| Entity Name: | PROVIDER SYNERGIES, L.L.C. |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 30 Jun 2005 |
| Business ALEI: | 0826367 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds |
| Business address: | 2900 Ames Crossing Road, Eagan, MN, 55121, United States |
| Mailing address: | 2900 Ames Crossing Road, Eagan, MN, United States, 55121 |
| Mailing jurisdiction address: | 50 W. BROAD STREET STE 1800, COLUMBUS, OH, 43215, |
| Office jurisdiction address: | C/O CORPORATION SERVICE COMPANY 50 W. BROAD STREET STE. 1800, COLUMBUS, OH, 43215, United States |
| Place of Formation: | OHIO |
| E-Mail: | compliancemail@cscglobal.com |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Mostafa Kamal | Officer | 2900 Ames Crossing Road, Eagan, MN, 55121, United States | 2900 Ames Crossing Road, Eagan, MN, 55121, United States |
| Michael Kolar | Officer | 2900 Ames Crossing Road, Eagan, MN, 55121, United States | 2900 Ames Crossing Road, Eagan, MN, 55121, United States |
| Mark Renze | Officer | 2900 Ames Crossing Road, Eagan, MN, 55121, United States | 2900 Ames Crossing Road, Eagan, MN, 55121, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012631162 | 2024-05-06 | 2024-05-06 | Change of Agent | Agent Change | No data |
| BF-0012322101 | 2024-03-07 | No data | Annual Report | Annual Report | No data |
| BF-0011163862 | 2023-03-13 | No data | Annual Report | Annual Report | No data |
| BF-0010267217 | 2022-03-27 | No data | Annual Report | Annual Report | 2022 |
| BF-0010471716 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| 0007230476 | 2021-03-15 | No data | Annual Report | Annual Report | 2021 |
| 0007230466 | 2021-03-15 | No data | Annual Report | Annual Report | 2020 |
| 0006950703 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006943532 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006609872 | 2019-07-30 | No data | Annual Report | Annual Report | 2019 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
