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AMERICAN VISION GROUP, LLC

Company Details

Entity Name: AMERICAN VISION GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Company
Status: Active
Date Filed: 03 Jun 2024 (8 months ago)
Document Number: M24000007027
Address: 192 NE 168TH ST., NORTH MIAMI BEACH, FL 33162
Mail Address: 192 NE 168TH ST., NORTH MIAMI BEACH, FL 33162
ZIP code: 33162
County: Miami-Dade
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN VISION GROUP LLC HEALTH AND DENTAL PLAN 2023 832166533 2024-10-15 AMERICAN VISION GROUP LLC 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-12-01
Business code 541990
Sponsor’s telephone number 9544529922
Plan sponsor’s mailing address 192 NE 168TH ST, NORTH MIAMI BEACH, FL, 331623412
Plan sponsor’s address 192 NE 168TH ST, NORTH MIAMI BEACH, FL, 331623412

Number of participants as of the end of the plan year

Active participants 150
Number of participants with account balances as of the end of the plan year 150

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing ALYSON HAYWARD
Valid signature Filed with authorized/valid electronic signature
AMERICAN VISION GROUP LLC HEALTH AND DENTAL PLAN 2020 832136533 2022-06-21 AMERICAN VISION GROUP LLC 104
Three-digit plan number (PN) 501
Effective date of plan 2020-12-01
Business code 541990
Sponsor’s telephone number 9544529922
Plan sponsor’s mailing address 192 NE 168TH ST, NORTH MIAMI BEACH, FL, 331623412
Plan sponsor’s address 192 NE 168TH ST, NORTH MIAMI BEACH, FL, 331623412

Number of participants as of the end of the plan year

Active participants 103
Retired or separated participants receiving benefits 8
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2022-06-21
Name of individual signing DOMINIQUE GUTIERREZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T CORPORATION SYSTEM Agent

Manager

Name Role Address
HAWATMEH, TARIK Manager 192 NE 168TH ST., NORTH MIAMI BEACH, FL 33162
LARA, WILFREDO Manager 192 NE 168TH ST., NORTH MIAMI BEACH, FL 33162

Authorized Person

Name Role Address
HAYWARD, ALYSON Authorized Person 192 NE 168TH ST., NORTH MIAMI BEACH, FL 33162

Documents

Name Date
Foreign Limited 2024-06-03

Date of last update: 08 Feb 2025

Sources: Florida Department of State