| Entity Name: | AVESIS THIRD PARTY ADMINISTRATORS, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Foreign |
| Status: | Active |
| Date Formed: | 03 Dec 2021 (Companies founded in December 2021) |
| Business ALEI: | 2395526 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds |
| Business address: | 1275 W. WASHINGTON STREET, SUITE 102, TEMPE, AZ, 85281, United States |
| Mailing address: | 1275 W. WASHINGTON STREET, SUITE 102, TEMPE, AZ, United States, 85281 |
| Mailing jurisdiction address: | 1209 ORANGE STREET, WILMINGTON, DE, 19801, United States |
| Place of Formation: | DELAWARE |
| E-Mail: | COMPLIANCE@AVESIS.COM |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Bary Bailey | Officer | 1275 W. WASHINGTON STREET, SUITE 102, TEMPE, AZ, 85281, United States | 3133 Purdue Ave, Dallas, TX, 75225-7722, United States |
| Kirk Rothrock | Officer | 1275 W. WASHINGTON STREET, SUITE 102, TEMPE, AZ, 85281, United States | 4000 Gulf Shore Blvd N, Naples, FL, 34103-2211, United States |
| AVESIS, LLC | Officer | 1275 W. WASHINGTON STREET, SUITE 102, TEMPE, AZ, 85281, United States | No data |
| Garrett Heenan | Officer | 1275 W. WASHINGTON STREET, SUITE 102, TEMPE, AZ, 85281, United States | 12666 Greenwald Ln, Santa Ana, CA, 92705-1498, United States |
| Allison Ellison | Officer | 1275 W. WASHINGTON STREET, SUITE 102, TEMPE, AZ, 85281, United States | 2624 Riverfront Ln, Fayetteville, AR, 72703-7105, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012074402 | 2024-01-12 | No data | Annual Report | Annual Report | No data |
| BF-0012526958 | 2024-01-12 | 2024-02-20 | Interim Notice | Interim Notice | No data |
| BF-0012000842 | 2023-09-28 | 2023-09-28 | Change of Business Address | Business Address Change | No data |
| BF-0011129922 | 2023-01-30 | No data | Annual Report | Annual Report | No data |
| BF-0010284903 | 2022-01-18 | No data | Annual Report | Annual Report | 2022 |
| BF-0010160441 | 2021-12-03 | No data | Business Registration | Foreign Registration Statement | No data |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
