David E. Chavez, D.D.S., P.C.

Form 5500

DAVID E. CHAVEZ D.D.S., P.C.

8015 West Alameda Avenue, Suite 140, Lakewood, Co 80226 (303) 984-0307 EIN:20-0691489 Plan Admin:David E. Chavez

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameDAVID E. CHAVEZ D.D.S., P.C. CASH BALANCE PLAN Plan #001 Participants BOY/EOY4 / 4 Assets BOY/EOY$2,489,041 / $2,324,243	2022	DAVID E. CHAVEZ D.D.S., P.C. CASH BALANCE PLAN - Plan #001	4 / 4	$2,489,041 / $2,324,243
2022	Plan NameDAVID E. CHAVEZ D.D.S., P.C. 401(K) PLAN Plan #002 Participants BOY/EOY4 / 4 Assets BOY/EOY$731,064 / $712,145	2022	DAVID E. CHAVEZ D.D.S., P.C. 401(K) PLAN - Plan #002	4 / 4	$731,064 / $712,145
2021	Plan NameDAVID E. CHAVEZ D.D.S., P.C. CASH BALANCE PLAN Plan #001 Participants BOY/EOY4 / 4 Assets BOY/EOY$1,895,483 / $2,489,041	2021	DAVID E. CHAVEZ D.D.S., P.C. CASH BALANCE PLAN - Plan #001	4 / 4	$1,895,483 / $2,489,041
2021	Plan NameDAVID E. CHAVEZ D.D.S., P.C. 401(K) PLAN Plan #002 Participants BOY/EOY4 / 4 Assets BOY/EOY$570,397 / $731,064	2021	DAVID E. CHAVEZ D.D.S., P.C. 401(K) PLAN - Plan #002	4 / 4	$570,397 / $731,064
2020	Plan NameDAVID E. CHAVEZ D.D.S., P.C. CASH BALANCE PLAN Plan #001 Participants BOY/EOY4 / 4 Assets BOY/EOY$1,564,288 / $1,895,483	2020	DAVID E. CHAVEZ D.D.S., P.C. CASH BALANCE PLAN - Plan #001	4 / 4	$1,564,288 / $1,895,483
2020	Plan NameDAVID E. CHAVEZ D.D.S., P.C. 401(K) PLAN Plan #002 Participants BOY/EOY4 / 4 Assets BOY/EOY$461,984 / $570,397	2020	DAVID E. CHAVEZ D.D.S., P.C. 401(K) PLAN - Plan #002	4 / 4	$461,984 / $570,397
2019	Plan NameDAVID E. CHAVEZ D.D.S., P.C. CASH BALANCE PLAN Plan #001 Participants BOY/EOY4 / 4 Assets BOY/EOY$1,318,490 / $1,564,288	2019	DAVID E. CHAVEZ D.D.S., P.C. CASH BALANCE PLAN - Plan #001	4 / 4	$1,318,490 / $1,564,288
2019	Plan NameDAVID E. CHAVEZ D.D.S., P.C. 401(K) PLAN Plan #002 Participants BOY/EOY4 / 4 Assets BOY/EOY$346,198 / $461,984	2019	DAVID E. CHAVEZ D.D.S., P.C. 401(K) PLAN - Plan #002	4 / 4	$346,198 / $461,984