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DAVIS OPTOMETRY GROUP, P.A.

DAVIS OPTOMETRY GROUP, P.A.

Company Details

Entity Name:	DAVIS OPTOMETRY GROUP, P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	22 Dec 1989 (35 years ago)
Document Number:	L38652
FEI/EIN Number	592980514
Address:	2922 JEFFERSON STREET, MARIANNA, FL, 32446, US
Mail Address:	2922 JEFFERSON STREET, MARIANNA, FL, 32446, US
ZIP code:	32446
County:	Jackson
Place of Formation:	FLORIDA

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

DAVIS OPTOMETRY GROUP, P.A. RETIREMENT PLAN & TRUST

2023

592980514

2024-08-15

DAVIS OPTOMETRY GROUP, P.A.

12

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	8505264550
Plan sponsor’s address	2922 JEFFERSON ST., MARIANNA, FL, 32446

DAVIS OPTOMETRY GROUP, P.A. RETIREMENT PLAN & TRUST

2022

592980514

2023-09-18

DAVIS OPTOMETRY GROUP, P.A.

9

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	8505264550
Plan sponsor’s address	2922 JEFFERSON ST., MARIANNA, FL, 32446

DAVIS OPTOMETRY GROUP, P.A. RETIREMENT PLAN & TRUST

2021

592980514

2022-08-16

DAVIS OPTOMETRY GROUP, P.A.

10

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	8505264550
Plan sponsor’s address	2922 JEFFERSON ST., MARIANNA, FL, 32446

DAVIS OPTOMETRY GROUP, P.A. RETIREMENT PLAN & TRUST

2020

592980514

2021-09-15

DAVIS OPTOMETRY GROUP, P.A.

10

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	8505264550
Plan sponsor’s address	2922 JEFFERSON ST., MARIANNA, FL, 32446

DAVIS OPTOMETRY GROUP, P.A. RETIREMENT PLAN & TRUST

2019

592980514

2020-07-16

DAVIS OPTOMETRY GROUP, P.A.

9

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	8505264550
Plan sponsor’s address	2922 JEFFERSON ST., MARIANNA, FL, 32446

DAVIS OPTOMETRY GROUP, P.A. RETIREMENT PLAN & TRUST

2018

592980514

2019-09-12

DAVIS OPTOMETRY GROUP, P.A.

8

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2001-01-01
Business code	621111
Sponsor’s telephone number	8505264550
Plan sponsor’s address	2922 JEFFERSON ST., MARIANNA, FL, 32446

Agent

Name	Role	Address
DAVIS JEFFREY KDR.	Agent	2922 JEFFERSON STREET, MARIANNA, FL, 32446

Director

Name	Role	Address
DAVIS MARION BJR.	Director	2922 JEFFERSON ST, MARIANNA, FL, 32446
DAVIS JEFFREY KDR.	Director	2922 JEFFERSON STREET, MARIANNA, FL, 32446

Events

Event Type	Filed Date	Value	Description
REINSTATEMENT	2021-04-19	No data	No data
ADMIN DISSOLUTION FOR ANNUAL REPORT	2020-09-25	No data	No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State