Supplier Accreditation Form

Please accomplish the registration form and send along with scanned copy of requirements.
Place 'X' for the applicable fields.

Applicant Company - Registered Business Name

Corporate Name / Business Name: ONEEARTH ENVIRO-CARE, INC.
Industry: 9309 Other Service Activities, N.E.C (Wastewater Management)
Previous Business Name (if applicable): x
Date of Name Change (if applicable): x

Tax Identification Number (TIN): 009-430-098-000

Tax Payer Classification:
VAT-registered contractor / supplier: √
Non-VAT contractor / supplier: x
Tax Exempt: x

CONTACT INFORMATION

Applicant Company Address

Unit No. / Floor: Unit B, 3rd floor Building No. / Name: Phesco House
Street Name: Quezon Ave Subdivision / Village: Brgy. Sto Domingo
City: Quezon City Zip Code: 1104
Province: Metro Manila Country: Philippines

Applicant Company Contact Information

Email Address: juncusing@yahoo.com
Website: (facebook account only)
Country Code: 63 Mobile Number: 09173103962, 09163698744
Area Code: 02 Fax Number: x
Telephone Number: 7407783

Province:
Unit No. / Floor: Unit B, 3rd Floor Building No. / Name: Phesco House
Street Name: Quezon Ave Subdivision / Village: Brgy. Sto Domingo
City: Quezon City Zip Code: 1104
Province: Metro Manila Country: Philippines

Parent Company Contact Information (IKILL PESTS, INC.)

Email Address: juncusing@yahoo.com
Website: x
Country Code: 63 Mobile Number: 9173103962, 09163698744
Area Code: 02 Fax Number: x
Telephone Number: 7407783 , 9573624

Department Contact Information

Department: Administration Finance Technical
Name: Noel Onglengco Lindsley Gonzales Carlo Honrado
Position / Designation: Office Manager Accounting Officer Operations Manager
Email Address: noelonglengco@yahoo.com blesseryshayne@yahoo.com primocarloh@gmail.com
Country Code: 63 63 63
Area Code: 02 02 02
Telephone Number: 0917 543 0540 09778347330, 09338153108 09178714133
Mobile Number: 7407783 7407783, 9573624 7407783
Fax Number: x x x

Department: Sales / Marketing

Name: Jun Cusing
Position / Designation: President/CEO/ Sales
Email Address: juncusing@yahoo.com
Country Code: 63
Area Code: 02
Telephone Number: 9573624
Mobile Number: 09173103962, 09163698744
Fax Number: x

Subsidiaries and / or Company Affiliates

Company Name Address No. of Employees % Equity Held
IKILL PESTS, INC. Phesco House 3B, 491-495 Quezon Ave, 15 x
Brgy. Sto Domingo, Quezon City

BUSINESS ACTIVITIES
Number of Employees
Directors Active in Operations: 4
Manager(s): 2
Rank and File: 13
Contractual: x
Laborers - Factory: x
Total: 19

Background Information on: Chief Executive Officer / Owner / Partner Chief Finance Officer Chief Operating Officer
Name: Pablo L. Cusing Jr Robert Ynson Jr. Carlo Honrado
Appointed Date: Mar-17 Mar-17 Mar-17

Key Personnel Other than Directors

Name Designation Employment Date
Lindsley Gonzales HR/ Accounting Officer Mar-17

Business Activities
Nature of Business (Wholesaler / Retailer / Manufacturer / Contractor - Service): Wastewater Management Contractor/Service Provider
Importer / Exporter: x
Others (Pls. Specify): x

List Down Major Product Lines or Brands

Product Line Brand Country of Origin
Live Bacteria Bioaugmentation H20 Reborn USA
STP Design, Build and Maintenace Phil

Process / Transactions
Lead Time: 5-7days MOQ: x
FOB: CEBU Payment Terms: 10 days upon billing

Facilities
Property Type (Residential / Commercial / Industrial / Mixed Use): Commercial
Land / Building: Building
Ownership (Owned / Renting / Leased): Leased
Area (Sq Meter): 60sq.
Monthly Rental: P35,000.00
Lease Expiry (MM / DD / YR): 2028
Premises Used As (Headquarters / Sales Office / Admin Office / Warehouse / Plant / Head Office
Branch):

MATERIAL SUPPLY

Please list all the suppliers with whom you have current transactions up to the last 6 months as trade references:
Contact Person
Name of Supplier Country of Origin Payment Terms
Contact Numbers
John Harell USA Auto Credit

