{"entity":{"id":5382968,"state":"FL","state_id":"N22860","entity_name":"METAFORM FOUNDATION, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"1987-10-06","filing_year":1987,"business_age_years":39,"principal_address1":"567 LONG LAUREL RIDGE DR","principal_address2":"","principal_city":"LAKEMONT","principal_state":"GA","principal_zip":"30552","principal_country":"US","mail_address1":"567 LONG LAUREL RIDGE DR","mail_address2":"","mail_city":"LAKEMONT","mail_state":"GA","mail_zip":"30552","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592860079","jurisdiction":null,"county":null,"last_transaction_date":"10042002","report_year_1":"2001","report_date_1":"08312001","report_year_2":"2001","report_date_2":"08312001","report_year_3":"2000","report_date_3":"05022000","agent_name":"David Kohr","agent_type":"P","agent_address":"1901 BRINSON RD","agent_city":"LUTZ","agent_state":"FL","agent_zip":"33549","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata0.txt","fetched_at":"2026-05-09 09:06:07","updated_at":"2026-05-09 09:06:07","last_accessed":null,"status_reason":null,"agent_name_raw":"KOHR                DAVID"},"officers":[{"name":"Samuel C. Johnson","first_name":"Samuel","last_name":"Johnson","title":"President, Treasurer, Chairman","title_roles":["President","Treasurer","Chairman"],"title_code":"ptc","is_registered_agent":false,"address":"567 LONG LAUREL RIDGE DR","city":"LAKEMONT","state":"GA","zip":"30552","name_raw":"JOHNSON, SAMUEL C."},{"name":"David Kohr","first_name":"David","last_name":"Kohr","title":"Secretary, Treasurer, Director","title_roles":["Secretary","Treasurer","Director"],"title_code":"std","is_registered_agent":true,"address":"1901 BRINSON RD, T-9","city":"LUTZ","state":"FL","zip":"33549","name_raw":"KOHR                DAVID"},{"name":"Rita Wolf","first_name":"Rita","last_name":"Wolf","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"567 LONG LAUREL RIDGE DR","city":"LAKEMONT","state":"GA","zip":"30552","name_raw":"WOLF                RITA"}],"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/N22860"}