Daniel B. Simon, III, P.C.

Form 5500

DANIEL B. SIMON, III, P.C.

500 E. Elm Street, Rockmart, Ga 30153 (404) 683-0158 EIN:58-1749367 Plan Admin:Morgan Law

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameDANIEL B. SIMON, III, P.C. GCF BENEFIT PLAN Plan #501 Participants BOY/EOY2 / 0 Assets BOY/EOY$12,709 / $0	2022	DANIEL B. SIMON, III, P.C. GCF BENEFIT PLAN - Plan #501	2 / 0	$12,709 / $0
2021	Plan NameDANIEL B. SIMON, III, P.C. GCF BENEFIT PLAN Plan #501 Participants BOY/EOY2 / 2 Assets BOY/EOY$8,679 / $12,709	2021	DANIEL B. SIMON, III, P.C. GCF BENEFIT PLAN - Plan #501	2 / 2	$8,679 / $12,709
2020	Plan NameDANIEL B. SIMON, III, P.C. GCF BENEFIT PLAN Plan #501 Participants BOY/EOY4 / 2 Assets BOY/EOY$10,500 / $8,679	2020	DANIEL B. SIMON, III, P.C. GCF BENEFIT PLAN - Plan #501	4 / 2	$10,500 / $8,679
2019	Plan NameDANIEL B. SIMON, III, P.C. GCF BENEFIT PLAN Plan #501 Participants BOY/EOY2 / 4 Assets BOY/EOY$4,754 / $10,500	2019	DANIEL B. SIMON, III, P.C. GCF BENEFIT PLAN - Plan #501	2 / 4	$4,754 / $10,500