{"entity":{"id":14425782,"state":"FL","state_id":"744697","entity_name":"CLAY COUNTY DENTAL SOCIETY, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"A","filing_date":"1978-10-24","filing_year":1978,"business_age_years":48,"principal_address1":"9755 GIADA DR","principal_address2":"","principal_city":"JACKSONVILLE","principal_state":"FL","principal_zip":"32219","principal_country":"US","mail_address1":"9755 GIADA DR","mail_address2":"","mail_city":"JACKSONVILLE","mail_state":"FL","mail_zip":"32219","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591983290","jurisdiction":null,"county":null,"last_transaction_date":"09042018","report_year_1":"2026","report_date_1":"03122026","report_year_2":"2026","report_date_2":"03122026","report_year_3":"2025","report_date_3":"03052025","agent_name":"Nicholas Bdr. Grubor","agent_type":"P","agent_address":"9755 GIADA DR","agent_city":"JACKSONVILLE","agent_state":"FL","agent_zip":"32219","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata7.txt","fetched_at":"2026-05-09 15:04:18","updated_at":"2026-05-09 15:04:18","last_accessed":null,"status_reason":null,"agent_name_raw":"GRUBOR              NICHOLAS      BDr."},"officers":[{"name":"Lindsey Dr Carballo","first_name":"Lindsey","last_name":"Carballo","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"1700 EAGLE HARBOR PKWY E","city":"FLEMING ISLAND","state":"FL","zip":"32003","name_raw":"CARBALLO            LINDSEY       DR"},{"name":"Nicholas Bdr. Grubor","first_name":"Nicholas","last_name":"Grubor","title":"Treasurer","title_roles":["Treasurer"],"title_code":"trea","is_registered_agent":true,"address":"9755 GIADA DR","city":"JACKSONVILLE","state":"FL","zip":"32219","name_raw":"GRUBOR              NICHOLAS      BDr."},{"name":"Derek Dr. Hoffman","first_name":"Derek","last_name":"Hoffman","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":false,"address":"1406 KINGSLEY AVE","city":"ORANGE PARK","state":"FL","zip":"32073","name_raw":"HOFFMAN             DEREK         Dr."},{"name":"Aylin Dr Mazzuoccolo","first_name":"Aylin","last_name":"Mazzuoccolo","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":false,"address":"1548 KINGSLEY AVE STE B","city":"ORANGE PARK","state":"FL","zip":"32073","name_raw":"MAZZUOCCOLO         AYLIN         DR"}],"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://companies.rootz.global/api/provenance/FL/744697"}