{"entity":{"id":5912265,"state":"FL","state_id":"282061","entity_name":"FORT WALTON HOSPITAL DRIVE, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1964-06-08","filing_year":1964,"business_age_years":62,"principal_address1":"4651 HAMPTON AVENUE","principal_address2":"","principal_city":"ST LOUIS MISSOURI","principal_state":"","principal_zip":"63109","principal_country":"","mail_address1":"4651 HAMPTON AVENUE","mail_address2":"","mail_city":"ST LOUIS MISSOURI","mail_state":"","mail_zip":"63109","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"436047038","jurisdiction":null,"county":null,"last_transaction_date":"10301981","report_year_1":"1981","report_date_1":"07301981","report_year_2":"1981","report_date_2":"07301981","report_year_3":"1980","report_date_3":"08041980","agent_name":"T Corporation System C","agent_type":"C","agent_address":"8751 WEST BROWARD BOULEVARD","agent_city":"PLANTATION","agent_state":"FL","agent_zip":"33324","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata1.txt","fetched_at":"2026-05-09 09:26:00","updated_at":"2026-05-09 09:26:00","last_accessed":null,"status_reason":null,"agent_name_raw":"C T CORPORATION SYSTEM"},"officers":[{"name":"John J Bahnak JR","first_name":"John","last_name":"Bahnak","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":false,"address":"13079 WINDING TR","city":"ST. LOUIS","state":"MO","zip":"","name_raw":"BAHNAK, JOHN J JR"},{"name":"Stephen Symsack","first_name":"Stephen","last_name":"Symsack","title":"Vice President, President, Director","title_roles":["Vice President","President","Director"],"title_code":"vpd","is_registered_agent":false,"address":"1624 SO. ROCKHILL ROAD","city":"ST. LOUIS","state":"MO","zip":"","name_raw":"SYMSACK, STEPHEN"},{"name":"Kenneth D Symsack","first_name":"Kenneth","last_name":"Symsack","title":"President, Treasurer, Director","title_roles":["President","Treasurer","Director"],"title_code":"ptd","is_registered_agent":false,"address":"21 FOX MEADOWS","city":"ST LOUIS","state":"MO","zip":"","name_raw":"SYMSACK,KENNETH D"},{"name":"Norman F Symsack","first_name":"Norman","last_name":"Symsack","title":"Secretary, Director","title_roles":["Secretary","Director"],"title_code":"sd","is_registered_agent":false,"address":"9600 LABETTE","city":"ST LOUIS","state":"MO","zip":"","name_raw":"SYMSACK,NORMAN F"},{"name":"Rose M Symsack","first_name":"Rose","last_name":"Symsack","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"21 FOX MEADOWS","city":"ST LOUIS","state":"MO","zip":"","name_raw":"SYMSACK,ROSE M"}],"filing_history":[],"status_history":[],"unknown":["status_history: we do not collect status-change histories from the source feeds, so this empty list means we hold none — NOT that this company's status has never changed. Observed changes we DID see are under `history`."],"verified_domains":[],"history":null,"web_contact":null,"provenance_url":"https://private.rootz.global/api/provenance/FL/282061"}