| Name: | OPTUMRX PBM OF WISCONSIN, LLC |
| Jurisdiction: | Idaho |
| Legal type: | Foreign Limited Liability Company |
| Status: | Active-Existing |
| Date of registration: | 16 Nov 2015 (9 years ago) |
| Financial Date End: | 30 Nov 2025 |
| Entity Number: | 481510 |
| Place of Formation: | WISCONSIN |
| File Number: | 481510 |
| Principal Address: | 11000 OPTUM CIRCLE EDEN PRAIRIE, MN 55344 |
| Mailing Address: | 11000 OPTUM CIR EDEN PRAIRIE, MN 55344 |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 1555 W SHORELINE DR, STE 100, BOISE, ID 83702 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| OptumRx PBM of Illinois, Inc | Member | 1600 MCCONNOR PARKWAY, SCHAUMBURG, IL 60173 | 2021-10-01 | 2023-10-25 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| John Michael Prince | Manager | 1600 MCCONNOR PARKWAY, SCHAUMBURG, IL 60173 | 2020-10-15 | 2021-10-01 |
| Peter Marshall Gill | Manager | 8673 SHERWOOD BLUFF, EDEN PRAIRIE, MN 55347 | 2023-10-25 | No data |
| Heather Rachelle Cianfrocco | Manager | 11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503 | 2023-10-25 | No data |
| Karen Elizabeth Bohmer | Manager | 11000 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503 | 2023-10-25 | No data |
| Heather Anastasia Lang | Manager | 1210 RIVER TERRACE DRIVE, BLOOMINGTON, MN 55431 | 2023-10-25 | No data |
| Timothy Joseph Langdon | Manager | 2206 S. 86TH ST, OMAHA, NE 68124 | 2023-10-25 | No data |
| Lisa Marie Smith | Manager | 11000 OPTUM CIR, EDEN PRAIRIE, MN 55344 | 2024-10-14 | No data |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Heather R. Cianfrocco | Governor | 175 KELSEY LANE, TAMPA, FL 33619 | 2023-02-10 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005941085 | 2024-10-14 |
| Annual Report | 0005448700 | 2023-10-25 |
| Amendment of Foreign Registration Statement | 0005110043 | 2023-02-10 |
| Annual Report | 0004948335 | 2022-10-10 |
| Registered Agent Name/Address Change (mass change) | 0004895326 | 2022-09-12 |
| Annual Report | 0004431749 | 2021-10-01 |
| Annual Report | 0004035569 | 2020-10-15 |
| Annual Report | 0003648070 | 2019-10-14 |
| Annual Report | 0003330903 | 2018-10-18 |
| Annual Report | 0003008139 | 2017-10-04 |
Date of last update: 09 Apr 2025
Sources: Idaho Secretary of State
