{"entity":{"id":16440045,"state":"FL","state_id":"J84909","entity_name":"COUNTRYSIDE CARDIAC IMAGING, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1987-07-24","filing_year":1987,"business_age_years":39,"principal_address1":"2323 CURLEW ROAD","principal_address2":"SUITE 2A","principal_city":"PALM HARBOR","principal_state":"FL","principal_zip":"34683","principal_country":"US","mail_address1":"2323 CURLEW ROAD","mail_address2":"SUITE 2A","mail_city":"PALM HARBOR","mail_state":"FL","mail_zip":"34683","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592843228","jurisdiction":null,"county":null,"last_transaction_date":"08231996","report_year_1":"1995","report_date_1":"04131995","report_year_2":"1995","report_date_2":"04131995","report_year_3":"1994","report_date_3":"05311994","agent_name":"Raymond Hansen","agent_type":"C","agent_address":"1972 BAYSHORE BLVD.","agent_city":"DUNEDIN","agent_state":"FL","agent_zip":"34629","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 16:12:42","updated_at":"2026-05-09 16:12:42","last_accessed":null,"status_reason":null,"agent_name_raw":"HANSEN, RAYMOND"},"officers":[{"name":"Morris Behar","first_name":"Morris","last_name":"Behar","title":"Director, Secretary","title_roles":["Director","Secretary"],"title_code":"ds","is_registered_agent":false,"address":"209 STATE STREET","city":"OLDSMAR","state":"FL","zip":"","name_raw":"BEHAR, MORRIS"},{"name":"Raymond D. Hansen","first_name":"Raymond","last_name":"Hansen","title":"Director, President, Secretary","title_roles":["Director","President","Secretary"],"title_code":"dps","is_registered_agent":false,"address":"1972 BAYSHORE BLVD","city":"DUNEDIN","state":"FL","zip":"","name_raw":"HANSEN, RAYMOND D."},{"name":"Charles Jacobson","first_name":"Charles","last_name":"Jacobson","title":"Director, Treasurer","title_roles":["Director","Treasurer"],"title_code":"dt","is_registered_agent":false,"address":"2323 CURLEW RD #7E","city":"PALM HARBOR","state":"FL","zip":"","name_raw":"JACOBSON, CHARLES"},{"name":"John N. Klonaris","first_name":"John","last_name":"Klonaris","title":"Director, Vice President, Treasurer","title_roles":["Director","Vice President","Treasurer"],"title_code":"dvt","is_registered_agent":false,"address":"3231 MCMULLEN BOOTH ROAD","city":"SAFETY HARBOR","state":"FL","zip":"","name_raw":"KLONARIS, JOHN N."}],"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/J84909"}