{"entity":{"id":7627392,"state":"FL","state_id":"S35182","entity_name":"KEITH R. VAN BENTHUYSEN, D.M.D., INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1991-02-27","filing_year":1991,"business_age_years":35,"principal_address1":"932 SWANN DR","principal_address2":"","principal_city":"LAKELAND","principal_state":"FL","principal_zip":"33809","principal_country":"US","mail_address1":"932 SWANN DR","mail_address2":"","mail_city":"LAKELAND","mail_state":"FL","mail_zip":"33809","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"593051310","jurisdiction":null,"county":null,"last_transaction_date":"10042002","report_year_1":"2001","report_date_1":"05172001","report_year_2":"2001","report_date_2":"05172001","report_year_3":"2000","report_date_3":"09152000","agent_name":"Keith R. Van Benthuysen","agent_type":"C","agent_address":"932 SWANN DR","agent_city":"LAKELAND","agent_state":"FL","agent_zip":"33809","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 10:24:42","updated_at":"2026-05-09 10:24:42","last_accessed":null,"status_reason":null,"agent_name_raw":"VAN BENTHUYSEN, KEITH R."},"officers":[{"name":"Michael R Sample","first_name":"Michael","last_name":"Sample","title":"Treasurer","title_roles":["Treasurer"],"title_code":"treasurer","is_registered_agent":false,"address":"16 CARDINAL DR","city":"POUGHKEEPSIE","state":"NY","zip":"12601","name_raw":"SAMPLE              MICHAEL R"},{"name":"Keith R Van Benthuysen","first_name":"Keith","last_name":"Van Benthuysen","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":false,"address":"932 SWANN DR","city":"LAKELAND","state":"FL","zip":"33809","name_raw":"VAN BENTHUYSEN      KEITH R"},{"name":"Jill A Van Benthuysen","first_name":"Jill","last_name":"Van Benthuysen","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"932 SWANN DR","city":"LAKELAND","state":"FL","zip":"33809","name_raw":"VAN BENTHUYSEN, JILL A"}],"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/S35182"}