{"entity":{"id":7805009,"state":"FL","state_id":"P98000090392","entity_name":"SAM'S ASSISTED LIVING FACILITY, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1998-10-22","filing_year":1998,"business_age_years":28,"principal_address1":"1 PEBBLE WOOD LANE","principal_address2":"","principal_city":"PALM COAST","principal_state":"FL","principal_zip":"32164","principal_country":"","mail_address1":"1 PEBBLE WOOD LANE","mail_address2":"","mail_city":"PALM COAST","mail_state":"FL","mail_zip":"32164","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"593552149","jurisdiction":null,"county":null,"last_transaction_date":"04302017","report_year_1":"2016","report_date_1":"04242016","report_year_2":"2016","report_date_2":"04242016","report_year_3":"2015","report_date_3":"03192015","agent_name":"Maria L Panilag","agent_type":"P","agent_address":"1 PEBBLEWOOD LANE","agent_city":"PALM COAST","agent_state":"FL","agent_zip":"32164","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 10:30:50","updated_at":"2026-05-09 10:30:50","last_accessed":null,"status_reason":null,"agent_name_raw":"PANILAG             MARIA         L"},"officers":[{"name":"Maria L Panilag","first_name":"Maria","last_name":"Panilag","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":true,"address":"1 PEBBLE WOOD LANE","city":"PALM COAST","state":"FL","zip":"32164","name_raw":"PANILAG             MARIA         L"},{"name":"Samuel R Panilag","first_name":"Samuel","last_name":"Panilag","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"11 COTTAGE GATE CT","city":"PALM COAST","state":"FL","zip":"32137","name_raw":"PANILAG             SAMUEL        R"}],"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/P98000090392"}