{"entity":{"id":13101664,"state":"FL","state_id":"763306","entity_name":"CRESTVIEW, FLORIDA LODGE #2624, BENEVOLENT AND PROTECTIVE ORDER OF ELKS OF THE UNITED STATES OF AMERICA, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"A","filing_date":"1982-05-17","filing_year":1982,"business_age_years":44,"principal_address1":"127 W PINE AVE","principal_address2":"","principal_city":"CRESTVIEW","principal_state":"FL","principal_zip":"32536","principal_country":"","mail_address1":"PO BOX 153","mail_address2":"","mail_city":"CRESTVIEW","mail_state":"FL","mail_zip":"32536","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592070926","jurisdiction":null,"county":null,"last_transaction_date":"","report_year_1":"2026","report_date_1":"02152026","report_year_2":"2026","report_date_2":"02152026","report_year_3":"2025","report_date_3":"08112025","agent_name":"James Wexalted Wright","agent_type":"P","agent_address":"James W. Wright","agent_city":"Crestview","agent_state":"FL","agent_zip":"32539","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata6.txt","fetched_at":"2026-05-09 14:18:33","updated_at":"2026-05-09 14:18:33","last_accessed":null,"status_reason":null,"agent_name_raw":"Wright              James         WExalted"},"officers":[{"name":"Traci Trustee Medlock","first_name":"Traci","last_name":"Medlock","title":"Trustee","title_roles":["Trustee"],"title_code":"trus","is_registered_agent":false,"address":"304 Sioux Circle","city":"Crestview","state":"FL","zip":"32536","name_raw":"Medlock             Traci         Trustee"},{"name":"Ann Moore","first_name":"Ann","last_name":"Moore","title":"Secretary","title_roles":["Secretary"],"title_code":"secr","is_registered_agent":false,"address":"442 Shoal Lake Drive","city":"Crestview","state":"FL","zip":"32539","name_raw":"Moore               Ann"},{"name":"Holly Rodriguez","first_name":"Holly","last_name":"Rodriguez","title":"CFO","title_roles":["CFO"],"title_code":"cfo","is_registered_agent":false,"address":"1641 Pickens Circle","city":"Baker","state":"FL","zip":"32531","name_raw":"Rodriguez           Holly"},{"name":"Vicki Trustee Willis","first_name":"Vicki","last_name":"Willis","title":"Trustee","title_roles":["Trustee"],"title_code":"trus","is_registered_agent":false,"address":"3191 George Ave","city":"Crestview","state":"FL","zip":"32539","name_raw":"Willis              Vicki         TRUSTEE"},{"name":"James Wright","first_name":"James","last_name":"Wright","title":"CEO","title_roles":["CEO"],"title_code":"ceo","is_registered_agent":false,"address":"5342 Lowell Mason Rd","city":"Crestview","state":"FL","zip":"32539","name_raw":"Wright              James"}],"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/763306"}