{"entity":{"id":13491359,"state":"FL","state_id":"H86137","entity_name":"BREK BUSINESS FORMS, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1985-11-15","filing_year":1985,"business_age_years":41,"principal_address1":"5248 NW 163RD ST.","principal_address2":"","principal_city":"MIAMI","principal_state":"FL","principal_zip":"33014","principal_country":"US","mail_address1":"5541 SW 119TH AVE.","mail_address2":"","mail_city":"COOPER CITY","mail_state":"FL","mail_zip":"33330-3340","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592601980","jurisdiction":null,"county":null,"last_transaction_date":"08231996","report_year_1":"1995","report_date_1":"05011995","report_year_2":"1995","report_date_2":"05011995","report_year_3":"1994","report_date_3":"04211994","agent_name":"Edward G. Khaleel","agent_type":"C","agent_address":"5541 S.W. 119TH AVENUE","agent_city":"COOPER CITY","agent_state":"FL","agent_zip":"33330","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata7.txt","fetched_at":"2026-05-09 14:31:47","updated_at":"2026-05-09 14:31:47","last_accessed":null,"status_reason":null,"agent_name_raw":"KHALEEL, EDWARD G."},"officers":[{"name":"Edward G. Khaleel","first_name":"Edward","last_name":"Khaleel","title":"Director, President","title_roles":["Director","President"],"title_code":"dp","is_registered_agent":true,"address":"5541 S.E. 119TH AVENUE","city":"COOPER CITY","state":"FL","zip":"","name_raw":"KHALEEL, EDWARD G."},{"name":"Sonya F. Khaleel","first_name":"Sonya","last_name":"Khaleel","title":"Treasurer, Secretary, Director","title_roles":["Treasurer","Secretary","Director"],"title_code":"tsd","is_registered_agent":false,"address":"5541 SW 119TH AVE.","city":"COOPER CITY","state":"FL","zip":"","name_raw":"KHALEEL, SONYA F."}],"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/H86137"}