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  5. VISION QUEST LAB, LLC

VISION QUEST LAB, LLC

Company Details

Entity Name: VISION QUEST LAB, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Dec 2002 (22 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 02 May 2016 (9 years ago)
Document Number: L02000032499
FEI/EIN Number 043727053
Address: 177 N. INDUSTRIAL DR., ORANGE CITY, FL, 32763, US
Mail Address: 177 N. INDUSTRIAL DR., ORANGE CITY, FL, 32763, US
ZIP code: 32763
County: Volusia
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VISION QUEST LAB, LLC EMPLOYEE 401K & RETIREMENT PLAN 2022 043727053 2024-04-12 VISION QUEST LAB, LLC 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-09-15
Business code 339110
Sponsor’s telephone number 3869171001
Plan sponsor’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 043727053
Plan administrator’s name VISION QUEST LAB, LLC
Plan administrator’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763
Administrator’s telephone number 3869171001

Signature of
Role Plan administrator
Date 2024-04-12
Name of individual signing SHERI IGYARTO
Valid signature Filed with authorized/valid electronic signature
VISION QUEST LAB, LLC EMPLOYEE 401K & RETIREMENT PLAN 2021 043727053 2023-04-05 VISION QUEST LAB, LLC 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-09-15
Business code 339110
Sponsor’s telephone number 3869171001
Plan sponsor’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 043727053
Plan administrator’s name VISION QUEST LAB, LLC
Plan administrator’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763
Administrator’s telephone number 3869171001

Signature of
Role Plan administrator
Date 2023-04-05
Name of individual signing SHERI IGYARTO
Valid signature Filed with authorized/valid electronic signature
VISION QUEST LAB, LLC EMPLOYEE 401K & RETIREMENT PLAN 2020 043727053 2021-11-23 VISION QUEST LAB, LLC 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-09-15
Business code 339110
Sponsor’s telephone number 3869171001
Plan sponsor’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 043727053
Plan administrator’s name VISION QUEST LAB, LLC
Plan administrator’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763
Administrator’s telephone number 3869171001

Signature of
Role Plan administrator
Date 2021-11-23
Name of individual signing KELLY HAYNES
Valid signature Filed with authorized/valid electronic signature
VISION QUEST LAB, LLC EMPLOYEE 401K & RETIREMENT PLAN 2019 043727053 2020-10-07 VISION QUEST LAB, LLC 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-09-15
Business code 339110
Sponsor’s telephone number 3869171001
Plan sponsor’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 043727053
Plan administrator’s name VISION QUEST LAB, LLC
Plan administrator’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763
Administrator’s telephone number 3869171001

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing KELLY HAYNES
Valid signature Filed with authorized/valid electronic signature
VISION QUEST LAB, LLC EMPLOYEE 401K & RETIREMENT PLAN 2018 043727053 2020-02-10 VISION QUEST LAB, LLC 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-09-15
Business code 339110
Sponsor’s telephone number 3869171001
Plan sponsor’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 043727053
Plan administrator’s name VISION QUEST LAB, LLC
Plan administrator’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763
Administrator’s telephone number 3869171001

Signature of
Role Plan administrator
Date 2020-02-10
Name of individual signing KELLY HAYNES
Valid signature Filed with authorized/valid electronic signature
VISION QUEST LAB, LLC EMPLOYEE 401K & RETIREMENT PLAN 2017 043727053 2018-11-07 VISION QUEST LAB, LLC 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-09-15
Business code 339110
Sponsor’s telephone number 3869171001
Plan sponsor’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 043727053
Plan administrator’s name VISION QUEST LAB, LLC
Plan administrator’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763
Administrator’s telephone number 3869171001

Signature of
Role Plan administrator
Date 2018-11-07
Name of individual signing NANCY JEPPESEN
Valid signature Filed with authorized/valid electronic signature
VISION QUEST LAB, LLC EMPLOYEE 401K & RETIREMENT PLAN 2016 043727053 2017-09-18 VISION QUEST LAB, LLC 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-09-15
Business code 339110
Sponsor’s telephone number 3869171001
Plan sponsor’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 043727053
Plan administrator’s name VISION QUEST LAB, LLC
Plan administrator’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763
Administrator’s telephone number 3869171001

Signature of
Role Plan administrator
Date 2017-09-18
Name of individual signing NANCY JEPPESEN
Valid signature Filed with authorized/valid electronic signature
VISION QUEST LAB, LLC EMPLOYEE 401K & RETIREMENT PLAN 2015 043727053 2017-01-18 VISION QUEST LAB, LLC 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-09-15
Business code 339110
Sponsor’s telephone number 3869171001
Plan sponsor’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 043727053
Plan administrator’s name VISION QUEST LAB, LLC
Plan administrator’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763
Administrator’s telephone number 3869171001

Signature of
Role Plan administrator
Date 2017-01-18
Name of individual signing NANCY JEPPESEN
Valid signature Filed with authorized/valid electronic signature
VISION QUEST LAB, LLC EMPLOYEE 401K & RETIREMENT PLAN 2014 043727053 2015-12-02 VISION QUEST LAB, LLC 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-09-15
Business code 339110
Sponsor’s telephone number 3869171001
Plan sponsor’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 043727053
Plan administrator’s name VISION QUEST LAB, LLC
Plan administrator’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763
Administrator’s telephone number 3869171001

Signature of
Role Plan administrator
Date 2015-12-02
Name of individual signing NANCY JEPPESEN
Valid signature Filed with authorized/valid electronic signature
VISION QUEST LAB, LLC EMPLOYEE 401K & RETIREMENT PLAN 2013 043727053 2014-10-27 VISION QUEST LAB, LLC 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2009-09-15
Business code 339110
Sponsor’s telephone number 3869171001
Plan sponsor’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763

Plan administrator’s name and address
Administrator’s EIN 043727053
Plan administrator’s name VISION QUEST LAB, LLC
Plan administrator’s address 177 N INDUSTRIAL DR, ORANGE CITY, FL, 32763
Administrator’s telephone number 3869171001

Signature of
Role Plan administrator
Date 2014-10-27
Name of individual signing NANCY JEPPESEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HAYNES KELLY L Agent 177 N. Industrial drive, Orange City, FL, 32763

Manager

Name Role Address
HAYNES KELLY Manager 177 N. INDUSTRIAL DR., ORANGE CITY, FL, 32763

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-03-30 177 N. Industrial drive, Orange City, FL 32763 No data
REGISTERED AGENT NAME CHANGED 2020-01-14 HAYNES, KELLY L No data
LC AMENDMENT 2016-05-02 No data No data
CHANGE OF PRINCIPAL ADDRESS 2008-02-25 177 N. INDUSTRIAL DR., ORANGE CITY, FL 32763 No data
CHANGE OF MAILING ADDRESS 2008-02-25 177 N. INDUSTRIAL DR., ORANGE CITY, FL 32763 No data

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-03-30
ANNUAL REPORT 2022-04-13
ANNUAL REPORT 2021-02-22
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-01-16
ANNUAL REPORT 2018-03-20
ANNUAL REPORT 2017-03-01
LC Amendment 2016-05-02
ANNUAL REPORT 2016-03-02

Related by officers

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HAYNES, LLC CLEARLY OPTICAL LABORATORY, LLC CUT N EDGE, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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