{"entity":{"id":10780507,"state":"FL","state_id":"F10000003705","entity_name":"LIFESTORE INSURANCE SERVICES, INC. OF NC","entity_type":"FORP","entity_type_normalized":"foreign_profit","status":"A","filing_date":"08172010","filing_year":2010,"business_age_years":16,"principal_address1":"206 S. JEFFERSON AVENUE","principal_address2":"","principal_city":"WEST JEFFERSON","principal_state":"NC","principal_zip":"28694","principal_country":"","mail_address1":"P.O. BOX 825","mail_address2":"","mail_city":"WEST JEFFERSON","mail_state":"NC","mail_zip":"28694","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"562003517","jurisdiction":null,"county":null,"last_transaction_date":"","report_year_1":"2026","report_date_1":"03202026","report_year_2":"2026","report_date_2":"03202026","report_year_3":"2025","report_date_3":"02272025","agent_name":"INC. Corporate Creations Network","agent_type":"C","agent_address":"801 US HIGHWAY 1","agent_city":"NORTH PALM BEACH","agent_state":"FL","agent_zip":"33408","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 12:38:55","updated_at":"2026-05-09 12:38:55","last_accessed":null,"status_reason":null,"agent_name_raw":"CORPORATE CREATIONS NETWORK, INC."},"officers":[{"name":"Brianna Piii Ashley","first_name":"Brianna","last_name":"Ashley","title":"Assistant","title_roles":["Assistant"],"title_code":"asst","is_registered_agent":false,"address":"206 S. JEFFERSON AVENUE","city":"WEST JEFFERSON","state":"NC","zip":"28694","name_raw":"Ashley              Brianna       PIII"},{"name":"Joseph Tiii Brown","first_name":"Joseph","last_name":"Brown","title":"President","title_roles":["President"],"title_code":"pres","is_registered_agent":false,"address":"206 S. JEFFERSON AVENUE","city":"WEST JEFFERSON","state":"NC","zip":"28694","name_raw":"BROWN               JOSEPH        TIII"},{"name":"Melanie P Miller","first_name":"Melanie","last_name":"Miller","title":"Secretary","title_roles":["Secretary"],"title_code":"secr","is_registered_agent":false,"address":"206 S. JEFFERSON AVENUE","city":"WEST JEFFERSON","state":"NC","zip":"28694","name_raw":"MILLER              MELANIE       P"},{"name":"Andrea T Potter","first_name":"Andrea","last_name":"Potter","title":"Assistant","title_roles":["Assistant"],"title_code":"asst","is_registered_agent":false,"address":"206 S. JEFFERSON AVENUE","city":"WEST JEFFERSON","state":"NC","zip":"28694","name_raw":"Potter              Andrea        T"},{"name":"Robert E Washburn","first_name":"Robert","last_name":"Washburn","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"206 S. JEFFERSON AVENUE","city":"WEST JEFFERSON","state":"NC","zip":"28694","name_raw":"Washburn            Robert        E"},{"name":"Daphne Williams","first_name":"Daphne","last_name":"Williams","title":"Assistant","title_roles":["Assistant"],"title_code":"asst","is_registered_agent":false,"address":"206 S. JEFFERSON AVENUE","city":"WEST JEFFERSON","state":"NC","zip":"28694","name_raw":"Williams            Daphne"}],"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/F10000003705"}