{"entity":{"id":16597218,"state":"FL","state_id":"766089","entity_name":"LAKE COUNTY ACTION CIVITAN CLUB, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"12131982","filing_year":1982,"business_age_years":44,"principal_address1":"LAKE SQUARE MALL","principal_address2":"","principal_city":"LEESBURG","principal_state":"FL","principal_zip":"32748","principal_country":"","mail_address1":"LAKE SQUARE MALL","mail_address2":"","mail_city":"LEESBURG","mail_state":"FL","mail_zip":"32748","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":"11101983","report_year_1":"","report_date_1":"","report_year_2":"","report_date_2":"","report_year_3":"","report_date_3":"","agent_name":"Robert Cassidy","agent_type":"C","agent_address":"RT. 5, BOX 206","agent_city":"LEESBURG","agent_state":"FL","agent_zip":"32748","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata9.txt","fetched_at":"2026-05-09 16:17:37","updated_at":"2026-05-09 16:17:37","last_accessed":null,"status_reason":null,"agent_name_raw":"CASSIDY, ROBERT"},"officers":[{"name":"Gene Blakey","first_name":"Gene","last_name":"Blakey","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"1002 CARLTON  CT.","city":"LEESBURG","state":"FL","zip":"","name_raw":"BLAKEY, GENE"},{"name":"Mike Caldwell","first_name":"Mike","last_name":"Caldwell","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"215 W. BENTBOUGH DR.","city":"LEESBURG","state":"FL","zip":"","name_raw":"CALDWELL, MIKE"},{"name":"Robert Cassidy","first_name":"Robert","last_name":"Cassidy","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":true,"address":"RT.5, BOX 206","city":"LEESBURG","state":"FL","zip":"","name_raw":"CASSIDY, ROBERT"},{"name":"Pete Heinemeyer","first_name":"Pete","last_name":"Heinemeyer","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"#6 LANDY LANE","city":"TAVARES","state":"FL","zip":"","name_raw":"HEINEMEYER, PETE"},{"name":"William C., Resor JR","first_name":"William","last_name":"Resor","title":"Secretary, Director","title_roles":["Secretary","Director"],"title_code":"sd","is_registered_agent":false,"address":"712 OAK TERR.DR.,APT.D48","city":"LEESBURG","state":"FL","zip":"","name_raw":"RESOR, WILLIAM C., JR."},{"name":"Ann Shepard","first_name":"Ann","last_name":"Shepard","title":"Treasurer, Director","title_roles":["Treasurer","Director"],"title_code":"td","is_registered_agent":false,"address":"7122 S. HWY. 441","city":"LEESBURG","state":"FL","zip":"","name_raw":"SHEPARD, ANN"}],"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/766089"}