Fernando H. Jacobs, D.D.S., Inc.

Form 5500

FERNANDO H. JACOBS, D.D.S., INC.

3777 Tibbetts Street, Riverside, Ca 92506 (951) 683-0880 EIN:33-0656842 Plan Admin:Dr. Fernando H. Jacobs

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameFERNANDO H. JACOBS, D.D.S., INC. 401(K) PROFIT SHARING PLAN Plan #002 Participants BOY/EOY6 / 5 Assets BOY/EOY$1,644,404 / $1,844,432	2023	FERNANDO H. JACOBS, D.D.S., INC. 401(K) PROFIT SHARING PLAN - Plan #002	6 / 5	$1,644,404 / $1,844,432
2023	Plan NameFERNANDO H. JACOBS, D.D.S., INC. DEFINED BENEFIT PENSION PLAN Plan #003 Participants BOY/EOY4 / 4 Assets BOY/EOY$218,573 / $344,655	2023	FERNANDO H. JACOBS, D.D.S., INC. DEFINED BENEFIT PENSION PLAN - Plan #003	4 / 4	$218,573 / $344,655
2022	Plan NameFERNANDO H. JACOBS, D.D.S., INC. 401(K) PROFIT SHARING PLAN Plan #002 Participants BOY/EOY5 / 6 Assets BOY/EOY$1,906,208 / $1,644,404	2022	FERNANDO H. JACOBS, D.D.S., INC. 401(K) PROFIT SHARING PLAN - Plan #002	5 / 6	$1,906,208 / $1,644,404
2022	Plan NameFERNANDO H. JACOBS, D.D.S., INC. DEFINED BENEFIT PENSION PLAN Plan #003 Participants BOY/EOY3 / 4 Assets BOY/EOY$100,000 / $218,573	2022	FERNANDO H. JACOBS, D.D.S., INC. DEFINED BENEFIT PENSION PLAN - Plan #003	3 / 4	$100,000 / $218,573
2021	Plan NameFERNANDO H. JACOBS, D.D.S., INC. 401(K) PROFIT SHARING PLAN Plan #002 Participants BOY/EOY7 / 4 Assets BOY/EOY$1,882,798 / $1,906,208	2021	FERNANDO H. JACOBS, D.D.S., INC. 401(K) PROFIT SHARING PLAN - Plan #002	7 / 4	$1,882,798 / $1,906,208
2021	Plan NameFERNANDO H. JACOBS, D.D.S., INC. DEFINED BENEFIT PENSION PLAN Plan #003 Participants BOY/EOY3 / 3 Assets BOY/EOY$0 / $100,000	2021	FERNANDO H. JACOBS, D.D.S., INC. DEFINED BENEFIT PENSION PLAN - Plan #003	3 / 3	$0 / $100,000
2020	Plan NameFERNANDO H. JACOBS, D.D.S., INC. 401(K) PROFIT SHARING PLAN Plan #002 Participants BOY/EOY5 / 5 Assets BOY/EOY$1,891,473 / $1,882,798	2020	FERNANDO H. JACOBS, D.D.S., INC. 401(K) PROFIT SHARING PLAN - Plan #002	5 / 5	$1,891,473 / $1,882,798
2019	Plan NameFERNANDO H. JACOBS, D.D.S., INC. 401(K) PROFIT SHARING PLAN Plan #002 Participants BOY/EOY4 / 5 Assets BOY/EOY$1,525,430 / $1,891,473	2019	FERNANDO H. JACOBS, D.D.S., INC. 401(K) PROFIT SHARING PLAN - Plan #002	4 / 5	$1,525,430 / $1,891,473