{"entity":{"id":11778307,"state":"FL","state_id":"731155","entity_name":"TEMPLE BETH SHALOM AT PALM  COAST, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"A","filing_date":"1974-10-21","filing_year":1974,"business_age_years":52,"principal_address1":"40 WELLINGTON DRIVE","principal_address2":"","principal_city":"PALM COAST","principal_state":"FL","principal_zip":"32164","principal_country":"US","mail_address1":"40 WELLINGTON DRIVE","mail_address2":"","mail_city":"PALM COAST","mail_state":"FL","mail_zip":"32164","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"364606359","jurisdiction":null,"county":null,"last_transaction_date":"06102025","report_year_1":"2026","report_date_1":"02102026","report_year_2":"2026","report_date_2":"02102026","report_year_3":"2025","report_date_3":"01062025","agent_name":"Roberta Kirkham","agent_type":"P","agent_address":"20 Wheeling Lane","agent_city":"PALM COAST","agent_state":"FL","agent_zip":"32164","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 13:29:13","updated_at":"2026-05-09 13:29:13","last_accessed":null,"status_reason":null,"agent_name_raw":"Kirkham             Roberta"},"officers":[{"name":"Elaine K Fusco","first_name":"Elaine","last_name":"Fusco","title":"fina","title_roles":[],"title_code":"fina","is_registered_agent":false,"address":"10 WASHBURN PLACE","city":"PALM COAST","state":"FL","zip":"32164","name_raw":"Fusco               Elaine        K"},{"name":"Harry Goldschein","first_name":"Harry","last_name":"Goldschein","title":"seco","title_roles":[],"title_code":"seco","is_registered_agent":false,"address":"1217 KILLARNEY DRIVE","city":"ORMOND BEACH","state":"FL","zip":"32174","name_raw":"GOLDSCHEIN          HARRY"},{"name":"Jerry King","first_name":"Jerry","last_name":"King","title":"reco","title_roles":[],"title_code":"reco","is_registered_agent":false,"address":"38 WOODFORD LANE","city":"PALM COAST","state":"FL","zip":"32137","name_raw":"KING                JERRY"},{"name":"Barron Rhonda","first_name":"Barron","last_name":"Rhonda","title":"Chairman, Officer, Registered Agent","title_roles":["Chairman","Officer","Registered Agent"],"title_code":"corr","is_registered_agent":false,"address":"325 WELLINGTON DRIVE","city":"PALM COAST","state":"FL","zip":"32164","name_raw":"RHONDA BARRON"},{"name":"Stephen K Tollin","first_name":"Stephen","last_name":"Tollin","title":"Assistant","title_roles":["Assistant"],"title_code":"asst","is_registered_agent":false,"address":"34 PALMYRA LANE","city":"PALM COAST","state":"FL","zip":"32164","name_raw":"TOLLIN              STEPHEN       K"},{"name":"Stephen K Tollin","first_name":"Stephen","last_name":"Tollin","title":"firs","title_roles":[],"title_code":"firs","is_registered_agent":false,"address":"34 PALMYRA LANE","city":"PALM COAST","state":"FL","zip":"32164","name_raw":"TOLLIN              STEPHEN       K"}],"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/731155"}