Tamara L. Simons, D.D.S., P.A.

Form 5500

TAMARA L. SIMONS, D.D.S. PA

1912 Lexington Ave N Ste. 100, Saint Paul, Mn 55113 (651) 489-1900 EIN:20-0087195 Plan Admin:Tamara Simons

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameSIMONS 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY8 / 9 Assets BOY/EOY$795,050 / $696,131	2022	SIMONS 401(K) PROFIT SHARING PLAN - Plan #001	8 / 9	$795,050 / $696,131
2021	Plan NameSIMONS 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY8 / 8 Assets BOY/EOY$641,896 / $795,050	2021	SIMONS 401(K) PROFIT SHARING PLAN - Plan #001	8 / 8	$641,896 / $795,050
2020	Plan NameSIMONS 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY12 / 8 Assets BOY/EOY$579,975 / $641,896	2020	SIMONS 401(K) PROFIT SHARING PLAN - Plan #001	12 / 8	$579,975 / $641,896
2019	Plan NameSIMONS 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY11 / 11 Assets BOY/EOY$461,678 / $579,975	2019	SIMONS 401(K) PROFIT SHARING PLAN - Plan #001	11 / 11	$461,678 / $579,975