{"entity":{"id":12882312,"state":"FL","state_id":"P10066","entity_name":"FORUM INSURANCE COMPANY","entity_type":"FORP","entity_type_normalized":"foreign_profit","status":"I","filing_date":"05091986","filing_year":1986,"business_age_years":40,"principal_address1":"200 N MARTINDALE ROAD","principal_address2":"","principal_city":"SCHAUMBURG","principal_state":"IL","principal_zip":"60173-2096","principal_country":"US","mail_address1":"200 N. MARTINGALE RD","mail_address2":"","mail_city":"SCHAUMBURG","mail_state":"IL","mail_zip":"60173-2096","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"050303803","jurisdiction":null,"county":null,"last_transaction_date":"09222000","report_year_1":"1999","report_date_1":"02021999","report_year_2":"1999","report_date_2":"02021999","report_year_3":"1998","report_date_3":"03241998","agent_name":"Financial Officer Chief","agent_type":"C","agent_address":"P O BOX 6200 (32314-6200)","agent_city":"TALLAHASSEE","agent_state":"FL","agent_zip":"323990000","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata6.txt","fetched_at":"2026-05-09 14:11:22","updated_at":"2026-05-09 14:11:22","last_accessed":null,"status_reason":null,"agent_name_raw":"CHIEF FINANCIAL OFFICER"},"officers":[{"name":"Patrick J Casey","first_name":"Patrick","last_name":"Casey","title":"Treasurer, Vice President","title_roles":["Treasurer","Vice President"],"title_code":"tv","is_registered_agent":false,"address":"200 N. MARTINGALE RD.","city":"SCHAUMBURG","state":"IL","zip":"","name_raw":"CASEY, PATRICK J"},{"name":"John B Euwema","first_name":"John","last_name":"Euwema","title":"Secretary, Vice President, Director","title_roles":["Secretary","Vice President","Director"],"title_code":"svd","is_registered_agent":false,"address":"200 N. MARTINGALE RD.","city":"SCHAUMBURG","state":"IL","zip":"","name_raw":"EUWEMA              JOHN          B"},{"name":"Richard Gallagher","first_name":"Richard","last_name":"Gallagher","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":false,"address":"200 N MARTINGALE ROAD","city":"SCHAUMBURG","state":"IL","zip":"","name_raw":"GALLAGHER           RICHARD"},{"name":"Lyman C. (Asst.) Moyer","first_name":"Lyman","last_name":"Moyer","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":false,"address":"200 N. MARTINGALE RD.","city":"SCHAUMBURG","state":"IL","zip":"","name_raw":"MOYER, LYMAN C. (ASST.)"},{"name":"Robert L. Placek","first_name":"Robert","last_name":"Placek","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"200 N. MARTINGALE RD.","city":"SCHAUMBURG","state":"IL","zip":"","name_raw":"PLACEK              ROBERT L."},{"name":"Wayne B. Romanchuk","first_name":"Wayne","last_name":"Romanchuk","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"200 N MARTINGALE RD","city":"SCHAUMBURG","state":"IL","zip":"","name_raw":"ROMANCHUK           WAYNE B."}],"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/P10066"}