{"entity":{"id":10723670,"state":"FL","state_id":"J19144","entity_name":"HOSPITAL MEDICAL STAFF SELF-INSURANCE TRUST, INC","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1986-06-12","filing_year":1986,"business_age_years":40,"principal_address1":"C/O AON RISK SERVICES, INC. OF FLORIDA","principal_address2":"1001 BRICKELL BAY DR., SUITE 1100","principal_city":"MIAMI","principal_state":"FL","principal_zip":"33131","principal_country":"","mail_address1":"C/O AON RISK SERVICES, INC. OF FLORIDA","mail_address2":"1001 BRICKELL BAY DR., SUITE 1100","mail_city":"MIAMI","mail_state":"FL","mail_zip":"33131","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"656002372","jurisdiction":null,"county":null,"last_transaction_date":"09162005","report_year_1":"2004","report_date_1":"04292004","report_year_2":"2004","report_date_2":"04292004","report_year_3":"2003","report_date_3":"04212003","agent_name":"INC. Of Florida Aon Risk Services","agent_type":"C","agent_address":"1001 BRICKELL BAY DR.","agent_city":"MIAMI","agent_state":"FL","agent_zip":"33131","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata4.txt","fetched_at":"2026-05-09 12:35:34","updated_at":"2026-05-09 12:35:34","last_accessed":null,"status_reason":null,"agent_name_raw":"AON RISK SERVICES, INC. OF FLORIDA"},"officers":[{"name":"Jose J. Aldrich","first_name":"Jose","last_name":"Aldrich","title":"Secretary, Treasurer","title_roles":["Secretary","Treasurer"],"title_code":"st","is_registered_agent":false,"address":"2645 SW 37TH AVE.","city":"MIAMI","state":"FL","zip":"","name_raw":"ALDRICH, JOSE J."},{"name":"Alan J Baxter","first_name":"Alan","last_name":"Baxter","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"10261 SW 128 ST","city":"MIAMI","state":"FL","zip":"","name_raw":"BAXTER              ALAN J"},{"name":"Monroe L. Scheiner","first_name":"Monroe","last_name":"Scheiner","title":"Chairman","title_roles":["Chairman"],"title_code":"chairman","is_registered_agent":false,"address":"9000 CORAL REEF DR.","city":"MIAMI","state":"FL","zip":"","name_raw":"SCHEINER, MONROE L."}],"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/J19144"}