{"entity":{"id":15405207,"state":"FL","state_id":"703968","entity_name":"HIGH TWELVE CLUB OF CLEARWATER, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"1962-05-01","filing_year":1962,"business_age_years":64,"principal_address1":"S & S CAFETERIA","principal_address2":"1235 S. MISSOURI AVE.","principal_city":"CLEARWATER FLA","principal_state":"","principal_zip":"33517","principal_country":"","mail_address1":"S & S CAFETERIA","mail_address2":"1235 S. MISSOURI AVE.","mail_city":"CLEARWATER FLA","mail_state":"","mail_zip":"33517","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"237279917","jurisdiction":null,"county":null,"last_transaction_date":"12011977","report_year_1":"1976","report_date_1":"07271976","report_year_2":"1976","report_date_2":"07271976","report_year_3":"","report_date_3":"","agent_name":"Harry Shultis V","agent_type":"C","agent_address":"8305 111TH ST N 102","agent_city":"SEMINOLE","agent_state":"FL","agent_zip":"33542","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata8.txt","fetched_at":"2026-05-09 15:38:29","updated_at":"2026-05-09 15:38:29","last_accessed":null,"status_reason":null,"agent_name_raw":"SHULTIS,HARRY V"},"officers":[{"name":"William R. Brock","first_name":"William","last_name":"Brock","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"630 CASLER AVE.","city":"CLEARWATER","state":"FL","zip":"","name_raw":"BROCK, WILLIAM R."},{"name":"Elmer A. Chatham","first_name":"Elmer","last_name":"Chatham","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"610 S. BETTY LANE #6","city":"CLEARWATER","state":"FL","zip":"","name_raw":"CHATHAM, ELMER A."},{"name":"Charls Differding","first_name":"Charls","last_name":"Differding","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":false,"address":"360 TWIN LAKES LODGE","city":"CLEARWATER","state":"FL","zip":"","name_raw":"DIFFERDING, CHARLS"},{"name":"Edward J. Distel","first_name":"Edward","last_name":"Distel","title":"Treasurer","title_roles":["Treasurer"],"title_code":"treasurer","is_registered_agent":false,"address":"2287 DUNCAN DRIVE","city":"BELLEAIR BLUFFS","state":"FL","zip":"","name_raw":"DISTEL, EDWARD J."},{"name":"Harry Shultis V","first_name":"Harry","last_name":"Shultis","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":true,"address":"8305 111TH ST. N. #102","city":"SEMINOLE","state":"FL","zip":"","name_raw":"SHULTIS,HARRY V"},{"name":"Earl S. Welch","first_name":"Earl","last_name":"Welch","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"1353 BYRON DRIVE","city":"CLEARWATER","state":"FL","zip":"","name_raw":"WELCH, EARL S."}],"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/703968"}