{"entity":{"id":6249903,"state":"FL","state_id":"748961","entity_name":"ST. PHILOMENA REVIVAL TABERNACLE, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"1979-09-18","filing_year":1979,"business_age_years":47,"principal_address1":"% 633 N.E. 167TH STREET","principal_address2":"","principal_city":"NORTH MIAMI BEACH","principal_state":"FL","principal_zip":"","principal_country":"","mail_address1":"% 633 N.E. 167TH STREET","mail_address2":"","mail_city":"NORTH MIAMI BEACH","mail_state":"FL","mail_zip":"","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":"12081980","report_year_1":"","report_date_1":"","report_year_2":"","report_date_2":"","report_year_3":"","report_date_3":"","agent_name":"Jeffrey Roy Cohen","agent_type":"C","agent_address":"633 N.E. 167TH STREET","agent_city":"NORTH MIAMI BEACH","agent_state":"FL","agent_zip":"","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 09:38:03","updated_at":"2026-05-09 09:38:03","last_accessed":null,"status_reason":null,"agent_name_raw":"COHEN, JEFFREY ROY"},"officers":[{"name":"Lynn Lassiter","first_name":"Lynn","last_name":"Lassiter","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"5015 EL CLARO DR. NORTH","city":"W. PALM BEACH","state":"FL","zip":"","name_raw":"LASSITER, LYNN"},{"name":"Brenda Reid","first_name":"Brenda","last_name":"Reid","title":"Secretary, Treasurer, Director","title_roles":["Secretary","Treasurer","Director"],"title_code":"std","is_registered_agent":false,"address":"6232 FOREST HILL BLVD.","city":"W. PALM BEACH","state":"FL","zip":"","name_raw":"REID, BRENDA"},{"name":"Rev. Teresa Sampson","first_name":"Rev.","last_name":"Sampson","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"5015 EL CLARO DR. NORTH","city":"W. PALM BEACH","state":"FL","zip":"","name_raw":"SAMPSON, REV. TERESA"}],"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/748961"}