{"entity":{"id":9356332,"state":"FL","state_id":"710203","entity_name":"LAKELAND SHRINE CLUB HOLDING CORPORATION, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"1966-01-17","filing_year":1966,"business_age_years":60,"principal_address1":"125 W BRANNEN ROAD","principal_address2":"","principal_city":"LAKELAND","principal_state":"FL","principal_zip":"33813-2706","principal_country":"US","mail_address1":"POST OFFICE BOX #5194","mail_address2":"","mail_city":"LAKELAND","mail_state":"FL","mail_zip":"33807-5194","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"237081982","jurisdiction":null,"county":null,"last_transaction_date":"11262012","report_year_1":"2012","report_date_1":"01082012","report_year_2":"2012","report_date_2":"01082012","report_year_3":"2011","report_date_3":"01212011","agent_name":"Richard M. Derk","agent_type":"P","agent_address":"1555 WILLIAMSBURG SQ.","agent_city":"LAKELAND","agent_state":"FL","agent_zip":"33803","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata3.txt","fetched_at":"2026-05-09 11:29:14","updated_at":"2026-05-09 11:29:14","last_accessed":null,"status_reason":null,"agent_name_raw":"DERK                RICHARD M."},"officers":[{"name":"Richard M. Derk","first_name":"Richard","last_name":"Derk","title":"Treasurer","title_roles":["Treasurer"],"title_code":"tres","is_registered_agent":true,"address":"1555 WILLIAMBURG SQ.","city":"LAKELAND","state":"FL","zip":"","name_raw":"DERK                RICHARD M."},{"name":"Gillard Shawn","first_name":"Gillard","last_name":"Shawn","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":false,"address":"5926 DOE CIRCLE WEST","city":"LAKELAND","state":"FL","zip":"33807","name_raw":"SHAWN               GILLARD"},{"name":"Grant Talbot","first_name":"Grant","last_name":"Talbot","title":"Secretary, Director","title_roles":["Secretary","Director"],"title_code":"sd","is_registered_agent":false,"address":"87 LAKE POINT DRIVE","city":"MULBERRY","state":"FL","zip":"33860","name_raw":"TALBOT              GRANT"},{"name":"Thomas Thonebe","first_name":"Thomas","last_name":"Thonebe","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"1561 GARRISON DR","city":"LAKELAND","state":"FL","zip":"33810","name_raw":"THONEBE             THOMAS"},{"name":"David Whitney","first_name":"David","last_name":"Whitney","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"362 AUDUBON OAKS DR #104","city":"LAKELAND","state":"FL","zip":"33809","name_raw":"WHITNEY             DAVID"}],"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/710203"}