{"entity":{"id":11249732,"state":"FL","state_id":"719435","entity_name":"HAZELWOOD BAPTIST CHURCH, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"1970-10-02","filing_year":1970,"business_age_years":56,"principal_address1":"624 S W 44TH AVE","principal_address2":"","principal_city":"FORT LAUDERDALE FLA","principal_state":"","principal_zip":"33314","principal_country":"","mail_address1":"624 S W 44TH AVE","mail_address2":"","mail_city":"FORT LAUDERDALE FLA","mail_state":"","mail_zip":"33314","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"000000000","jurisdiction":null,"county":null,"last_transaction_date":"12011977","report_year_1":"1976","report_date_1":"04221976","report_year_2":"1976","report_date_2":"04221976","report_year_3":"1975","report_date_3":"01141975","agent_name":"Rev. Ralph L. Mahn","agent_type":"C","agent_address":"624 S.W. 44TH AVE.","agent_city":"FT. LAUDERDALE","agent_state":"FL","agent_zip":"33317","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata5.txt","fetched_at":"2026-05-09 13:03:01","updated_at":"2026-05-09 13:03:01","last_accessed":null,"status_reason":null,"agent_name_raw":"MAHN, REV. RALPH L."},"officers":[{"name":"Alice Garstecki","first_name":"Alice","last_name":"Garstecki","title":"Treasurer, Director","title_roles":["Treasurer","Director"],"title_code":"td","is_registered_agent":false,"address":"2621 NW 69TH AVE","city":"SUNRISE","state":"FL","zip":"","name_raw":"GARSTECKI, ALICE"},{"name":"R.L. Mahn","first_name":"R.L.","last_name":"Mahn","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"624 SW 44TH AVE.","city":"FT. LAUDERDALE","state":"FL","zip":"","name_raw":"MAHN, R.L."},{"name":"Shirley Mahn","first_name":"Shirley","last_name":"Mahn","title":"Secretary, Director","title_roles":["Secretary","Director"],"title_code":"sd","is_registered_agent":false,"address":"601 SW 29TH AVE","city":"FT. LAUDERDALE","state":"FL","zip":"","name_raw":"MAHN, SHIRLEY"}],"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/719435"}