{"entity":{"id":11434295,"state":"FL","state_id":"856605","entity_name":"CONCORD LIFE INSURANCE COMPANY","entity_type":"FORP","entity_type_normalized":"foreign_profit","status":"I","filing_date":"1983-05-31","filing_year":1983,"business_age_years":43,"principal_address1":"3003 E 98TH ST","principal_address2":"SUIET 107","principal_city":"INDIANAPOLIS","principal_state":"IN","principal_zip":"46280","principal_country":"US","mail_address1":"3003 E 98TH ST","mail_address2":"SUIT E107","mail_city":"INDIANAPOLIS","mail_state":"IN","mail_zip":"46280","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"860223608","jurisdiction":null,"county":null,"last_transaction_date":"09192003","report_year_1":"2002","report_date_1":"02112002","report_year_2":"2002","report_date_2":"02112002","report_year_3":"2001","report_date_3":"03062001","agent_name":"Louis, Jr., Stinson ESQ","agent_type":"C","agent_address":"4675 PONCE DE LEON, STE 305","agent_city":"CORAL GABLES","agent_state":"FL","agent_zip":"33146","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 13:12:40","updated_at":"2026-05-09 13:12:40","last_accessed":null,"status_reason":null,"agent_name_raw":"STINSON, LOUIS, JR., ESQ."},"officers":[{"name":"Thomas Bennett","first_name":"Thomas","last_name":"Bennett","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"HWY. 61 & COUNTY RD.E.","city":"WHITE BEAR LAKE","state":"MN","zip":"","name_raw":"BENNETT, THOMAS"},{"name":"Van Gates","first_name":"Van","last_name":"Gates","title":"Secretary, Treasurer, Director","title_roles":["Secretary","Treasurer","Director"],"title_code":"std","is_registered_agent":false,"address":"401 SOUTH LAFAYETTE BLVD","city":"S. BEND","state":"IN","zip":"","name_raw":"GATES, VAN"},{"name":"J. Thomas O'Brien","first_name":"J.","last_name":"O'Brien","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"5102 N. KEYSTONE AVENUE","city":"INDIANAPOLIS","state":"IN","zip":"46205","name_raw":"O'BRIEN             J. THOMAS"},{"name":"Charles R. Royal","first_name":"Charles","last_name":"Royal","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"3115 SOUTH HWY. 37","city":"BLOOMINGTON","state":"IN","zip":"","name_raw":"ROYAL, CHARLES R."},{"name":"Thomas I. Wood","first_name":"Thomas","last_name":"Wood","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"7550 EAST WASHINGTON","city":"INDIANAPOLIS","state":"IN","zip":"","name_raw":"WOOD, THOMAS I."}],"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/856605"}