CHAMPION EYE INC - Florida Company Profile

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Company Details

Entity Name:	CHAMPION EYE INC
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	15 Jan 2021 (5 years ago)
Document Number:	P21000007533
FEI/EIN Number	86-1834638
Address:	6817 SOUTHPOINT PKWY, JACKSONVILLE, FL, 32216, US
Mail Address:	1016 Ponte Vedra Blvd, PONTE VEDRA BEACH, FL, 32082, US
ZIP code:	32216
City:	Jacksonville
County:	Duval
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
CHAMPION LENKA S	President	1016 PONTE VEDRA BLVD, PONTE VEDRA BEACH, FL, 32082
CHAMPION LENKA S	Agent	1016 PONTE VEDRA BLVD, PONTE VEDRA BEACH, FL, 32082

National Provider Identifier

NPI Number:

1568056026

Certification Date:

2021-08-06

Link:

View on NPI website

Authorized Person:

Name:

LENKA S CHAMPION

Role:

OWNER

Phone:

9049034068

Taxonomy:

Selected Taxonomy:

207W00000X - Ophthalmology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 904-903-4068

Fax:

9049005347

Form 5500 Series

Employer Identification Number (EIN):

861834638

Plan Year:

2024

Number Of Participants:

14

Sponsors Telephone Number:

9047160530

File:

Plan Year:

2023

Number Of Participants:

23

Sponsors Telephone Number:

9047160530

File:

Plan Year:

2023

Number Of Participants:

11

Sponsors Telephone Number:

9047160530

File:

Plan Year:

2022

Number Of Participants:

5

Sponsors Telephone Number:

9047160530

File:

Plan Year:

2022

Number Of Participants:

0

Sponsors Telephone Number:

9047160530

File:

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G22000051156	CHAMPION EYECARE	ACTIVE	2022-04-22	2027-12-31	-	6817 SOUTHPOINT PKWY UNIT 1503, JACKSONVILLE, FL, 32216

Events

Event Type	Filed Date	Value	Description
CHANGE OF MAILING ADDRESS	2021-08-25	6817 SOUTHPOINT PKWY, #1503, JACKSONVILLE, FL 32216	-
CHANGE OF PRINCIPAL ADDRESS	2021-07-21	6817 SOUTHPOINT PKWY, #1503, JACKSONVILLE, FL 32216	-

Documents

Name	Date
ANNUAL REPORT	2024-04-02
ANNUAL REPORT	2023-01-27
ANNUAL REPORT	2022-03-11
Domestic Profit	2021-01-15

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Date of last update: 02 Jul 2025

Sources: Florida Department of State