{"entity":{"id":7590141,"state":"FL","state_id":"N10000009162","entity_name":"AMEN SHALOM INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"2010-09-29","filing_year":2010,"business_age_years":16,"principal_address1":"410 ANDERSON AVENUE NE","principal_address2":"","principal_city":"LIVE OAK","principal_state":"FL","principal_zip":"32064","principal_country":"US","mail_address1":"410 ANDERSON AVENUE NE","mail_address2":"","mail_city":"LIVE OAK","mail_state":"FL","mail_zip":"32064","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"273564183","jurisdiction":null,"county":null,"last_transaction_date":"09222017","report_year_1":"2016","report_date_1":"02172016","report_year_2":"2016","report_date_2":"02172016","report_year_3":"2015","report_date_3":"01052015","agent_name":"Miguel Medina","agent_type":"P","agent_address":"201 SECOND STREET NE","agent_city":"LIVE OAK","agent_state":"FL","agent_zip":"32064","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata2.txt","fetched_at":"2026-05-09 10:23:35","updated_at":"2026-05-09 10:23:35","last_accessed":null,"status_reason":null,"agent_name_raw":"MEDINA              MIGUEL"},"officers":[{"name":"Frank Diaz","first_name":"Frank","last_name":"Diaz","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"12488 CR 49","city":"LIVE OAK","state":"FL","zip":"32060","name_raw":"DIAZ                FRANK"},{"name":"Elvin Guzman SR","first_name":"Elvin","last_name":"Guzman","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"410 ANDERSON AVENUE NE","city":"LIVE OAK","state":"FL","zip":"32064","name_raw":"GUZMAN              ELVIN         Sr."},{"name":"Matthew Hubbard","first_name":"Matthew","last_name":"Hubbard","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"299 TIMBER RDGE DR.","city":"LAKE CITY","state":"FL","zip":"32024","name_raw":"HUBBARD             MATTHEW"},{"name":"Nicole Hubbard","first_name":"Nicole","last_name":"Hubbard","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"299 TIMBER RIDGE","city":"LAKE CITY","state":"FL","zip":"32024","name_raw":"HUBBARD             NICOLE"},{"name":"Melida Medina","first_name":"Melida","last_name":"Medina","title":"Treasurer","title_roles":["Treasurer"],"title_code":"tr","is_registered_agent":false,"address":"201 SECOND STREET NE","city":"LIVE OAK","state":"FL","zip":"32064","name_raw":"MEDINA              MELIDA"},{"name":"Miguel Medina","first_name":"Miguel","last_name":"Medina","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":true,"address":"201 SECOND STREET NE","city":"LIVE OAK","state":"FL","zip":"32064","name_raw":"MEDINA              MIGUEL"}],"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/N10000009162"}