{"entity":{"id":4777795,"state":"FL","state_id":"765680","entity_name":"BASS CAPITAL SHRINE CLUB HOLDING CORPORATION","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"1982-11-05","filing_year":1982,"business_age_years":44,"principal_address1":"116 SHRINE CLUB ROAD","principal_address2":"","principal_city":"CRESCENT CITY","principal_state":"FL","principal_zip":"32112","principal_country":"","mail_address1":"P.O. BOX 241","mail_address2":"","mail_city":"CRESCENT CITY","mail_state":"FL","mail_zip":"32112","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592201964","jurisdiction":null,"county":null,"last_transaction_date":"09272013","report_year_1":"2012","report_date_1":"01062012","report_year_2":"2012","report_date_2":"01062012","report_year_3":"2011","report_date_3":"04192011","agent_name":"Allan Kaufman","agent_type":"P","agent_address":"302 SPORTSMAN DR.","agent_city":"WELAKA","agent_state":"FL","agent_zip":"32193","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata0.txt","fetched_at":"2026-05-09 08:31:22","updated_at":"2026-05-09 08:31:22","last_accessed":null,"status_reason":null,"agent_name_raw":"KAUFMAN             ALLAN"},"officers":[{"name":"Allan Kaufman","first_name":"Allan","last_name":"Kaufman","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":true,"address":"302 SPORTSMAN DR.","city":"WELAKA","state":"FL","zip":"32193","name_raw":"KAUFMAN             ALLAN"},{"name":"Homer Payne","first_name":"Homer","last_name":"Payne","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":false,"address":"302 HORSE LANDING RD","city":"SATSUMA","state":"FL","zip":"321892242","name_raw":"PAYNE               HOMER"},{"name":"Bernard Robinson","first_name":"Bernard","last_name":"Robinson","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"100 EUCLID AVE","city":"LAKE COMO","state":"FL","zip":"32157","name_raw":"ROBINSON            BERNARD"},{"name":"Mike Tennenberg","first_name":"Mike","last_name":"Tennenberg","title":"Treasurer","title_roles":["Treasurer"],"title_code":"treasurer","is_registered_agent":false,"address":"219 STATE RTE. 100","city":"SAN MATEO","state":"FL","zip":"32187","name_raw":"TENNENBERG          MIKE"}],"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/765680"}