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  5. SUNSHINE HOME CARE AGENCY, INC.

SUNSHINE HOME CARE AGENCY, INC.

Company Details

Entity Name: SUNSHINE HOME CARE AGENCY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 14 Dec 2004 (20 years ago)
Date of dissolution: 27 Sep 2013 (11 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2013 (11 years ago)
Document Number: P04000167465
FEI/EIN Number 202007907
Address: 14680 S.W 30TH STREET, MIAMI, FL, 33175
Mail Address: 14680 S.W 30TH STREET, MIAMI, FL, 33175
ZIP code: 33175
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871622977 2007-03-05 2008-12-17 13780 SW 26TH ST, SUITE#206, MIAMI, FL, 331756302, US 13780 SW 26TH ST, SUITE#206, MIAMI, FL, 331756302, US

Contacts
Phone +1 305-228-6996
Fax 3052289554

Authorized person
Name MR. DUNIESKY AGUILAR
Role PRESIDENT
Phone 3052286996

Taxonomy
Taxonomy Code 251E00000X - Home Health Agency
License Number 299992139
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 651335200
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNSHINE HOME CARE AGENCY RETIREMENT PLAN AND TRUST 2013 202007907 2014-10-24 SUNSHINE HOME CARE AGENCY INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621610
Sponsor’s telephone number 3052286996
Plan sponsor’s address 14680 SW 30TH STREET, MIAMI, FL, 33175

Plan administrator’s name and address
Administrator’s EIN 202007907
Plan administrator’s name SUNSHINE HOME CARE AGENCY INC.
Plan administrator’s address 14680 SE 30TH STREET, MIAMI, FL, 33175
Administrator’s telephone number 3052286996

Signature of
Role Plan administrator
Date 2014-10-24
Name of individual signing YAMILE FERNANDEZ
Valid signature Filed with authorized/valid electronic signature
SUNSHINE HOME CARE AGENCY RETIREMENT PLAN AND TRUST 2013 202007907 2014-02-22 SUNSHINE HOME CARE AGENCY INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621610
Sponsor’s telephone number 3052286996
Plan sponsor’s address 14680 SW 30TH STREET, MIAMI, FL, 33175

Plan administrator’s name and address
Administrator’s EIN 202007907
Plan administrator’s name SUNSHINE HOME CARE AGENCY INC
Plan administrator’s address 14680 SW 30TH STREET, MIAMI, FL, 33175
Administrator’s telephone number 3052286996

Signature of
Role Plan administrator
Date 2014-02-22
Name of individual signing YAMILE FERNANDEZ
Valid signature Filed with authorized/valid electronic signature
SUNSHINE HOME CARE AGENCY RETIREMENT PLAN AND TRUST 2012 202007907 2013-08-23 SUNSHINE HOME CARE AGENCY INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621610
Sponsor’s telephone number 3052286996
Plan sponsor’s address 14680 SW 30TH STREET, MIAMI, FL, 33175

Plan administrator’s name and address
Administrator’s EIN 202007907
Plan administrator’s name SUNSHINE HOME CARE AGENCY INC
Plan administrator’s address 14680 SW 30TH STREET, MIAMI, FL, 33175
Administrator’s telephone number 3052286996

Signature of
Role Plan administrator
Date 2013-08-23
Name of individual signing YAMILE FERNANDEZ
Valid signature Filed with authorized/valid electronic signature
SUNSHINE HOME CARE AGENCY RETIREMENT PLAN AND TRUST 2011 202007907 2012-10-04 SUNSHINE HOME CARE AGENCY INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621610
Sponsor’s telephone number 3052286996
Plan sponsor’s address 14680 SW 30TH STREET, MIAMI, FL, 33175

Plan administrator’s name and address
Administrator’s EIN 202007907
Plan administrator’s name SUNSHINE HOME CARE AGENCY INC
Plan administrator’s address 14680 SW 30TH STREET, MIAMI, FL, 33175
Administrator’s telephone number 3052286996

Signature of
Role Plan administrator
Date 2012-10-04
Name of individual signing YAMILE FERNANDEZ
Valid signature Filed with authorized/valid electronic signature
SUNSHINE HOME CARE AGENCY RETIREMENT PLAN AND TRUST 2010 202007907 2011-04-27 SUNSHINE HOME CARE AGENCY INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621610
Sponsor’s telephone number 3052286996
Plan sponsor’s mailing address 13780 CORAL WAY STE 206, MIAMI, FL, 331756302
Plan sponsor’s address 13780 CORAL WAS STE 206, MIAMI, FL, 331756302

