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  5. SUPREME HOME HEALTH, INC.

SUPREME HOME HEALTH, INC.

Company Details

Entity Name: SUPREME HOME HEALTH, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 23 Aug 2005
Company Number: CORP_64385747
File Number: 64385747
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUPREME HOME HEALTH INC. 401(K) PLAN 2023 203357223 2024-10-03 SUPREME HOME HEALTH, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 6306459200
Plan sponsor’s address 2625 BUTTERFIELD ROAD STE 225W, OAK BROOK, IL, 605231234

Signature of
Role Plan administrator
Date 2024-10-03
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-03
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
SUPREME HOME HEALTH INC. 401(K) PLAN 2022 203357223 2023-07-28 SUPREME HOME HEALTH, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 6306459200
Plan sponsor’s address 2625 BUTTERFIELD ROAD STE 225W, OAK BROOK, IL, 605231234

Signature of
Role Plan administrator
Date 2023-07-28
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
SUPREME HOME HEALTH INC. 401(K) PLAN 2021 203357223 2022-08-02 SUPREME HOME HEALTH, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 6306459200
Plan sponsor’s address 2625 BUTTERFIELD ROAD STE 225W, OAK BROOK, IL, 605231234

Signature of
Role Plan administrator
Date 2022-08-02
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-02
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
SUPREME HOME HEALTH INC. 401(K) PLAN 2020 203357223 2021-07-16 SUPREME HOME HEALTH, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 6306459200
Plan sponsor’s address 2625 BUTTERFIELD ROAD STE 225W, OAK BROOK, IL, 605231234

Signature of
Role Plan administrator
Date 2021-07-16
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-16
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
SUPREME HOME HEALTH INC. 401(K) PLAN 2019 203357223 2020-09-08 SUPREME HOME HEALTH, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 6306459200
Plan sponsor’s address 2625 BUTTERFIELD ROAD STE 225W, OAK BROOK, IL, 605231234

Signature of
Role Plan administrator
Date 2020-09-08
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-08
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
SUPREME HOME HEALTH INC. 401(K) PLAN 2018 203357223 2019-07-30 SUPREME HOME HEALTH, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 6306459200
Plan sponsor’s address 2625 BUTTERFIELD ROAD STE 225W, OAK BROOK, IL, 605231234

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-30
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
SUPREME HOME HEALTH INC. 401(K) PLAN 2017 203357223 2018-07-27 SUPREME HOME HEALTH, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 6306459200
Plan sponsor’s address 2625 BUTTERFIELD ROAD STE 225W, OAK BROOK, IL, 605231234

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-27
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
SUPREME HOME HEALTH INC. 401(K) PLAN 2016 203357223 2017-07-24 SUPREME HOME HEALTH, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 6306459200
Plan sponsor’s address 2625 BUTTERFIELD ROAD STE 225W, OAK BROOK, IL, 605231234

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-24
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
SUPREME HOME HEALTH INC. 401(K) PLAN 2015 203357223 2016-09-02 SUPREME HOME HEALTH, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 6306459200
Plan sponsor’s address 2625 BUTTERFIELD ROAD STE 225W, OAK BROOK, IL, 605231234

Signature of
Role Plan administrator
Date 2016-09-02
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-02
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
SUPREME HOME HEALTH INC. 401(K) PLAN 2014 203357223 2015-10-15 SUPREME HOME HEALTH, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-07-01
Business code 621111
Sponsor’s telephone number 6306459200
Plan sponsor’s address 2625 BUTTERFIELD ROAD STE 225W, OAK BROOK, IL, 605231234

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing JESUSA BUNIAO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JESUSA N BUNIAO, 3828 ROSADA DR, NAPERVILLE, 60564, DU PAGE Agent 2005-08-23

President

Name and Address Role
ALMA VICTORI C VIUDEZ 7501 QUEENS CT DOWNERS GROVE 60516 President

Secretary

Name and Address Role
JESUSA BUNIAO 3828 ROSADA DRIVE, NAPERVILLE, IL 60564 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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