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  5. NEW VISION FOR INDEPENDENCE, INC.

NEW VISION FOR INDEPENDENCE, INC.

Company Details

Entity Name: NEW VISION FOR INDEPENDENCE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 18 Jul 2005 (20 years ago)
Last Event: AMENDMENT
Event Date Filed: 21 Nov 2005 (19 years ago)
Document Number: N05000007312
FEI/EIN Number 203288751
Address: 4072 United Ave, Mount Dora, FL, 32757, US
Mail Address: 4072 United Ave, Mount Dora, FL, 32757, US
ZIP code: 32757
County: Lake
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF NEW VISION FOR INDEPENDENCE, INC. 2020 203288751 2022-04-19 NEW VISION FOR INDEPENDENCE, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-06-01
Business code 624100
Sponsor’s telephone number 3524355040
Plan sponsor’s address 9501 US HIGHWAY 441, LEESBURG, FL, 347883950

Signature of
Role Plan administrator
Date 2022-04-19
Name of individual signing CHANTEL BUCK
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF NEW VISION FOR INDEPENDENCE, INC. 2019 203288751 2021-04-29 NEW VISION FOR INDEPENDENCE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-06-01
Business code 624100
Sponsor’s telephone number 3524355040
Plan sponsor’s address 9501 US HIGHWAY 441, LEESBURG, FL, 347883950

Signature of
Role Plan administrator
Date 2021-04-29
Name of individual signing CHANTEL BUCK
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF NEW VISION FOR INDEPENDENCE, INC. 2018 203288751 2020-04-30 NEW VISION FOR INDEPENDENCE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-06-01
Business code 624310
Sponsor’s telephone number 3524355040
Plan sponsor’s address 9501 US HIGHWAY 441, LEESBURG, FL, 347883950

Signature of
Role Plan administrator
Date 2020-04-30
Name of individual signing CHANTEL BUCK
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF NEW VISION FOR INDEPENDENCE, INC. 2017 203288751 2019-05-15 NEW VISION FOR INDEPENDENCE, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-06-01
Sponsor’s telephone number 3524355040
Plan sponsor’s address 9501 US HIGHWAY 441, LEESBURG, FL, 347883950

Signature of
Role Plan administrator
Date 2019-05-15
Name of individual signing CHANTEL BUCK
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF NEW VISION FOR INDEPENDENCE, INC. 2016 203288751 2018-04-24 NEW VISION FOR INDEPENDENCE, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-06-01
Business code 624310
Sponsor’s telephone number 3524355040
Plan sponsor’s address 9501 US HIGHWAY 441, LEESBURG, FL, 34788

Signature of
Role Plan administrator
Date 2018-04-24
Name of individual signing CHANTEL BUCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-24
Name of individual signing CHANTEL BUCK
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF NEW VISION FOR INDEPENDENCE, INC. 2015 203288751 2017-05-01 NEW VISION FOR INDEPENDENCE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-06-01
Business code 624310
Sponsor’s telephone number 3524355040
Plan sponsor’s address 9501 US HIGHWAY 441, LEESBURG, FL, 34788

Signature of
Role Plan administrator
Date 2017-05-01
Name of individual signing CHANTEL BUCK
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF NEW VISION FOR INDEPENDENCE, INC. 2014 203288751 2016-05-02 NEW VISION FOR INDEPENDENCE, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-06-01
Business code 624310
Sponsor’s telephone number 3524355040
Plan sponsor’s address 9501 US HIGHWAY 441, LEESBURG, FL, 34788

Signature of
Role Plan administrator
Date 2016-05-02
Name of individual signing CHANTEL BUCK
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF NEW VISION FOR INDEPENDENCE, INC. 2013 203288751 2015-04-22 NEW VISION FOR INDEPENDENCE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-06-01
Business code 624310
Sponsor’s telephone number 3524355040
Plan sponsor’s address 9501 US HIGHWAY 441, LEESBURG, FL, 34788

Signature of
Role Plan administrator
Date 2015-04-22
Name of individual signing THERESA TABONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-22
Name of individual signing THERESA TABONE
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF NEW VISION FOR INDEPENDENCE, INC. 2012 203288751 2014-01-23 NEW VISION FOR INDEPENDENCE, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-06-01
Business code 624310
Sponsor’s telephone number 3524355040
Plan sponsor’s address 9501 US HIGHWAY 441, LEESBURG, FL, 34788

Signature of
Role Plan administrator
Date 2014-01-23
Name of individual signing THERESA TABONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-01-23
Name of individual signing THERESA TABONE
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF NEW VISION FOR INDEPENDENCE, INC. 2011 203288751 2013-01-23 NEW VISION FOR INDEPENDENCE, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-06-01
Business code 624310
Sponsor’s telephone number 3524355040
Plan sponsor’s address 9501 US HIGHWAY 441, LEESBURG, FL, 34788

Plan administrator’s name and address
Administrator’s EIN 203288751
Plan administrator’s name NEW VISION FOR INDEPENDENCE, INC.
Plan administrator’s address 9501 US HIGHWAY 441, LEESBURG, FL, 34788
Administrator’s telephone number 3524355040

Signature of
Role Plan administrator
Date 2013-01-23
Name of individual signing THERESA TABONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-01-23
Name of individual signing THERESA TABONE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Buck Chantel S Agent 4072 United Ave, Mount Dora, FL, 32757

Chairman

Name Role Address
Werner Natalie Chairman 4072 United Ave, Mount Dora, FL, 32757

Vice Chairman

Name Role Address
Kollmann Colleen Vice Chairman 4072 United Ave, Mount Dora, FL, 32757

Chief Executive Officer

Name Role Address
Buck Chantel Chief Executive Officer 4072 United Ave, Mount Dora, FL, 32757

Secretary

Name Role Address
Payne Sarah Secretary 4072 United Ave, Mount Dora, FL, 32757

Treasurer

Name Role Address
Mack Scott Lt. Treasurer 4072 United Ave, Mount Dora, FL, 32757

Director

Name Role Address
Wilfurd Brown Director 4072 United Ave, Mount Dora, FL, 32757

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-23 4072 United Ave, Mount Dora, FL 32757 No data
CHANGE OF MAILING ADDRESS 2023-03-23 4072 United Ave, Mount Dora, FL 32757 No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-23 4072 United Ave, Mount Dora, FL 32757 No data
REGISTERED AGENT NAME CHANGED 2016-02-26 Buck, Chantel Shafer No data
AMENDMENT 2005-11-21 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-03-23
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-05-03
ANNUAL REPORT 2020-06-22
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-02-26
ANNUAL REPORT 2015-01-21

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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