Plan administrator’s name and address
Administrator’s EIN 202007907
Plan administrator’s name SUNSHINE HOME CARE AGENCY INC
Plan administrator’s address 13780 CORAL WAY STE 206, MIAMI, FL, 331756302
Administrator’s telephone number 3052286996

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
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 10
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2011-04-27
Name of individual signing YAMILE FERNANDEZ
Valid signature Filed with authorized/valid electronic signature
SUNSHINE HOME CARE AGENCY RETIREMENT PLAN AND TRUST 2010 202007907 2011-04-26 SUNSHINE HOME CARE AGENCY INC 13
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621610
Sponsor’s telephone number 3052286996
Plan sponsor’s mailing address 13780 CORAL WAY STE 206, MIAMI, FL, 331756302
Plan sponsor’s address 13780 CORAL WAS STE 206, MIAMI, FL, 331756302

Plan administrator’s name and address
Administrator’s EIN 202007907
Plan administrator’s name SUNSHINE HOME CARE AGENCY INC
Plan administrator’s address 13780 CORAL WAY STE 206, MIAMI, FL, 331756302
Administrator’s telephone number 3052286996

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
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 10
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2011-04-26
Name of individual signing YAMILE FERNANDEZ
Valid signature Filed with incorrect/unrecognized electronic signature
SUNSHINE HOME CARE AGENCY RETIREMENT PLAN AND TRUST 2010 202007907 2011-04-20 SUNSHINE HOME CARE AGENCY INC 13
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621610
Sponsor’s telephone number 3052286996
Plan sponsor’s mailing address 13780 CORAL WAY STE 206, MIAMI, FL, 331756302
Plan sponsor’s address 13780 CORAL WAS STE 206, MIAMI, FL, 331756302

Plan administrator’s name and address
Administrator’s EIN 202007907
Plan administrator’s name SUNSHINE HOME CARE AGENCY INC
Plan administrator’s address 13780 CORAL WAY STE 206, MIAMI, FL, 331756302
Administrator’s telephone number 3052286996

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
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 10
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2011-04-20
Name of individual signing YAMILE FERNANDEZ
Valid signature Filed with incorrect/unrecognized electronic signature
SUNSHINE HOME CARE AGENCY RETIREMENT PLAN AND TRUST 2009 202007907 2010-07-07 SUNSHINE HOME CARE AGENCY INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621610
Sponsor’s telephone number 3052286996
Plan sponsor’s mailing address 13780 CORAL WAY STE 206, MIAMI, FL, 331756302
Plan sponsor’s address 13780 CORAL WAS STE 206, MIAMI, FL, 331756302

Plan administrator’s name and address
Administrator’s EIN 202007907
Plan administrator’s name SUNSHINE HOME CARE AGENCY INC
Plan administrator’s address 13780 CORAL WAY STE 206, MIAMI, FL, 331756302
Administrator’s telephone number 3052286996

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
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 9
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing YAMILE FERNANDEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
AGUILAR DUNIESKY Agent 14680 S.W 30TH STREET, MIAMI, FL, 33175

President

Name Role Address
AGUILAR DUNIESKY President 14680 S.W 30TH STREET, MIAMI, FL, 33175

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2011-04-13 14680 S.W 30TH STREET, MIAMI, FL 33175 No data
CHANGE OF MAILING ADDRESS 2011-04-13 14680 S.W 30TH STREET, MIAMI, FL 33175 No data
REGISTERED AGENT ADDRESS CHANGED 2011-04-13 14680 S.W 30TH STREET, MIAMI, FL 33175 No data

Documents

Name Date
ANNUAL REPORT 2012-03-26
ANNUAL REPORT 2011-04-13
ANNUAL REPORT 2010-02-10
ANNUAL REPORT 2009-06-02
ANNUAL REPORT 2009-03-23
ANNUAL REPORT 2008-02-01
ANNUAL REPORT 2007-04-17
ANNUAL REPORT 2006-05-12
Domestic Profit 2004-12-14

Related by officers

AGUILAR DUNIESKY

AF APARTMENT, LLC. 3711 INVESMENT MIAMI INC 3711 MIAMI INVESTMENT INC 3711 INVESTMENT LLC ALL BUSINESS CENTER INC.

Related by address

No related companies by address

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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