One file holds your saved units and your Sound Lab presets, to keep or to carry to another sketch. Sketches already carry both.
The iPad plays a close copy of each REAPER synth, so expect small differences. The REAPER sound is the real one.
Notes, writing, arrows and circles are saved in the sketch file, so they travel to the Mac with the score. Export notes for Obsidian (in Settings) saves them all as Markdown, each note with the date and time it was written, plus key data and a picture of the whole score.
Your work is kept on the iPad as you go, but Save writes the sketch file, which is the real copy. Save to iCloud Drive to reach the Mac. The red Unsaved dot shows when there are changes since the last save.
The date and time are filled in. Change the name if you like. Later saves keep this name and don't ask again; rename it under Settings › Sketch name.
Saving a file isn't available in this view. Copy the text below and paste it into a note or a text file called sketch.json.