Revive Acupuncture Incorporated

Form 5500

REVIVE ACUPUNCTURE, INC.

43430 Mission Blvd. #200, Freemont, Ca 94539 (510) 438-0128 EIN:81-4270810 Plan Admin:Megan Dauphin

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameREVIVE ACUPUNCTURE, INC. 401(K) PLAN Plan #001 Participants BOY/EOY6 / 6 Assets BOY/EOY$598,232 / $692,934	2023	REVIVE ACUPUNCTURE, INC. 401(K) PLAN - Plan #001	6 / 6	$598,232 / $692,934
2022	Plan NameREVIVE ACUPUNCTURE, INC. 401(K) PLAN Plan #001 Participants BOY/EOY6 / 6 Assets BOY/EOY$533,889 / $598,232	2022	REVIVE ACUPUNCTURE, INC. 401(K) PLAN - Plan #001	6 / 6	$533,889 / $598,232
2021	Plan NameREVIVE ACUPUNCTURE, INC. 401(K) PLAN Plan #001 Participants BOY/EOY5 / 5 Assets BOY/EOY$410,563 / $533,889	2021	REVIVE ACUPUNCTURE, INC. 401(K) PLAN - Plan #001	5 / 5	$410,563 / $533,889
2020	Plan NameREVIVE ACUPUNCTURE, INC. 401(K) PLAN Plan #001 Participants BOY/EOY5 / 5 Assets BOY/EOY$296,114 / $410,563	2020	REVIVE ACUPUNCTURE, INC. 401(K) PLAN - Plan #001	5 / 5	$296,114 / $410,563
2019	Plan NameREVIVE ACUPUNCTURE, INC. 401(K) PLAN Plan #001 Participants BOY/EOY3 / 5 Assets BOY/EOY$187,086 / $296,114	2019	REVIVE ACUPUNCTURE, INC. 401(K) PLAN - Plan #001	3 / 5	$187,086 / $296,114