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FAMILY EYE CARE OF WINTER HAVEN, PLLC

Company Details

Entity Name: FAMILY EYE CARE OF WINTER HAVEN, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Jul 2016 (9 years ago)
Document Number: L16000129569
FEI/EIN Number 81-3270009
Address: 400 EAST CENTRAL AVE, WINTER HAVEN, FL, 33880, US
Mail Address: 400 EAST CENTRAL AVE, WINTER HAVEN, FL, 33880, US
ZIP code: 33880
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY EYE CARE 401(K) PLAN 2023 813270009 2024-09-10 FAMILY EYE CARE OF WINTER HAVEN PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621320
Sponsor’s telephone number 8632930276
Plan sponsor’s address 410 EAST CENTRAL AVENUE, WINTER HAVEN, FL, 33880
FAMILY EYE CARE 401(K) PLAN 2022 813270009 2023-08-30 FAMILY EYE CARE OF WINTER HAVEN PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621320
Sponsor’s telephone number 8632930276
Plan sponsor’s address 410 EAST CENTRAL AVENUE, WINTER HAVEN, FL, 33880
FAMILY EYE CARE 401(K) PLAN 2021 813270009 2022-07-28 FAMILY EYE CARE OF WINTER HAVEN PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621320
Sponsor’s telephone number 8632930276
Plan sponsor’s address 410 EAST CENTRAL AVENUE, WINTER HAVEN, FL, 33880
FAMILY EYE CARE 401(K) PLAN 2020 813270009 2021-08-20 FAMILY EYE CARE OF WINTER HAVEN PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621320
Sponsor’s telephone number 8632930276
Plan sponsor’s address 410 EAST CENTRAL AVENUE, WINTER HAVEN, FL, 33880

Signature of

Role Plan administrator
Date 2021-08-20
Name of individual signing KEVIN HENNE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HENNE KEVIN L Agent 2109 9TH STREET SE, WINTER HAVEN, FL, 33880

Manager

Name Role Address
HENNE KEVIN L Manager 2109 9TH STREET SE, WINTER HAVEN, FL, 33880

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-04-03 400 EAST CENTRAL AVE, WINTER HAVEN, FL 33880 No data
CHANGE OF MAILING ADDRESS 2019-04-03 400 EAST CENTRAL AVE, WINTER HAVEN, FL 33880 No data

Documents

Name Date
ANNUAL REPORT 2024-01-12
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-03-30
ANNUAL REPORT 2019-02-25
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-02-10
Florida Limited Liability 2016-07-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7045087100 2020-04-14 0455 PPP 410 East Central Avenue N/A, WINTER HAVEN, FL, 33880
Loan Status Date 2021-06-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 150000
Loan Approval Amount (current) 150000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WINTER HAVEN, POLK, FL, 33880-0001
Project Congressional District FL-09
Number of Employees 14
NAICS code 621320
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 151633.33
Forgiveness Paid Date 2021-05-27
8261618306 2021-01-29 0455 PPS 410 E Central Ave, Winter Haven, FL, 33880-3050
Loan Status Date 2021-12-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 127228
Loan Approval Amount (current) 127228
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Winter Haven, POLK, FL, 33880-3050
Project Congressional District FL-18
Number of Employees 16
NAICS code 621320
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 128093.86
Forgiveness Paid Date 2021-10-25

Date of last update: 03 Feb 2025

Sources: Florida Department of State