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  5. FLORIDA EYE ASSOCIATES, INC.

FLORIDA EYE ASSOCIATES, INC. - Florida Company Profile

Company Details

Entity Name: FLORIDA EYE ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FLORIDA EYE ASSOCIATES, 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: 01 Jul 1996 (29 years ago)
Document Number: P96000055492
FEI/EIN Number 593401517

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 502 E NEW HAVEN AVE, MELBOURNE, FL, 32901
Mail Address: 502 E NEW HAVEN AVE, MELBOURNE, FL, 32901
ZIP code: 32901
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316447725 2018-02-13 2021-11-08 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427, US 509 E NEW HAVEN AVE, MELBOURNE, FL, 329015461, US

Contacts
Phone +1 321-727-2020
Fax 3219849547

Authorized person
Name RALPH R. PAYLOR
Role PRESIDENT
Phone 3217272020

Taxonomy
Taxonomy Code 152W00000X - Optometrist
Is Primary No
Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICARE
Number K0147
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE GROUP MEDICAL INSURANCE PLAN 2021 593401517 2024-04-25 FLORIDA EYE ASSOCIATES 99
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2011-09-01
Business code 621111
Sponsor’s telephone number 3217272020
Plan sponsor’s mailing address 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427
Plan sponsor’s address 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-04-25
Name of individual signing SUZANNE LEE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE GROUP LIFE INSURANCE PLAN 2021 593401517 2024-04-25 FLORIDA EYE ASSOCIATES 130
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2011-09-01
Business code 621111
Sponsor’s telephone number 3217272020
Plan sponsor’s mailing address 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427
Plan sponsor’s address 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-04-25
Name of individual signing SUZANNE LEE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE GROUP DENTAL INSURANCE PLAN 2021 593401517 2024-04-25 FLORIDA EYE ASSOCIATES 103
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2006-09-01
Business code 621111
Sponsor’s telephone number 3217272020
Plan sponsor’s mailing address 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427
Plan sponsor’s address 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-04-25
Name of individual signing SUZANNE LEE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE GROUP MEDICAL INSURANCE PLAN 2021 593401517 2023-03-30 FLORIDA EYE ASSOCIATES 99
Three-digit plan number (PN) 503
Effective date of plan 2011-09-01
Business code 621111
Sponsor’s telephone number 3217272020
Plan sponsor’s mailing address 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427
Plan sponsor’s address 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427

Number of participants as of the end of the plan year
Active participants 87
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2023-03-30
Name of individual signing SUZANNE LEE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE GROUP DENTAL INSURANCE PLAN 2021 593401517 2023-03-30 FLORIDA EYE ASSOCIATES 103
Three-digit plan number (PN) 502
Effective date of plan 2006-09-01
Business code 621111
Sponsor’s telephone number 3217272020
Plan sponsor’s mailing address 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427
Plan sponsor’s address 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427

Number of participants as of the end of the plan year
Active participants 95
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2023-03-30
Name of individual signing SUZANNE LEE
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE GROUP LIFE INSURANCE PLAN 2021 593401517 2023-03-30 FLORIDA EYE ASSOCIATES 130
Three-digit plan number (PN) 501
Effective date of plan 2011-09-01
Business code 621111
Sponsor’s telephone number 3217272020
Plan sponsor’s mailing address 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427
Plan sponsor’s address 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427

Number of participants as of the end of the plan year
Active participants 123
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2023-03-30
Name of individual signing SUZANNE LEE
Valid signature Filed with authorized/valid electronic signature
FLORIDA EYE ASSOCIATES INC. 401(K) PLAN 2019 593401517 2021-07-15 FLORIDA EYE ASSOCIATES INC. 142
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3217272020
Plan sponsor’s mailing address 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427
Plan sponsor’s address 502 E NEW HAVEN AVE, MELBOURNE, FL, 329015427

Number of participants as of the end of the plan year
Active participants 125
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 98
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 10

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing MARY SHANE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-15
Name of individual signing MARY SHANE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
PAYLOR RALPH Director 502 E NEW HAVEN AVE, MELBOURNE, FL
PAYLOR RALPH President 502 E NEW HAVEN AVE, MELBOURNE, FL
WEISER DAVID S Director 502 E NEW HAVEN AVE, MELBOURNE, FL, 32901
WEISER DAVID S Secretary 502 E NEW HAVEN AVE, MELBOURNE, FL, 32901
FREEMAN L. N Director 502 E NEW HAVEN AVE, MELBOURNE, FL, 32901
FREEMAN L. N Treasurer 502 E NEW HAVEN AVE, MELBOURNE, FL, 32901
WANG YUE M Director 502 E NEW HAVEN AVE, MELBOURNE, FL, 32901
WANG YUE M Vice President 502 E NEW HAVEN AVE, MELBOURNE, FL, 32901
BARKER PATRICIA C Agent 502 E NEW HAVEN AVE, MELBOURNE, FL, 32901

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-04-19 BARKER, PATRICIA C -
REGISTERED AGENT ADDRESS CHANGED 2019-04-19 502 E NEW HAVEN AVE, MELBOURNE, FL 32901 -

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-03-29
ANNUAL REPORT 2022-03-15
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-06-11
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4473537303 2020-04-29 0455 PPP 502 E NEW HAVEN AVE, MELBOURNE, FL, 32901-5427
Loan Status Date 2021-04-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1302482.5
Loan Approval Amount (current) 1252649.95
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124287
Servicing Lender Name Community Bank of the South
Servicing Lender Address 277 N Sykes Creek Pkwy, MERRITT ISLAND, FL, 32953-3428
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address MELBOURNE, BREVARD, FL, 32901-5427
Project Congressional District FL-08
Number of Employees 139
NAICS code 621320
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 124287
Originating Lender Name Community Bank of the South
Originating Lender Address MERRITT ISLAND, FL
Gender Female Owned
Veteran Unanswered
Forgiveness Amount 1263923.8
Forgiveness Paid Date 2021-04-01

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502 E NEW HAVEN AVE, MELBOURNE, FL, 32901

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Date of last update: 01 Apr 2025

Sources: Florida Department of State

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