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EYE SITE VISION CENTER, INC. - Florida Company Profile

Company Details

Entity Name: EYE SITE VISION CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

EYE SITE VISION CENTER, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 26 May 1993 (32 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 04 Aug 1997 (28 years ago)
Document Number: P93000039560
FEI/EIN Number 650414574

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2344 N UNIVERSITY DR, CORAL SPRINGS, FL, 33065, US
Mail Address: 2344 N UNIVERSITY DR, CORAL SPRINGS, FL, 33065, US
ZIP code: 33065
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316249824 2010-12-03 2012-02-06 2344 N UNIVERSITY DR, CORAL SPRINGS, FL, 330655122, US 2344 N UNIVERSITY DR, CORAL SPRINGS, FL, 330655122, US

Contacts

Phone +1 954-344-3937
Fax 9543442434

Authorized person

Name DR. GARY E GOBERVILLE
Role PRES/OPTOMETRIST
Phone 9543443937

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number OPC2575
State FL
Is Primary Yes
Taxonomy Code 152WP0200X - Pediatric Optometrist
License Number OPC2575
State FM
Is Primary No
Taxonomy Code 152WS0006X - Sports Vision Optometrist
License Number OPC2575
State FL
Is Primary No
Taxonomy Code 152WV0400X - Vision Therapy Optometrist
License Number OPC2575
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EYE SITE VISION CENTER, INC. 401(K) PLAN 2023 650414574 2024-07-29 EYE SITE VISION CENTER, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 9545573937
Plan sponsor’s address 2344 N UNIVERSITY DR, CORAL SPRINGS, FL, 33065

Signature of

Role Plan administrator
Date 2024-07-29
Name of individual signing GARY GOBERVILLE
Valid signature Filed with authorized/valid electronic signature
EYE SITE VISION CENTER, INC. 401(K) PLAN 2019 650414574 2020-09-30 EYE SITE VISION CENTER, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 9545573937
Plan sponsor’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065

Plan administrator’s name and address

Administrator’s EIN 650414574
Plan administrator’s name EYE SITE VISION CENTER, INC.
Plan administrator’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
Administrator’s telephone number 9545573937

Signature of

Role Plan administrator
Date 2020-09-30
Name of individual signing GARY GOBERVILLE
Valid signature Filed with authorized/valid electronic signature
EYE SITE VISION CENTER, INC. 401(K) PLAN 2018 650414574 2019-07-30 EYE SITE VISION CENTER, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 9545573937
Plan sponsor’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065

Plan administrator’s name and address

Administrator’s EIN 650414574
Plan administrator’s name EYE SITE VISION CENTER, INC.
Plan administrator’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
Administrator’s telephone number 9545573937

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing GARY GOBERVILLE
Valid signature Filed with authorized/valid electronic signature
EYE SITE VISION CENTER, INC. 401(K) PLAN 2017 650414574 2018-07-16 EYE SITE VISION CENTER, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 9545570942
Plan sponsor’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065

Plan administrator’s name and address

Administrator’s EIN 650414574
Plan administrator’s name EYE SITE VISION CENTER, INC.
Plan administrator’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
Administrator’s telephone number 9545570942

Signature of

Role Plan administrator
Date 2018-07-16
Name of individual signing GARY GOBERVILLE
Valid signature Filed with authorized/valid electronic signature
EYE SITE VISION CENTER, INC. 401(K) PLAN 2016 650414574 2017-05-17 EYE SITE VISION CENTER, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 9545570942
Plan sponsor’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065

Plan administrator’s name and address

Administrator’s EIN 650414574
Plan administrator’s name EYE SITE VISION CENTER, INC.
Plan administrator’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
Administrator’s telephone number 9545570942

Signature of

Role Plan administrator
Date 2017-05-17
Name of individual signing GARY GOBERVILLE
Valid signature Filed with authorized/valid electronic signature
EYE SITE VISION CENTER, INC. 401(K) PLAN 2015 650414574 2016-06-29 EYE SITE VISION CENTER, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 9547830721
Plan sponsor’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065

Plan administrator’s name and address

Administrator’s EIN 650414574
Plan administrator’s name EYE SITE VISION CENTER, INC.
Plan administrator’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
Administrator’s telephone number 9547830721

Signature of

Role Plan administrator
Date 2016-06-29
Name of individual signing GARY GOBERVILLE
Valid signature Filed with authorized/valid electronic signature
EYE SITE VISION CENTER, INC. 401(K) PLAN 2014 650414574 2015-07-14 EYE SITE VISION CENTER, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 9547830721
Plan sponsor’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065

