{"entity":{"id":6363607,"state":"FL","state_id":"N02000005181","entity_name":"BASIC LIFE SUPPORT, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"2002-07-09","filing_year":2002,"business_age_years":24,"principal_address1":"1421 SW 87 WAY","principal_address2":"","principal_city":"PEMBROKE PINES","principal_state":"FL","principal_zip":"33025","principal_country":"","mail_address1":"1421 SW 87 WAY","mail_address2":"","mail_city":"PEMBROKE PINES","mail_state":"FL","mail_zip":"33025","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"753071247","jurisdiction":null,"county":null,"last_transaction_date":"10012004","report_year_1":"2003","report_date_1":"03122003","report_year_2":"2003","report_date_2":"03122003","report_year_3":"","report_date_3":"","agent_name":"Briany H Williams","agent_type":"P","agent_address":"1421 SW 87 WAY","agent_city":"PEMBROKE PINES","agent_state":"FL","agent_zip":"33025","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata1.txt","fetched_at":"2026-05-09 09:41:43","updated_at":"2026-05-09 09:41:43","last_accessed":null,"status_reason":null,"agent_name_raw":"WILLIAMS            BRIANY        H"},"officers":[{"name":"Marilyn Charles","first_name":"Marilyn","last_name":"Charles","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":false,"address":"19300 NW 38TH CT","city":"OPA LOCKA","state":"FL","zip":"33055","name_raw":"CHARLES             MARILYN"},{"name":"Kimberly Holding","first_name":"Kimberly","last_name":"Holding","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"2081 RENAISSANCE BLVD #202","city":"MIRAMAR","state":"FL","zip":"33025","name_raw":"HOLDING             KIMBERLY"},{"name":"Derek T Horne","first_name":"Derek","last_name":"Horne","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"1421 SW 87TH WAY","city":"PEMBROKE PINES","state":"FL","zip":"","name_raw":"HORNE               DEREK         T"},{"name":"Karen Webb","first_name":"Karen","last_name":"Webb","title":"Treasurer","title_roles":["Treasurer"],"title_code":"treasurer","is_registered_agent":false,"address":"2450 ST PAULS DRIVE","city":"TITUSVILLE","state":"FL","zip":"32780","name_raw":"WEBB                KAREN"},{"name":"Brian H Williams","first_name":"Brian","last_name":"Williams","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"1421 SW 87TH WAY","city":"PEMBROKE PINES","state":"FL","zip":"33025","name_raw":"WILLIAMS            BRIAN         H"}],"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/N02000005181"}