{"entity":{"id":6630122,"state":"FL","state_id":"N11000006791","entity_name":"BOCA COSTA MEDICAL MISSION, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"2011-07-15","filing_year":2011,"business_age_years":15,"principal_address1":"218 LIBERTY LN","principal_address2":"","principal_city":"MELBOURNE BEACH","principal_state":"FL","principal_zip":"32951","principal_country":"","mail_address1":"218 LIBERTY LN","mail_address2":"","mail_city":"MELBOURNE BEACH","mail_state":"FL","mail_zip":"32951","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"452643082","jurisdiction":null,"county":null,"last_transaction_date":"06052018","report_year_1":"2018","report_date_1":"01022018","report_year_2":"2018","report_date_2":"01022018","report_year_3":"2017","report_date_3":"01032017","agent_name":"James O Thompson","agent_type":"P","agent_address":"218 LIBERTY LN","agent_city":"MELBOURNE BEACH","agent_state":"FL","agent_zip":"32951","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 09:50:35","updated_at":"2026-05-09 09:50:35","last_accessed":null,"status_reason":null,"agent_name_raw":"THOMPSON            JAMES         O"},"officers":[{"name":"Tomas O Gray","first_name":"Tomas","last_name":"Gray","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"5 Forest Lake Circle","city":"Greensboro","state":"NC","zip":"27407","name_raw":"GRAY                TOMAS         O"},{"name":"Octavio Guzman","first_name":"Octavio","last_name":"Guzman","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"772 Traildust Drive","city":"Milliken","state":"CO","zip":"80543","name_raw":"GUZMAN               OCTAVIO"},{"name":"Peter M Liljeberg","first_name":"Peter","last_name":"Liljeberg","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"983 Wilton Coves Dr","city":"HARTFIELD","state":"VA","zip":"23071","name_raw":"LILJEBERG           PETER         M"},{"name":"Dianne M Thompson","first_name":"Dianne","last_name":"Thompson","title":"Vice President, President","title_roles":["Vice President","President"],"title_code":"vp,","is_registered_agent":false,"address":"218 LIBERTY LN","city":"MELBOURNE BEACH","state":"FL","zip":"32951","name_raw":"THOMPSON            DIANNE        M"},{"name":"James O Thompson","first_name":"James","last_name":"Thompson","title":"President","title_roles":["President"],"title_code":"pres","is_registered_agent":true,"address":"218 LIBERTY LN","city":"MELBOURNE BEACH","state":"FL","zip":"32951","name_raw":"THOMPSON            JAMES         O"},{"name":"Maria J Yurrita Martinez","first_name":"Maria","last_name":"Yurrita Martinez","title":"Secretary","title_roles":["Secretary"],"title_code":"secr","is_registered_agent":false,"address":"10A. CALLE CASA #8 COLONIA FLOR DEL CAF ZO","city":"SUCHITEPQUEZ GUATEMALA","state":"","zip":"","name_raw":"YURRITA MARTINEZ    MARIA         J"}],"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/N11000006791"}