U.S. Department of Justice United States Trustees Eastern District of California EMPLOYEE BENEFIT PLAN QUESTIONNAIRE Debtor: EIN: Is this a public corporation? Bankruptcy Case #: Employer maintains a: group health pension plan Yes No 1. If the debtor sponsors a group health or dental plan, complete the information below. If Not, go to #2. Premiums paid through Are the premium payments current? Benefits paid from employee contributions employer contributions Yes No general assets of the company employee contributions Name and address of responsible officer: 2. If the debtor sponsors a pension plan, complete the information below. If Not, go to #3. 401(k) Plan Money Purchase Plan Profit Sharing Plan Defined Benefit Plan Employee Stock Ownership Plan Yes Yes SIMPLE IRA Name and address of responsible officer: Does the employee make contributions to the Plan? Have all employee contributions been forwarded to the trust fund? If the debtor maintains a defined benefit or money purchase plan, are they fully funded? No No Yes No Have any trustees, officers, owners or board members of the debtor received any distributions form the plan within the last year? If so, please provide the name(s), address(es) and title: Have any trustees, officers, owners or board members received any loans from the plan that are not participant loans? If so, please provide the name(s), address(es) and title: Has the debtor company received any loans from the plan? If so, please state the approximate date, amount and purpose of the loan. 3. I declare under penalty of perjury that the answers contained in the foregoing questions are true and correct. Dated Revised 6/2010 Debtor in Possession A copy of this document will be provided to the U.S. Department of Labor, Employee Benefits Security Administration.