{"entity":{"id":8805793,"state":"FL","state_id":"N09000000263","entity_name":"FLORIDA PLASTIC SURGERY SAFETY FOUNDATION, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"2009-01-12","filing_year":2009,"business_age_years":17,"principal_address1":"5911 HICKS ROAD","principal_address2":"","principal_city":"JACKSONVILLE","principal_state":"FL","principal_zip":"32244","principal_country":"","mail_address1":"P.O. BOX 441745","mail_address2":"","mail_city":"JACKSONVILLE","mail_state":"FL","mail_zip":"32222","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"264026150","jurisdiction":null,"county":null,"last_transaction_date":"10042016","report_year_1":"2016","report_date_1":"04302016","report_year_2":"2016","report_date_2":"04302016","report_year_3":"2015","report_date_3":"04272015","agent_name":"Wanda L Callahan","agent_type":"P","agent_address":"5911 HICKS RD","agent_city":"JACKSONVILLE","agent_state":"FL","agent_zip":"32244","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata3.txt","fetched_at":"2026-05-09 11:07:46","updated_at":"2026-05-09 11:07:46","last_accessed":null,"status_reason":null,"agent_name_raw":"CALLAHAN            WANDA         L"},"officers":[{"name":"Wanda Liii Callahan","first_name":"Wanda","last_name":"Callahan","title":"Manager","title_roles":["Manager"],"title_code":"manager","is_registered_agent":false,"address":"5911 HICKS ROAD","city":"JACKSONVILLE","state":"FL","zip":"32244","name_raw":"CALLAHAN            WANDA         LIII"},{"name":"Thomas Fiala","first_name":"Thomas","last_name":"Fiala","title":"Treasurer, Director","title_roles":["Treasurer","Director"],"title_code":"td","is_registered_agent":false,"address":"220 E Central Pkwy, #2020","city":"Altamonte Springs","state":"FL","zip":"32701","name_raw":"Fiala               Thomas"},{"name":"Shannon M Lyvers","first_name":"Shannon","last_name":"Lyvers","title":"Manager","title_roles":["Manager"],"title_code":"manager","is_registered_agent":false,"address":"5911 HICKS RD","city":"JACKSONVILLE","state":"FL","zip":"32244","name_raw":"LYVERS              SHANNON       M"},{"name":"C. Ciii Rumsey","first_name":"C.","last_name":"Rumsey","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"209 Ponte Vedra Park Drive","city":"Ponte vedra beach","state":"FL","zip":"32082","name_raw":"Rumsey              C.            CIII"},{"name":"Thomas Zaydon JR","first_name":"Thomas","last_name":"Zaydon","title":"Secretary, Director","title_roles":["Secretary","Director"],"title_code":"sd","is_registered_agent":false,"address":"3661 S. Miami Ave., Ste. 509","city":"Jacksonville","state":"FL","zip":"33133","name_raw":"Zaydon              Thomas        Jr."}],"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/N09000000263"}