The Original Bulverde Dental Office, P.A.

Form 5500

THE ORIGINAL BULVERDE DENTAL OFFICE, P.A.

2395 Bulverde Road, Suite 103, Bulverde, Tx 78163 (830) 980-2869 EIN:20-0925139 Plan Admin:Guy E. Peterson, Dds

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameBULVERDE DENTAL 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY10 / 10 Assets BOY/EOY$993,976 / $944,541	2022	BULVERDE DENTAL 401(K) PROFIT SHARING PLAN - Plan #001	10 / 10	$993,976 / $944,541
2021	Plan NameBULVERDE DENTAL 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY9 / 9 Assets BOY/EOY$738,249 / $993,976	2021	BULVERDE DENTAL 401(K) PROFIT SHARING PLAN - Plan #001	9 / 9	$738,249 / $993,976
2020	Plan NameBULVERDE DENTAL 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY8 / 9 Assets BOY/EOY$565,464 / $738,249	2020	BULVERDE DENTAL 401(K) PROFIT SHARING PLAN - Plan #001	8 / 9	$565,464 / $738,249
2019	Plan NameBULVERDE DENTAL 401(K) PROFIT SHARING PLAN Plan #001 Participants BOY/EOY8 / 6 Assets BOY/EOY$397,404 / $565,464	2019	BULVERDE DENTAL 401(K) PROFIT SHARING PLAN - Plan #001	8 / 6	$397,404 / $565,464