Notice of Termination of Registration under Section 12(g)
of the Securities Exchange Act of 1934 or Suspension of Duty to File
Reports under Sections 13 and 15(d) of the Securities Exchange Act of 1934.
SUNRISE MEDICAL INC.
(Exact name or registrant as specified in its charter)
0-12744
(Commission File Number)
2382 Faraday Avenue,
Suite 200
Carlsbad, CA 92008
(314) 291-2000
(Address, including zip code, and telephone number, including area code,
of registrant's principal executive offices)
COMMON STOCK, PAR VALUE $1.00 PER SHARE
(Title of each class of securities covered by this Form)
NONE
(Titles of all other classes of securities for which a duty to file reports
under section 13(a) of 15(d) remains)
Please place an X in the box(es) to designate the appropriate rule provision(s)
relied upon to terminate or suspend the duty to file reports:
Rule 12g-4(a)(1) (i) [X] Rule 12h-3(b)(1) (i) [X]
Rule 12g-4(a)(1) (ii) [ ] Rule 12h-3(b)(1) (ii) [ ]
Rule 12g-4(a)(2) (i) [ ] Rule 12h-3(b)(2) (i) [ ]
Rule 12g-4(a)(2) (ii) [ ] Rule 12h-3(b)(2) (ii) [ ]
Approximate number of holders of record as of the certification or notice date:
COMMON STOCK - 288
On December 6, 2000, V.S.M. Acquisition Corp. ("Purchaser") purchased 21,519,946
shares of common stock, par value $1.00 per share ("Common Stock"), of Sunrise
Medical Inc. (representing approximately 96.2% of the total number of shares
outstanding) that were tendered in connection with Purchaser's Offer to Purchase
dated October 30, 2000, as supplemented. As a
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result of this purchase, the number of holders of record of shares of Common
Stock was reduced to approximately 288.
Pursuant to the requirements of the Securities Exchange Act of 1934, Sunrise
Medical Inc. has caused this certification/notice to be signed on its behalf by
the undersigned duly authorized person.
SUNRISE MEDICAL INC.
By: /s/ Steven Jaye
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Name: Steven Jaye, Esq.
Title: Senior Vice President and
General Counsel
DATE: December 7, 2000
