| Entity Name: | EXCLUSIVE EYEWEAR NO.1, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Jul 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 Sep 2022 (2 years ago) |
| Document Number: | L19000186042 |
| FEI/EIN Number | 84-2446268 |
| Address: | 871 NW 123RD DRIVE, CORAL SPRINGS, FL 33071 |
| Mail Address: | 871 NW 123RD DRIVE, CORAL SPRINGS, FL 33071 |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316542210 | 2020-12-01 | 2021-02-19 | 12233 W SUNRISE BLVD, PLANTATION, FL, 333232234, US | 12233 W SUNRISE BLVD, PLANTATION, FL, 333232234, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 954-824-2400 |
| Fax | 5618288367 |
Authorized person
| Name | JACKIE BENNETT |
| Role | CREDENTIALING MANAGER |
| Phone | 5612752020 |
Taxonomy
| Taxonomy Code | 332H00000X - Eyewear Supplier |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FOZAN SIDDIQU | Agent | 11860 NW 3RD DRIVE, CORAL SPRINGS, FL 33071 |
| Name | Role | Address |
|---|---|---|
| SIDDIQU, FOZAN | Manager | 11860 NW 3RD DRIVE, CORAL SPRINGS, FL 33071 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000161866 | MY EYELAB | ACTIVE | 2020-12-21 | 2025-12-31 | No data | 12233 WEST SUNRISE BLVD, PLANTATION, FL, 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-09-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-09-06 | FOZAN SIDDIQU | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-09-06 | 11860 NW 3RD DRIVE, CORAL SPRINGS, FL 33071 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-16 |
| LC Amendment | 2022-09-06 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-03-19 |
| Florida Limited Liability | 2019-07-19 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
