Petersen Neurospine, PLLC

Form 5500

PETERSEN NEUROSPINE, PLLC

6701 Airport Blvd, D100, Mobile, Al 36608 (251) 607-6117 EIN:20-5318205 Plan Admin:Bendt P. Petersen, III

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NamePETERSEN NEUROSPINE 401(K) PLAN Plan #001 Participants BOY/EOY5 / 8 Assets BOY/EOY$1,958,331 / $2,042,443	2022	PETERSEN NEUROSPINE 401(K) PLAN - Plan #001	5 / 8	$1,958,331 / $2,042,443
2022	Plan NamePETERSEN NEUROSPINE DEFINED BENEFIT PLAN Plan #002 Participants BOY/EOY4 / 4 Assets BOY/EOY$535,001 / $820,281	2022	PETERSEN NEUROSPINE DEFINED BENEFIT PLAN - Plan #002	4 / 4	$535,001 / $820,281
2021	Plan NamePETERSEN NEUROSPINE 401(K) PLAN Plan #001 Participants BOY/EOY5 / 5 Assets BOY/EOY$49,773 / $1,958,331	2021	PETERSEN NEUROSPINE 401(K) PLAN - Plan #001	5 / 5	$49,773 / $1,958,331
2021	Plan NamePETERSEN NEUROSPINE DEFINED BENEFIT PLAN Plan #002 Participants BOY/EOY4 / 4 Assets BOY/EOY$209,136 / $535,001	2021	PETERSEN NEUROSPINE DEFINED BENEFIT PLAN - Plan #002	4 / 4	$209,136 / $535,001
2020	Plan NamePETERSEN NEUROSPINE DEFINED BENEFIT PLAN Plan #002 Participants BOY/EOY4 / 4 Assets BOY/EOY$0 / $209,136	2020	PETERSEN NEUROSPINE DEFINED BENEFIT PLAN - Plan #002	4 / 4	$0 / $209,136
2020	Plan NamePETERSEN NEUROSPINE 401(K) PLAN Plan #001 Participants BOY/EOY4 / 4 Assets BOY/EOY$0 / $49,773	2020	PETERSEN NEUROSPINE 401(K) PLAN - Plan #001	4 / 4	$0 / $49,773