Source of Raw Materials

Local %: x International %: 100%

CUSTOMERS

Please list all the customers with whom you have current transactions up to the last 6 months as trade references:
Contact Person
Name of Customer Country Payment Terms
Contact Numbers
SM Group of Companies Ms. Jane Delos Santos Phil Net 30 Days
Seda Hotel Engr. Camarista Phil Net 30 Days
Riverbanks Development Inc Engr. Laureta Phil Net 15 Days
Crimson Hotel - Alabang Engr. Bobby Policar Phil Net 30 Days
 New Oriental Club 88 - Solaire Phil Net 30 Days

Customers / Market:
Local %: 100% International %:

BUSINESS PERMITS / REGISTRATION

Legal Structure
Sole Proprietorship / Partnership / Corporation: Corporation
Family Business / Publicly Listed Company: Family Business
Others (Please Specify):

SEC Registration
Date Registered: 6-Oct-16 Registration Number: CS201623441
Date Started Operations: Macrh 2017

Shareholders Nationality Contributed / Subscribed

Robert T. Ynson Jr. Filipino 12.25%
Effie Vanessa Y.Ynson Filipino 12.25%
Michelle Lynn T. Ynson Filipino 12.25%
Marie Lourdes T. Ynson Filipino 12.25%
Pablo L. Cusing Jr. Filipino 51%

Members of the Board / Top Officials Nationality Position

Pablo L. Cusing Jr Filipino President / CEO
Robert T. Ynson Jr. Filipino Corporate Treasure/Finance Officer
Effie Vanessa Y.Ynson Filipino Corporate Secretary
Michelle Lynn T. Ynson Filipino Board Member
Marie Lourdes T. Ynson Filipino Board Member

For Corporations Only

Authorized Capital: 3,000,000.00 Subscribed Capital: P250000
Paid Up Capital: 62,500.00 Par Value:
As of (Year): 2016

DTI Registration Details

Date Registered: x Registration Number: x
Registered / Authorized Capital: x

Business Permit Details

Date Registered: March 3, 2017 Permit Number: 2017-044435

FINANCIAL INFORMATION

Applicant
2017 Year 2 Year 3
Total Assets:
Total Liabilities:
Net Equity:
Current Assets:
Current Liabilities:
Inventories:
Revenue:
Cash Flow:
Net Profit:

Parent Company (IKILL PESTS, INC.)

2017 2016 Year 3
Total Assets: 3,041,853.00 2,255,872.00
Total Liabilities: 2,604,562.00 2,077,452.00
Net Equity: 437,291.00 178,420.00
Current Assets: 2,796,653.00 1,974,772.00
Current Liabilities: 2,604,562.00 2,077,452.00
Inventories: 305,456.00 204,474.00
Revenue: 5,889,593.00 2,037,379.00
Cash Flow: 645,508.00 106,201.00
Net Profit: 258,871.00 115,920.00

Auditor
Name of Auditor: Ma. Perpetua Socorro D. Tresvalles
Bank Information
Bank: BDO BDO Asia United Bank
Branch: Sto. Domingo Quezon City Sto. Domingo Quezon City Ortigas Ave, San Juan City
Contact Person: Ms. Pearl Antonette
Contact Numbers: 02-7322934 02-7322934 09154480563
Account Type: Savings Savings Savings
Account Name: ONE EARTH ENVIRO-CARE, INC. IKILL PESTS, INC. IKILL PESTS, INC
Account Number: 0000 8029 9571 028-01-000162-1

Insurance Information
Insurance Company: on the process
Employers Liability Insurance: on the process
All Risk Marine Cargo Insurance (Ocean
on the process
and Inland):
Contractor's All Risk Insurance: on the process
Third Party Liability Insurance: on the process
Workman's Compensation Insurance: on the process

Quality Management
ISO 9000/9002 or Equivalent Quality
x
Management:
ISO 18000 or Equivalent Health and x
Safety Programs:
ISO 14000 or Equivalent Environment
Programs: x
DENR Permits / Certifications: Mr. Pablo Cusing Jr - Certified Pollution Control Officer
OHSAS / OSHA Certificate: x

I hereby certify that all information provided here in the Supplier Registration Form and in all supporting documents are true and correct. I hereby authorize Filinvest
Alabang, Inc. to verify any and all information furnished by me. In this connection, I hereby expressly waive any and all statutory or regulatory provisions governing
confidentiality of such information if applicable. I fully understand that any misinterpretation of failure to disclose information as required herein may cause the
disapproval of the application and removal from the list of accredited suppliers of Filinvest Development Corporation / Filinvest Land, Inc. / Filinvest Alabang, Inc. / East
West Banking Corporation / FDC Hotels / Davao Sugar / FDC Utilities.

Pablo L. Cusing Jr.

Printed Name and Signature with Date