Medical Pavilion Walk-In Clinic

Form 5500

DAVID S BALLESTAS MD PA

2525 Harbor Blvd STE 102, Port Charlotte, FL 33952 (941) 629-7593 EIN:59-2627966 Plan Admin:Edward Rojas

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameDAVID S BALLESTAS MD PA 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY16 / 16 Assets BOY/EOY$144,227 / $185,699	2023	DAVID S BALLESTAS MD PA 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	16 / 16	$144,227 / $185,699
2022	Plan NameDAVID S BALLESTAS MD PA 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY18 / 15 Assets BOY/EOY$194,105 / $144,227	2022	DAVID S BALLESTAS MD PA 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	18 / 15	$194,105 / $144,227
2021	Plan NameDAVID S BALLESTAS MD PA 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY17 / 18 Assets BOY/EOY$164,901 / $194,105	2021	DAVID S BALLESTAS MD PA 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	17 / 18	$164,901 / $194,105
2020	Plan NameDAVID S BALLESTAS MD PA 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY18 / 17 Assets BOY/EOY$131,020 / $164,901	2020	DAVID S BALLESTAS MD PA 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	18 / 17	$131,020 / $164,901
2019	Plan NameDAVID S BALLESTAS MD PA 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY16 / 17 Assets BOY/EOY$94,528 / $131,020	2019	DAVID S BALLESTAS MD PA 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	16 / 17	$94,528 / $131,020