Purvi Shah D.D.S., Inc.

Form 5500

PURVI SHAH, D.D.S., INC.

805 Wales Dr., STE 3, Folsom, Ca 95630 (916) 817-8900 EIN:20-4467281 Plan Admin:Keyush Shah

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NamePURVI SHAH, D.D.S., INC. DEFINED BENEFIT PENSION PLAN Plan #002 Participants BOY/EOY3 / 3 Assets BOY/EOY$752,844 / $998,383	2022	PURVI SHAH, D.D.S., INC. DEFINED BENEFIT PENSION PLAN - Plan #002	3 / 3	$752,844 / $998,383
2022	Plan NamePURVI SHAH, D.D.S., INC. 401(K) PLAN Plan #001 Participants BOY/EOY4 / 4 Assets BOY/EOY$840,683 / $799,672	2022	PURVI SHAH, D.D.S., INC. 401(K) PLAN - Plan #001	4 / 4	$840,683 / $799,672
2021	Plan NamePURVI SHAH DDS 401K PLAN Plan #001 Participants BOY/EOY4 / 4 Assets BOY/EOY$739,983 / $840,683	2021	PURVI SHAH DDS 401K PLAN - Plan #001	4 / 4	$739,983 / $840,683
2021	Plan NamePURVI SHAH, D.D.S., INC. DEFINED BENEFIT PENSION PLAN Plan #002 Participants BOY/EOY3 / 3 Assets BOY/EOY$384,697 / $752,844	2021	PURVI SHAH, D.D.S., INC. DEFINED BENEFIT PENSION PLAN - Plan #002	3 / 3	$384,697 / $752,844
2020	Plan NamePURVI SHAH DDS 401K PLAN Plan #001 Participants BOY/EOY4 / 4 Assets BOY/EOY$665,186 / $739,983	2020	PURVI SHAH DDS 401K PLAN - Plan #001	4 / 4	$665,186 / $739,983
2020	Plan NamePURVI SHAH, D.D.S., INC. DEFINED BENEFIT PENSION PLAN Plan #002 Participants BOY/EOY3 / 3 Assets BOY/EOY$115,000 / $384,697	2020	PURVI SHAH, D.D.S., INC. DEFINED BENEFIT PENSION PLAN - Plan #002	3 / 3	$115,000 / $384,697
2019	Plan NamePURVI SHAH DDS 401K PLAN Plan #001 Participants BOY/EOY4 / 4 Assets BOY/EOY$590,930 / $665,186	2019	PURVI SHAH DDS 401K PLAN - Plan #001	4 / 4	$590,930 / $665,186
2019	Plan NamePURVI SHAH, D.D.S., INC. DEFINED BENEFIT PENSION PLAN Plan #002 Participants BOY/EOY3 / 3 Assets BOY/EOY$0 / $115,000	2019	PURVI SHAH, D.D.S., INC. DEFINED BENEFIT PENSION PLAN - Plan #002	3 / 3	$0 / $115,000