| Entity Name: | SURE VISION CENTERS OF FLORIDA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Jul 2021 (4 years ago) |
| Document Number: | L21000330112 |
| FEI/EIN Number | 87-2217505 |
| Address: | 11830 Glass House Lane, Suite 120, Orlando, FL 32836 |
| Mail Address: | 11830 Glass House Lane, Suite 120, Orlando, FL 32836 |
| ZIP code: | 32836 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740917665 | 2022-08-02 | 2022-11-16 | 11058 GRANDE PINES CIR APT 823, ORLANDO, FL, 328219333, US | 11830 GLASS HOUSE LANE, SUITE 120, ORLANDO, FL, 32836, US | |||||||||||||
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| Phone | +1 813-355-9543 |
Authorized person
| Name | DR. ANGELINE SIMEUS |
| Role | OWNER |
| Phone | 8133559543 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SURE VISION CENTERS OF FLORIDA, PLLC 401(K) PLAN | 2023 | 872217505 | 2024-05-21 | SURE VISION CENTERS OF FLORIDA, PLLC | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-21 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SIMEUS, ANGELINE | Agent | 11058 GRANDE PINES CIRCLE, APT# 823, ORLANDO, FL 32621 |
| Name | Role | Address |
|---|---|---|
| SIMEUS, ANGELINE | Manager | 11058 GRANDE PINES CIRCLE, APT# 823, ORLANDO, FL 32621 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-08-10 | 11830 Glass House Lane, Suite 120, Orlando, FL 32836 | No data |
| CHANGE OF MAILING ADDRESS | 2022-08-10 | 11830 Glass House Lane, Suite 120, Orlando, FL 32836 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-08-10 |
| Florida Limited Liability | 2021-07-20 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
