{"entity":{"id":9527938,"state":"FL","state_id":"N08000000764","entity_name":"FOREST LAKE RV RESORT SOCIAL CLUB, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"A","filing_date":"01242008","filing_year":2008,"business_age_years":18,"principal_address1":"41219 HOCKEY DRIVE","principal_address2":"","principal_city":"ZEPHYRHILLS","principal_state":"FL","principal_zip":"33540","principal_country":"US","mail_address1":"41219 HOCKEY DRIVE","mail_address2":"","mail_city":"ZEPHYRHILLS","mail_state":"FL","mail_zip":"33540","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"223975438","jurisdiction":null,"county":null,"last_transaction_date":"12012025","report_year_1":"2026","report_date_1":"03142026","report_year_2":"2026","report_date_2":"03142026","report_year_3":"2025","report_date_3":"12012025","agent_name":"Spiegel & Utrera PA","agent_type":"C","agent_address":"1840 SW 22ND ST.","agent_city":"MIAMI","agent_state":"FL","agent_zip":"33145","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 11:36:06","updated_at":"2026-05-09 11:36:06","last_accessed":null,"status_reason":null,"agent_name_raw":"SPIEGEL & UTRERA, P.A."},"officers":[{"name":"Beverly Miller","first_name":"Beverly","last_name":"Miller","title":"President","title_roles":["President"],"title_code":"pres","is_registered_agent":false,"address":"41219 Hockey Drive  lot 92","city":"Zephyrhills","state":"FL","zip":"33540","name_raw":"Miller              Beverly"},{"name":"Nancy O'Leary","first_name":"Nancy","last_name":"O'Leary","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"41219 Hockey Drive  lot 140","city":"Zephyrhills","state":"FL","zip":"33540","name_raw":"O'Leary             Nancy"},{"name":"Larrielle C Paylor","first_name":"Larrielle","last_name":"Paylor","title":"Secretary","title_roles":["Secretary"],"title_code":"secr","is_registered_agent":false,"address":"41219 Hockey Drive  lot 164","city":"Zephyrhills","state":"FL","zip":"33540","name_raw":"Paylor              Larrielle     C"},{"name":"Robert Byck","first_name":"Robert","last_name":"Byck","title":"Treasurer","title_roles":["Treasurer"],"title_code":"trea","is_registered_agent":false,"address":"41219 Hockey Drive  lot 242","city":"ZEPHYRHILLS","state":"FL","zip":"33540","name_raw":"byck                robert"}],"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/N08000000764"}