Plan administrator’s name and address

Administrator’s EIN 650414574
Plan administrator’s name EYE SITE VISION CENTER, INC.
Plan administrator’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
Administrator’s telephone number 9547830721

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing GARY GOBERVILLE
Valid signature Filed with authorized/valid electronic signature
EYE SITE VISION CENTER, INC. 401(K) PLAN 2013 650414574 2014-05-27 EYE SITE VISION CENTER, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 9547830721
Plan sponsor’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065

Plan administrator’s name and address

Administrator’s EIN 650414574
Plan administrator’s name EYE SITE VISION CENTER, INC.
Plan administrator’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
Administrator’s telephone number 9547830721

Signature of

Role Plan administrator
Date 2014-05-27
Name of individual signing GARY GOBERVILLE
Valid signature Filed with authorized/valid electronic signature
EYE SITE VISION CENTER, INC. 401(K) PLAN 2012 650414574 2013-07-01 EYE SITE VISION CENTER, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 9547830721
Plan sponsor’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065

Plan administrator’s name and address

Administrator’s EIN 650414574
Plan administrator’s name EYE SITE VISION CENTER, INC.
Plan administrator’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
Administrator’s telephone number 9547830721

Signature of

Role Plan administrator
Date 2013-07-01
Name of individual signing TAWNIE GOBERVILLE
Valid signature Filed with authorized/valid electronic signature
EYE SITE VISION CENTER, INC. 401(K) PLAN 2011 650414574 2012-04-30 EYE SITE VISION CENTER, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621320
Sponsor’s telephone number 9547830721
Plan sponsor’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065

Plan administrator’s name and address

Administrator’s EIN 650414574
Plan administrator’s name EYE SITE VISION CENTER, INC.
Plan administrator’s address 2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
Administrator’s telephone number 9547830721

Signature of

Role Plan administrator
Date 2012-04-30
Name of individual signing TAWNIE GOBERVILLE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
GOBERVILLE GARY EDr. President 2344 N UNIVERSITY DR, CORAL SPRINGS, FL, 33065
GOBERVILLE GARY EDr. Treasurer 2344 N UNIVERSITY DR, CORAL SPRINGS, FL, 33065
GOBERVILLE GARY EDr. Director 2344 N UNIVERSITY DR, CORAL SPRINGS, FL, 33065
GOBERVILLE GARY EDr. Agent 2344 N UNIVERSITY DR, CORAL SPRINGS, FL, 33065

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-04-25 2344 N UNIVERSITY DR, CORAL SPRINGS, FL 33065 -
CHANGE OF MAILING ADDRESS 2020-04-25 2344 N UNIVERSITY DR, CORAL SPRINGS, FL 33065 -
REGISTERED AGENT NAME CHANGED 2020-04-25 GOBERVILLE, GARY E., Dr. -
REGISTERED AGENT ADDRESS CHANGED 2020-04-25 2344 N UNIVERSITY DR, CORAL SPRINGS, FL 33065 -
NAME CHANGE AMENDMENT 1997-08-04 EYE SITE VISION CENTER, INC. -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J23000134742 ACTIVE COCE22054931 BROWARD CIRCUIT COURT CLERK 2023-02-26 2028-04-06 $32,559.50 LUZERNE OPTICAL LABORATORIES, LTD., A PENNSYLVANIA CORP, 4 W HOLLENBACK AVENUE, WILKES-BARRE, PA, 18702
J22000174245 ACTIVE COCE21063619 BROWARD COUNTY COURT CLERK 2022-02-22 2027-04-12 $4,357.92 I-DEAL OPTICS HOLDINGS, INC., A DELAWARE CORPORATION DB, 1290 MAPLELAWN DRIVE, TROY, MI, 48084

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-03-29
ANNUAL REPORT 2020-04-25
ANNUAL REPORT 2019-02-22
ANNUAL REPORT 2018-03-07
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-04-13
ANNUAL REPORT 2015-04-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8850457210 2020-04-28 0455 PPP 2344 university,, Coral Springs, FL, 33065
Loan Status Date 2021-11-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 46000
Loan Approval Amount (current) 46000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Coral Springs, BROWARD, FL, 33065-0900
Project Congressional District FL-23
Number of Employees 8
NAICS code 621320
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 46674.25
Forgiveness Paid Date 2021-10-19

Date of last update: 01 Apr 2025

Sources: Florida Department of State