{"entity":{"id":9309939,"state":"FL","state_id":"H07283","entity_name":"COUNTRYSIDE BIRTHING PLACE, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1984-06-11","filing_year":1984,"business_age_years":42,"principal_address1":"3060 JONES LANE","principal_address2":"","principal_city":"CLEARWATER","principal_state":"FL","principal_zip":"33759","principal_country":"US","mail_address1":"3060 JONES LANE","mail_address2":"","mail_city":"CLEARWATER","mail_state":"FL","mail_zip":"33759","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592470258","jurisdiction":null,"county":null,"last_transaction_date":"09272019","report_year_1":"2018","report_date_1":"03102018","report_year_2":"2018","report_date_2":"03102018","report_year_3":"2017","report_date_3":"03242017","agent_name":"Shirley J Tregillus","agent_type":"P","agent_address":"3020 JONES LN","agent_city":"CLEARWATER","agent_state":"FL","agent_zip":"33759","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata3.txt","fetched_at":"2026-05-09 11:27:39","updated_at":"2026-05-09 11:27:39","last_accessed":null,"status_reason":null,"agent_name_raw":"TREGILLUS           SHIRLEY       J"},"officers":[{"name":"Christina H Moore","first_name":"Christina","last_name":"Moore","title":"Secretary","title_roles":["Secretary"],"title_code":"sec","is_registered_agent":false,"address":"3443 Jackson Dr","city":"Holiday","state":"FL","zip":"34691","name_raw":"MOORE               CHRISTINA     H"},{"name":"Shirley J Tregillus","first_name":"Shirley","last_name":"Tregillus","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":true,"address":"3020 JONES LN","city":"CLEARWATER","state":"FL","zip":"33759","name_raw":"TREGILLUS           SHIRLEY       J"}],"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/H07283"}