| Entity Name: | PRIME THERAPEUTICS STATE GOVERNMENT SOLUTIONS LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 09 Dec 2022 |
| Business ALEI: | 2675948 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds |
| Business address: | 11013 W Broad St, Glen Allen, VA, 23060, United States |
| Mailing address: | 2900 AMES CROSSING ROAD, Suite 200, EAGAN, MN, United States, 55121 |
| Place of Formation: | VIRGINIA |
| E-Mail: | compliancemail@cscinfo.com |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Mark Renze | Officer | 11013 W Broad St, Glen Allen, VA, 23060, United States | 2900 Ames Crossing Road, Eagan, MN, 55121, United States |
| MOSTAFA KAMAL | Officer | 11013 W Broad St, Glen Allen, VA, 23060, United States | 2 - 2ND STREET, UNIT 1705, JERSEY CITY, NJ, 07302, United States |
| Michael Kolar | Officer | 11013 W Broad St, Glen Allen, VA, 23060, United States | 2900 Ames Crossing Road, Eagan, MN, 55121, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | MAGELLAN MEDICAID ADMINISTRATION, LLC | PRIME THERAPEUTICS STATE GOVERNMENT SOLUTIONS LLC | 2024-10-01 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012771686 | 2024-09-23 | 2024-10-01 | Amendment | Amendment of Foreign Registration Statement | No data |
| BF-0012631144 | 2024-05-06 | 2024-05-06 | Change of Agent | Agent Change | No data |
| BF-0012353389 | 2024-02-29 | No data | Annual Report | Annual Report | No data |
| BF-0011527023 | 2023-03-15 | No data | Annual Report | Annual Report | No data |
| BF-0011525176 | 2022-12-09 | 2022-12-09 | Business Registration | Foreign Registration Statement | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
