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  5. EYES AT CENTERVILLE PARK, LLC

EYES AT CENTERVILLE PARK, LLC - Florida Company Profile

Company Details

Entity Name: EYES AT CENTERVILLE PARK, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

EYES AT CENTERVILLE PARK, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 13 Sep 2006 (19 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 14 Oct 2020 (4 years ago)
Document Number: L06000089800
FEI/EIN Number 205543143

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 32308, US
Mail Address: 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 32308, US
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124125406 2006-09-20 2010-07-07 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 323084624, US 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 323084624, US

Contacts
Phone +1 850-877-7337
Fax 8508778675

Authorized person
Name DR. RICHARD MARK PALMER
Role CEO
Phone 8508777337

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
License Number ME68965
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EYES AT CENTERVILLE PARK, LLC 401(K) PROFIT SHARING PLAN 2023 205543143 2025-02-18 EYES AT CENTERVILLE PARK, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8508777337
Plan sponsor’s address 2535 CAPITAL MEDICAL BLVD., TALLAHASSEE, FL, 32308
EYES AT CENTERVILLE PARK, LLC 401(K) PROFIT SHARING PLAN 2022 205543143 2023-09-28 EYES AT CENTERVILLE PARK, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8508777337
Plan sponsor’s address 2535 CAPITAL MEDICAL BLVD., TALLAHASSEE, FL, 32308
EYES AT CENTERVILLE PARK, LLC 401(K) PROFIT SHARING PLAN 2021 205543143 2022-06-28 EYES AT CENTERVILLE PARK, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8508777337
Plan sponsor’s address 2535 CAPITAL MEDICAL BLVD., TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2022-06-28
Name of individual signing BLAKE MATTHEWS
Valid signature Filed with authorized/valid electronic signature
EYES AT CENTERVILLE PARK, LLC 401(K) PROFIT SHARING PLAN 2020 205543143 2021-09-22 EYES AT CENTERVILLE PARK, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8508777337
Plan sponsor’s address 2535 CAPITAL MEDICAL BLVD., TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2021-09-22
Name of individual signing RICHARD PALMER
Valid signature Filed with authorized/valid electronic signature
EYES AT CENTERVILLE PARK, LLC 401(K) PROFIT SHARING PLAN 2019 205543143 2020-06-30 EYES AT CENTERVILLE PARK, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8508777337
Plan sponsor’s address 2535 CAPITAL MEDICAL BLVD., TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing RICHARD PALMER
Valid signature Filed with authorized/valid electronic signature
EYES AT CENTERVILLE PARK LLC 401(K) PROFIT SHARING PLAN 2018 205543143 2019-05-24 EYES AT CENTERVILLE PARK LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8508777337
Plan sponsor’s address 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 323084624

Signature of
Role Plan administrator
Date 2019-05-24
Name of individual signing RICHARD PALMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-24
Name of individual signing RICHARD PALMER
Valid signature Filed with authorized/valid electronic signature
EYES AT CENTERVILLE PARK LLC 401(K) PROFIT SHARING PLAN 2017 205543143 2018-03-19 EYES AT CENTERVILLE PARK LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8508777337
Plan sponsor’s address 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 323084624

Signature of
Role Plan administrator
Date 2018-03-19
Name of individual signing RICHARD PALMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-19
Name of individual signing RICHARD PALMER
Valid signature Filed with authorized/valid electronic signature
EYES AT CENTERVILLE PARK LLC 401(K) PROFIT SHARING PLAN 2016 205543143 2017-04-03 EYES AT CENTERVILLE PARK LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8508777337
Plan sponsor’s address 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 323084624

Signature of
Role Plan administrator
Date 2017-04-03
Name of individual signing RICHARD PALMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-03
Name of individual signing RICHARD PALMER
Valid signature Filed with authorized/valid electronic signature
EYES AT CENTERVILLE PARK LLC 401(K) PROFIT SHARING PLAN 2015 205543143 2016-06-29 EYES AT CENTERVILLE PARK LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8508777337
Plan sponsor’s address 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 323084624

Signature of
Role Plan administrator
Date 2016-06-29
Name of individual signing RICHARD PALMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-29
Name of individual signing RICHARD PALMER
Valid signature Filed with authorized/valid electronic signature
EYES AT CENTERVILLE PARK LLC 401(K) PROFIT SHARING PLAN 2014 205543143 2015-07-30 EYES AT CENTERVILLE PARK LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 8508777337
Plan sponsor’s address 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing RICHARD PALMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-30
Name of individual signing RICHARD PALMER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MATTHEWS AMANDA M.D. Manager 2535 CAPITAL MEDICAL BLVD., TALLAHASSEE, FL, 32308
MATTHEWS AMANDA Agent 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 32308

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09000177604 PALMER EYE CENTER EXPIRED 2009-11-23 2024-12-31 - 2535 CAPITAL MEDICAL BLVD., TALLAHASSEE, FL, 32308

Events

Event Type Filed Date Value Description
LC AMENDMENT 2020-10-14 - -
REGISTERED AGENT NAME CHANGED 2020-10-14 MATTHEWS, AMANDA -
CHANGE OF MAILING ADDRESS 2012-02-09 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308 -
REGISTERED AGENT ADDRESS CHANGED 2009-04-15 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308 -
CHANGE OF PRINCIPAL ADDRESS 2007-03-12 2535 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308 -

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-04-07
LC Amendment 2020-10-14
ANNUAL REPORT 2020-03-18
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-07-02
ANNUAL REPORT 2017-02-11
ANNUAL REPORT 2016-03-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5250018500 2021-02-27 0491 PPS 2535 Capital Medical Blvd, Tallahassee, FL, 32308-4624
Loan Status Date 2021-11-20
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 121482.5
Loan Approval Amount (current) 121482.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19248
Servicing Lender Name Synovus Bank
Servicing Lender Address 1148 Broadway, COLUMBUS, GA, 31901-2429
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tallahassee, LEON, FL, 32308-4624
Project Congressional District FL-02
Number of Employees 18
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 19248
Originating Lender Name Synovus Bank
Originating Lender Address COLUMBUS, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 122297.93
Forgiveness Paid Date 2021-11-03
2249277402 2020-05-05 0491 PPP 2535 Capital Medical Boulevard, Tallahassee, FL, 32308
Loan Status Date 2021-04-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 141600
Loan Approval Amount (current) 143228.19
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tallahassee, LEON, FL, 32308-0001
Project Congressional District FL-02
Number of Employees 14
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 144477.46
Forgiveness Paid Date 2021-03-24

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Companies related by address

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Date of last update: 01 Mar 2025

Sources: Florida Department of State

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