{"entity":{"id":6137572,"state":"FL","state_id":"709061","entity_name":"LAKELAND PHYSICALLY HANDICAPPED CLUB, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"1965-06-01","filing_year":1965,"business_age_years":61,"principal_address1":"1339 THOMSAVILLE CR","principal_address2":"","principal_city":"LAKELAND","principal_state":"FL","principal_zip":"33811","principal_country":"","mail_address1":"1339 THOMSAVILLE CR","mail_address2":"","mail_city":"LAKELAND","mail_state":"FL","mail_zip":"33811","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591854864","jurisdiction":null,"county":null,"last_transaction_date":"05211993","report_year_1":"1992","report_date_1":"05271992","report_year_2":"1992","report_date_2":"05271992","report_year_3":"1991","report_date_3":"03191991","agent_name":"Ethyle K. Fackler","agent_type":"C","agent_address":"1339 THOMASVILLE CR","agent_city":"LAKELAND","agent_state":"FL","agent_zip":"33811","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 09:34:16","updated_at":"2026-05-09 09:34:16","last_accessed":null,"status_reason":null,"agent_name_raw":"FACKLER, ETHYLE K."},"officers":[{"name":"Al. Cassick","first_name":"Al.","last_name":"Cassick","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"4855 SQUIRE HOLLOW DR.","city":"LAKELAND","state":"FL","zip":"","name_raw":"CASSICK, AL."},{"name":"Ethyle Fackler","first_name":"Ethyle","last_name":"Fackler","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"1339 THOMSAVILLE CIR","city":"LAKELAND, FL       00000","state":"","zip":"","name_raw":"FACKLER, ETHYLE"},{"name":"Gilbert Jordan","first_name":"Gilbert","last_name":"Jordan","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":false,"address":"627 KENSINGTON","city":"LAKELAND","state":"FL","zip":"","name_raw":"JORDAN, GILBERT"},{"name":"Jobeth Ravellette","first_name":"Jobeth","last_name":"Ravellette","title":"Treasurer","title_roles":["Treasurer"],"title_code":"treasurer","is_registered_agent":false,"address":"1108 BARTOW RD #106","city":"LAKELAND","state":"FL","zip":"","name_raw":"RAVELLETTE, JOBETH"},{"name":"Vincent J. Sirera","first_name":"Vincent","last_name":"Sirera","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"1807 LOWRY AVE.","city":"LAKELAND","state":"FL","zip":"","name_raw":"SIRERA, VINCENT J."},{"name":"Phyllis Taylor","first_name":"Phyllis","last_name":"Taylor","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":false,"address":"2626 N. FLA. AVE APT #31","city":"LAKELAND","state":"FL","zip":"","name_raw":"TAYLOR, PHYLLIS"}],"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/709061"}