| Entity Name: | FLORIDA'S VISION QUEST, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 06 Sep 1994 (31 years ago) |
| Date of dissolution: | 30 Jun 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Jun 2023 (2 years ago) |
| Document Number: | N94000004361 |
| FEI/EIN Number |
593269114
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 177 NORTH INDUSTRIAL DRIVE, ORANGE CITY, FL, 32763, US |
| Mail Address: | 177 NORTH INDUSTRIAL DRIVE, ORANGE CITY, FL, 32763, US |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336584176 | 2013-05-07 | 2016-06-06 | 167 N INDUSTRIAL DR, ORANGE CITY, FL, 327637414, US | 167 N INDUSTRIAL DR, ORANGE CITY, FL, 327637414, US | |||||||||||||||||||||||||
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| Phone | +1 386-917-1001 |
| Fax | 3869171008 |
Authorized person
| Name | MS. KELLY LYNN HAYNES |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3869171001 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | OPC1293 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008735000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JEPPESEN NANCY | Chief Executive Officer | 177 NORTH INDUSTRIAL DRIVE, ORANGE CITY, FL, 32763 |
| Jeppesen Nancy L | Agent | 177 N INDUSTRIAL DRIVE, ORANGE CITY, FL, 32763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-30 | 177 NORTH INDUSTRIAL DRIVE, ORANGE CITY, FL 32763 | - |
| VOLUNTARY DISSOLUTION | 2023-06-30 | - | - |
| REGISTERED AGENT NAME CHANGED | 2023-06-30 | Jeppesen, Nancy LYNN | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-30 | 177 N INDUSTRIAL DRIVE, ORANGE CITY, FL 32763 | - |
| CHANGE OF MAILING ADDRESS | 2023-06-30 | 177 NORTH INDUSTRIAL DRIVE, ORANGE CITY, FL 32763 | - |
| AMENDMENT AND NAME CHANGE | 2007-05-11 | FLORIDA'S VISION QUEST, INC. | - |
| NAME CHANGE AMENDMENT | 1997-04-17 | JEPPESEN VISIONQUEST, INC. | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-06-30 |
| ANNUAL REPORT | 2023-06-30 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-01-16 |
| ANNUAL REPORT | 2018-02-05 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-03-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8817648703 | 2021-04-08 | 0491 | PPS | 167 N Industrial Dr, Orange City, FL, 32763-7414 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6003517302 | 2020-04-30 | 0491 | PPP | 167 North Industrial Drive, Orange City, FL, 32763 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
