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  5. STATCARE, PLLC

STATCARE, PLLC

Company Details

Name: STATCARE, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 05 May 1997 (28 years ago)
Business ID: 673827
ZIP code: 39648
County: Pike
State of Incorporation: MISSISSIPPI
Principal Office Address: 1076 Great Point Road, 1076 Great Point RoadMcComb, MS 39648

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STATCARE, PLLC 401(K) PROFIT SHARING PLAN 2023 721367773 2024-07-01 STATCARE PLLC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address 1017 DELAWARE AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2024-06-29
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-29
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
STATCARE, PLLC 401(K) PROFIT SHARING PLAN 2022 721367773 2023-05-22 STATCARE PLLC 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address 1017 DELAWARE AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2023-05-17
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-17
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
STATCARE, PLLC 401(K) PROFIT SHARING PLAN 2021 721367773 2022-09-26 STATCARE PLLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address 1017 DELAWARE AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2022-09-16
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
STATCARE, PLLC 401(K) PROFIT SHARING PLAN 2020 721367773 2021-09-28 STATCARE PLLC 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address 1017 DELAWARE AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2021-09-26
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-26
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
STATCARE, PLLC 401(K) PROFIT SHARING PLAN 2019 721367773 2020-09-09 STATCARE PLLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address 1017 DELAWARE AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2020-09-06
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-06
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
STATCARE, PLLC 401(K) PROFIT SHARING PLAN 2018 721367773 2019-07-14 STATCARE PLLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address 1017 DELAWARE AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2019-07-14
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-14
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
STATCARE, PLLC 401(K) PROFIT SHARING PLAN 2017 721367773 2018-07-09 STATCARE PLLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address 1017 DELAWARE AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2018-06-27
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-27
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
STATCARE, PLLC 401(K) PROFIT SHARING PLAN 2016 721367773 2017-07-26 STATCARE PLLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address 1017 DELAWARE AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-20
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
STATCARE, PLLC 401(K) PROFIT SHARING PLAN 2015 721367773 2016-07-23 STATCARE PLLC 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address P O BOX 1909, MCCOMB, MS, 39649

Signature of
Role Plan administrator
Date 2016-07-17
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-17
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
STATCARE PLLC 401K PROFIT SHARING PLAN 2014 721367773 2015-06-19 STATCARE PLLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address P O BOX 1909, MCCOMB, MS, 39649

Signature of
Role Plan administrator
Date 2015-06-15
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-15
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/03/20140603084508P040424088929003.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address P O BOX 1909, MCCOMB, MS, 39649

Signature of
Role Plan administrator
Date 2014-05-22
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-22
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/24/20130524181503P030012388994006.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address 1017 DELAWARE AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2013-05-10
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-10
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/18/20120718081506P040000497523004.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address 1017 DELAWARE AVENUE, MCCOMB, MS, 39648

Plan administrator’s name and address
Administrator’s EIN 721367773
Plan administrator’s name STATCARE PLLC
Plan administrator’s address 1017 DELAWARE AVENUE, MCCOMB, MS, 39648
Administrator’s telephone number 6012501122

Signature of
Role Plan administrator
Date 2012-07-15
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-15
Name of individual signing JOHN A WATSON DO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/18/20110418101046P040206733840001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address P. O. BOX 1909, MCCOMB, MS, 39649

Plan administrator’s name and address
Administrator’s EIN 721367773
Plan administrator’s name STATCARE, PLLC
Plan administrator’s address P. O. BOX 1909, MCCOMB, MS, 39649
Administrator’s telephone number 6012501122

Signature of
Role Plan administrator
Date 2011-04-18
Name of individual signing ANDY WATSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-18
Name of individual signing ANDY WATSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/12/20100812112317P070000315205001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012501122
Plan sponsor’s address P. O. BOX 1909, MCCOMB, MS, 39649

Plan administrator’s name and address
Administrator’s EIN 721367773
Plan administrator’s name STATCARE, PLLC
Plan administrator’s address P. O. BOX 1909, MCCOMB, MS, 39649
Administrator’s telephone number 6012501122

Signature of
Role Plan administrator
Date 2010-08-12
Name of individual signing ANDY WATSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-12
Name of individual signing ANDY WATSON, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ANDREW WATSON Agent 1017 Delaware Ave, McComb, MS 39648

Member

Name Role Address
J Andrew Watson Member 1007 LEWIS LANE, MCCOMB, MS 39648

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-17 Annual Report For STATCARE, PLLC
Annual Report LLC Filed 2024-04-13 Annual Report For STATCARE, PLLC
Annual Report LLC Filed 2023-01-11 Annual Report For STATCARE, PLLC
Annual Report LLC Filed 2022-02-23 Annual Report For STATCARE, PLLC
Annual Report LLC Filed 2021-03-21 Annual Report For STATCARE, PLLC
Annual Report LLC Filed 2020-04-30 Annual Report For STATCARE, PLLC
Annual Report LLC Filed 2019-03-23 Annual Report For STATCARE, PLLC
Annual Report LLC Filed 2018-03-17 Annual Report For STATCARE, PLLC
Annual Report LLC Filed 2017-03-08 Annual Report For STATCARE, PLLC
Annual Report LLC Filed 2016-03-25 Annual Report For STATCARE, PLLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1079688405 2021-02-01 0470 PPS 1017 Delaware Ave, McComb, MS, 39648-3827
Loan Status Date 2022-02-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 506015
Loan Approval Amount (current) 517681
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address McComb, PIKE, MS, 39648-3827
Project Congressional District MS-03
Number of Employees 46
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 521340.22
Forgiveness Paid Date 2021-11-05
3153587107 2020-04-11 0470 PPP 1017 DELAWARE AVE, MCCOMB, MS, 39648-3827
Loan Status Date 2021-01-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 506014
Loan Approval Amount (current) 506014
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39334
Servicing Lender Name Trustmark National Bank
Servicing Lender Address 248 E Capitol St, JACKSON, MS, 39201-2503
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address MCCOMB, PIKE, MS, 39648-3827
Project Congressional District MS-03
Number of Employees 51
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 509190.64
Forgiveness Paid Date 2020-12-03

Related by officers

ANDREW WATSON

STAT CARE, PLLC

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Related by address

No related companies by address

Date of last update: 18 Mar 2025

Sources: Mississippi Secretary of State

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