| Entity Name: | EVERLY PROVIDER GROUP DE, P.A. PC |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 23 Jan 2024 (Companies founded in January 2024) |
| Business ALEI: | 2931724 |
| Annual report due: | 23 Jan 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 823 Congress Ave, Austin, TX, 78701, United States |
| Mailing address: | 823 Congress Ave, Suite 1200, Austin, TX, United States, 78701 |
| Place of Formation: | DELAWARE |
| E-Mail: | katie.smits@everlyhealth.com |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Brantley Tilman Jolly, M.D. | Officer | 823 Congress Ave, Suite 1200, Austin, TX, 78701, United States | 1539 Brookhaven Dr, Mc Lean, VA, 22101-4128, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Brantley Tilman Jolly, M.D. | Director | 823 Congress Ave, Suite 1200, Austin, TX, 78701, United States | 1539 Brookhaven Dr, Mc Lean, VA, 22101-4128, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012536849 | 2024-01-23 | No data | Business Registration | Certificate of Authority | No data |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
