{"entity":{"id":16880463,"state":"FL","state_id":"F10009","entity_name":"BILLFORM, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"10301980","filing_year":1980,"business_age_years":46,"principal_address1":"4951 S W 36 ST","principal_address2":"","principal_city":"FT LAUDERDALE","principal_state":"FL","principal_zip":"33314","principal_country":"","mail_address1":"4951 S W 36 ST","mail_address2":"","mail_city":"FT LAUDERDALE","mail_state":"FL","mail_zip":"33314","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592037375","jurisdiction":null,"county":null,"last_transaction_date":"08251995","report_year_1":"1994","report_date_1":"10211994","report_year_2":"1994","report_date_2":"10211994","report_year_3":"1993","report_date_3":"05011993","agent_name":"J. Patrick Dyal","agent_type":"C","agent_address":"800 EAST BROWARD BLVD.","agent_city":"FT. LAUDERDALE","agent_state":"FL","agent_zip":"33301","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 16:26:52","updated_at":"2026-05-09 16:26:52","last_accessed":null,"status_reason":null,"agent_name_raw":"DYAL, J. PATRICK"},"officers":[{"name":"Julian Gunnoe","first_name":"Julian","last_name":"Gunnoe","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":false,"address":"6621 PEBBLE BCH","city":"N LAUDERDALE","state":"FL","zip":"","name_raw":"GUNNOE, JULIAN"},{"name":"William J Harrington","first_name":"William","last_name":"Harrington","title":"President, Treasurer, Director","title_roles":["President","Treasurer","Director"],"title_code":"ptd","is_registered_agent":false,"address":"4951 SW 36TH ST","city":"FT LAUDERDALE, FL  00000","state":"","zip":"","name_raw":"HARRINGTON, WILLIAM J"},{"name":"Donald M. Marks","first_name":"Donald","last_name":"Marks","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"4951 SW 36TH ST","city":"FT LAUDERDALE, FL  00000","state":"","zip":"","name_raw":"MARKS, DONALD M."}],"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/F10009"}