The Children's Doctor of Tampa Bay, Jacqueline Niebles Md PLLC

Form 5500

CHILDRENS DOCTOR OF TAMPA BAY

14499 North Dale Mabry Hwy STE 180-, Tampa, FL 33618 (813) 501-3710 EIN:81-4925651 Plan Admin:Jacqueline Niebles

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameCHILDRENS DOCTOR OF TAMPA BAY 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY3 / 3 Assets BOY/EOY$39,789 / $67,951	2023	CHILDRENS DOCTOR OF TAMPA BAY 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	3 / 3	$39,789 / $67,951
2022	Plan NameCHILDRENS DOCTOR OF TAMPA BAY 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY3 / 3 Assets BOY/EOY$28,289 / $39,789	2022	CHILDRENS DOCTOR OF TAMPA BAY 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	3 / 3	$28,289 / $39,789
2021	Plan NameCHILDRENS DOCTOR OF TAMPA BAY 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY2 / 3 Assets BOY/EOY$13,308 / $28,289	2021	CHILDRENS DOCTOR OF TAMPA BAY 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	2 / 3	$13,308 / $28,289
2020	Plan NameCHILDRENS DOCTOR OF TAMPA BAY 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY2 / 2 Assets BOY/EOY$4,369 / $13,308	2020	CHILDRENS DOCTOR OF TAMPA BAY 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	2 / 2	$4,369 / $13,308
2019	Plan NameCHILDRENS DOCTOR OF TAMPA BAY 401(K) PROFIT SHARING PLAN & TRUST Plan #001 Participants BOY/EOY1 / 1 Assets BOY/EOY$1,297 / $4,369	2019	CHILDRENS DOCTOR OF TAMPA BAY 401(K) PROFIT SHARING PLAN & TRUST - Plan #001	1 / 1	$1,297 / $4,369