{"entity":{"id":14868828,"state":"FL","state_id":"P00000078588","entity_name":"GERIATRIC RESOURCES OF WILLISTON FLORIDA, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"08182000","filing_year":2000,"business_age_years":26,"principal_address1":"1300 THOMASWOOD DR","principal_address2":"","principal_city":"TALLAHASSEE","principal_state":"FL","principal_zip":"32312","principal_country":"","mail_address1":"1300 THOMASWOOD DR","mail_address2":"","mail_city":"TALLAHASSEE","mail_state":"FL","mail_zip":"32312","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"APPLIED FOR","jurisdiction":null,"county":null,"last_transaction_date":"10042002","report_year_1":"2001","report_date_1":"05152001","report_year_2":"2001","report_date_2":"05152001","report_year_3":"","report_date_3":"","agent_name":"Michael P Bist","agent_type":"P","agent_address":"1300 THOMASWOOD DR","agent_city":"TALLAHASSEE","agent_state":"FL","agent_zip":"32312","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata8.txt","fetched_at":"2026-05-09 15:20:46","updated_at":"2026-05-09 15:20:46","last_accessed":null,"status_reason":null,"agent_name_raw":"BIST                MICHAEL       P"},"officers":[{"name":"Brooks Ayers","first_name":"Brooks","last_name":"Ayers","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"5195 WATER RIDGE RD","city":"TUPELO","state":"MS","zip":"38139","name_raw":"AYERS               BROOKS"},{"name":"Stan Caummisar","first_name":"Stan","last_name":"Caummisar","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"2182 KIMBROUGH WOODS PL","city":"GERMANTOWN","state":"TN","zip":"38139","name_raw":"CAUMMISAR           STAN"},{"name":"Roger Glass","first_name":"Roger","last_name":"Glass","title":"Secretary, Director","title_roles":["Secretary","Director"],"title_code":"sd","is_registered_agent":false,"address":"4520 FIRE PINK TR","city":"CHATTANOOGA","state":"TN","zip":"37415","name_raw":"GLASS               ROGER"},{"name":"Kelly Mcbryde","first_name":"Kelly","last_name":"Mcbryde","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"2604 ARBOR WAY","city":"HIXSON","state":"TN","zip":"37343","name_raw":"MCBRYDE             KELLY"}],"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/P00000078588"}