{"entity":{"id":7801663,"state":"FL","state_id":"N15000002012","entity_name":"FUN COAST WORKSITE WELLNESS COUNCIL, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"2015-02-25","filing_year":2015,"business_age_years":11,"principal_address1":"1648 TAYLOR ROAD, SUITE 126","principal_address2":"","principal_city":"PORT ORANGE","principal_state":"FL","principal_zip":"32128","principal_country":"","mail_address1":"1648 TAYLOR ROAD, SUITE 126","mail_address2":"","mail_city":"PORT ORANGE","mail_state":"FL","mail_zip":"32128","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"","jurisdiction":null,"county":null,"last_transaction_date":"07272018","report_year_1":"2017","report_date_1":"04102017","report_year_2":"2017","report_date_2":"04102017","report_year_3":"2016","report_date_3":"04042016","agent_name":"INC. Palmetto Charter Services","agent_type":"C","agent_address":"149 S. RIDGEWOOD AVENUE","agent_city":"DAYTONA BEACH","agent_state":"FL","agent_zip":"32114","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 10:30:41","updated_at":"2026-05-09 10:30:41","last_accessed":null,"status_reason":null,"agent_name_raw":"PALMETTO CHARTER SERVICES, INC."},"officers":[{"name":"Bissy Holden","first_name":"Bissy","last_name":"Holden","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"1648 TAYLOR ROAD, SUITE 126","city":"PORT ORANGE","state":"FL","zip":"32128","name_raw":"Holden              Bissy"},{"name":"Mica Lill","first_name":"Mica","last_name":"Lill","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"1648 TAYLOR ROAD, SUITE 126","city":"PORT ORANGE","state":"FL","zip":"32128","name_raw":"Lill                MICA"},{"name":"Kristen Mialki","first_name":"Kristen","last_name":"Mialki","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"1648 TAYLOR ROAD, SUITE 126","city":"PORT ORANGE","state":"FL","zip":"32128","name_raw":"Mialki              Kristen"},{"name":"Pamela Petrone","first_name":"Pamela","last_name":"Petrone","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"1648 TAYLOR ROAD, SUITE 126","city":"PORT ORANGE","state":"FL","zip":"32128","name_raw":"Petrone             Pamela"}],"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/N15000002012"}