{"entity":{"id":4871219,"state":"FL","state_id":"634800","entity_name":"QUALI-FORM COMPANY, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1979-09-04","filing_year":1979,"business_age_years":47,"principal_address1":"902 LIVE OAK ST","principal_address2":"","principal_city":"TARPON SPRINGS","principal_state":"FL","principal_zip":"33589","principal_country":"","mail_address1":"902 LIVE OAK ST","mail_address2":"","mail_city":"TARPON SPRINGS","mail_state":"FL","mail_zip":"33589","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591938506","jurisdiction":null,"county":null,"last_transaction_date":"11101983","report_year_1":"1982","report_date_1":"01291982","report_year_2":"1982","report_date_2":"01291982","report_year_3":"1981","report_date_3":"04081981","agent_name":"Raya E Baker","agent_type":"C","agent_address":"902 LIVE AOK ST","agent_city":"","agent_state":"","agent_zip":"","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 08:36:33","updated_at":"2026-05-09 08:36:33","last_accessed":null,"status_reason":null,"agent_name_raw":"BAKER, RAYA E"},"officers":[{"name":"Margery L Baker","first_name":"Margery","last_name":"Baker","title":"Vice President, Secretary, Treasurer","title_roles":["Vice President","Secretary","Treasurer"],"title_code":"vst","is_registered_agent":false,"address":"902 LIVE OAK ST","city":"TARPON SPRGS, FL   00000","state":"","zip":"","name_raw":"BAKER, MARGERY L"},{"name":"Roy E Baker","first_name":"Roy","last_name":"Baker","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"902 LIVE OAK ST","city":"TARPON SPRGS, FL   00000","state":"","zip":"","name_raw":"BAKER, ROY E"}],"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/634800"}