Jeffrey M. Rubin, O.D., P.C.

Form 5500

JEFFREY M. RUBIN, O.D., P.C.

67 Michael Roberts Ct., Pearl River, Nj 10965 (845) 623-3500 EIN:13-3196220 Plan Admin:Jeffrey M. Rubin

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameJEFFREY M. RUBIN, O.D., P.C. PROFIT SHARING PLAN Plan #001 Participants BOY/EOY7 / 8 Assets BOY/EOY$1,612,174 / $1,715,921	2022	JEFFREY M. RUBIN, O.D., P.C. PROFIT SHARING PLAN - Plan #001	7 / 8	$1,612,174 / $1,715,921
2022	Plan NameJEFFREY M. RUBIN, O.D., P.C. CASH BALANCE PLAN Plan #002 Participants BOY/EOY6 / 4 Assets BOY/EOY$1,334,757 / $1,682,794	2022	JEFFREY M. RUBIN, O.D., P.C. CASH BALANCE PLAN - Plan #002	6 / 4	$1,334,757 / $1,682,794
2021	Plan NameJEFFREY M. RUBIN, O.D., P.C. PROFIT SHARING PLAN Plan #001 Participants BOY/EOY6 / 6 Assets BOY/EOY$1,465,816 / $1,612,174	2021	JEFFREY M. RUBIN, O.D., P.C. PROFIT SHARING PLAN - Plan #001	6 / 6	$1,465,816 / $1,612,174
2021	Plan NameJEFFREY M. RUBIN, O.D., P.C. CASH BALANCE PLAN Plan #002 Participants BOY/EOY4 / 4 Assets BOY/EOY$1,323,447 / $1,334,757	2021	JEFFREY M. RUBIN, O.D., P.C. CASH BALANCE PLAN - Plan #002	4 / 4	$1,323,447 / $1,334,757
2020	Plan NameJEFFREY M. RUBIN, O.D., P.C. PROFIT SHARING PLAN Plan #001 Participants BOY/EOY6 / 6 Assets BOY/EOY$1,375,729 / $1,465,816	2020	JEFFREY M. RUBIN, O.D., P.C. PROFIT SHARING PLAN - Plan #001	6 / 6	$1,375,729 / $1,465,816
2020	Plan NameJEFFREY M. RUBIN, O.D., P.C. CASH BALANCE PLAN Plan #002 Participants BOY/EOY5 / 4 Assets BOY/EOY$1,073,356 / $1,323,447	2020	JEFFREY M. RUBIN, O.D., P.C. CASH BALANCE PLAN - Plan #002	5 / 4	$1,073,356 / $1,323,447
2019	Plan NameJEFFREY M. RUBIN, O.D., P.C. PROFIT SHARING PLAN Plan #001 Participants BOY/EOY5 / 6 Assets BOY/EOY$1,345,690 / $1,375,729	2019	JEFFREY M. RUBIN, O.D., P.C. PROFIT SHARING PLAN - Plan #001	5 / 6	$1,345,690 / $1,375,729
2019	Plan NameJEFFREY M. RUBIN, O.D., P.C. CASH BALANCE PLAN Plan #002 Participants BOY/EOY5 / 5 Assets BOY/EOY$961,154 / $1,073,356	2019	JEFFREY M. RUBIN, O.D., P.C. CASH BALANCE PLAN - Plan #002	5 / 5	$961,154 / $1,073,356
2018	Plan NameJEFFREY M. RUBIN, O.D., P.C. CASH BALANCE PLAN Plan #002 Participants BOY/EOY5 / 4 Assets BOY/EOY$699,211 / $961,154	2018	JEFFREY M. RUBIN, O.D., P.C. CASH BALANCE PLAN - Plan #002	5 / 4	$699,211 / $961,154