{"entity":{"id":5422088,"state":"FL","state_id":"555690","entity_name":"PALM BEACH LIFE INSURANCE BROKERAGE, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"12201977","filing_year":1977,"business_age_years":49,"principal_address1":"1675 PALM BCH LAKES BLVD STE 604","principal_address2":"","principal_city":"W PALM BCH","principal_state":"FL","principal_zip":"33401","principal_country":"","mail_address1":"1675 PALM BCH LAKES BLVD STE 604","mail_address2":"","mail_city":"W PALM BCH","mail_state":"FL","mail_zip":"33401","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591782842","jurisdiction":null,"county":null,"last_transaction_date":"03051985","report_year_1":"1984","report_date_1":"06181984","report_year_2":"1984","report_date_2":"06181984","report_year_3":"1983","report_date_3":"04011983","agent_name":"Val R. Patarini","agent_type":"C","agent_address":"206 N. SIXTH AVENUE","agent_city":"WAUCHULA","agent_state":"FL","agent_zip":"33873","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata0.txt","fetched_at":"2026-05-09 09:07:21","updated_at":"2026-05-09 09:07:21","last_accessed":null,"status_reason":null,"agent_name_raw":"PATARINI, VAL R."},"officers":[{"name":"Gertrude M. Tapp","first_name":"Gertrude","last_name":"Tapp","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"11655 FICUS ST. APT D","city":"PALM BCH GRDNS, FL 0","state":"","zip":"","name_raw":"TAPP, GERTRUDE M."},{"name":"James Tapp","first_name":"James","last_name":"Tapp","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"11655 FICUS ST, APT D","city":"PALM BCH GRDNS, FL 00000","state":"","zip":"","name_raw":"TAPP, JAMES"},{"name":"Trudy Tapp","first_name":"Trudy","last_name":"Tapp","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"11655 FICUS ST, APT D","city":"PALM BCH GRDNS, FL 00000","state":"","zip":"","name_raw":"TAPP, TRUDY"}],"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/555690"}