Donnelly Orthodontics, Inc.

Form 5500

DONNELLY ORTHODONTICS, INC.

20 East Street, Hanover, Ma 02339 (781) 826-4499 EIN:04-3538528 Plan Admin:Jeff E. Donnelly, D.M.D.

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameDONNELLY ORTHODONTICS, INC. 401(K) PROFIT SHARING PLAN Plan #002 Participants BOY/EOY8 / 8 Assets BOY/EOY$3,268,428 / $3,342,826	2022	DONNELLY ORTHODONTICS, INC. 401(K) PROFIT SHARING PLAN - Plan #002	8 / 8	$3,268,428 / $3,342,826
2019	Plan NameDONNELLY ORTHODONTICS, INC. 401(K) PROFIT SHARING PLAN Plan #002 Participants BOY/EOY5 / 11 Assets BOY/EOY$1,333,191 / $3,043,544	2019	DONNELLY ORTHODONTICS, INC. 401(K) PROFIT SHARING PLAN - Plan #002	5 / 11	$1,333,191 / $3,043,544