MD1 PROGRAM INC: Form 990EZ, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MD1 PROGRAM INC (EIN 83-2734278)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202333189349208348
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-14T17:38:04-08:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN270623664PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CULLARI CARRICO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line155 LANE ROAD SUITE 300AddressLine1Txt
CityFAIRFIELDCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07004ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN832734278EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MD-1 PROGRAM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMD-1BusinessNameControlTxt
Phone9736500342PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 LANE ROAD 300AddressLine1Txt
CityFAIRFIELDCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07004ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn CarricoPersonNm
Person TitleCFOPersonTitleTxt
Signature2023-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJohnPersonFirstNm
Person LastCarricoPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN CARRICO JRPreparerPersonNm
PTINP00741048PTIN
Phone9734063955PhoneNum
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$122,681GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$60,243ContributionsGiftsGrantsEtcAmt
Program Service Revenue$40,000ProgramServiceRevenueAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Other Revenue Total$22,438OtherRevenueTotalAmt
Total Revenue$122,681TotalRevenueAmt
Salaries Other Comp Empl Bnft$42,567SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$63,669FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total$47,928OtherExpensesTotalAmt
Total Expenses$154,164TotalExpensesAmt
Excess Or Deficit For Year-$31,483ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$212,337NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$180,854NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$71,998BOYAmt
EOY$92,684EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$149,688BOYAmt
EOY$89,812EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$221,686BOYAmt
EOY$182,496EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,349BOYAmt
EOY$1,642EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$212,337BOYAmt
EOY$180,854EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeDeploying highly-trained physicians to the sites of crashes, accidents, strokes, heart attacks, natural disasters, mass casualties, and other emergencies requiring advanced life support, working as part of a team of emergency response personnel, dedicated to making sure that the most critical patients are alive when they reach the hospital. Also, providing emergency medicine support to patients airlifted from outside the United States, as well as providing this specialized support at special public events, and to state and local agencies.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomDeploying highly-trained physicians to the sites of crashes, accidents, strokes, heart attacks, natural disasters, mass casualties, and other emergencies requiring advanced life support, working as part of a team of emergency response personnel, dedicated to making sure that the most critical patients are alive when they reach the hospital. Also, providing emergency medicine support to patients airlifted from outside the United States, as well as providing this specialized support at special public events, and to state and local agencies.DescriptionProgramSrvcAccomTxt
Program Service Expenses$125,604ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$125,604TotalProgramServiceExpensesAmt
Info In Schedule O Part IVYes (X)InfoInScheduleOPartIVInd

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (17 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
ANDY BUSSEY
Trustee0$0
Mark Merlin
President & CEO30.00$9,750
Sarah Scharf
Vice President7.00$0
ADAM WOLPER
Trustee0$0
JOHN CARRICO
CFO7.00$0
JONATHAN KELLER
HEALTHCARE COUN0$0
DR MATTHEW STEEBNERG
Trustee0$0
JEFF BEHM
Trustee0$0
RON DONNELLY
Trustee0$0
LISA FERRELL
Trustee0$0
JOSHUA HARTMAN
Trustee0$0
AUGUST LEMING
Trustee0$0
LT COL ALBERT PONENTI
Trustee0$0
JAMES SCHATZLE
Trustee0$0
SIMCHA SHAIN
Trustee0$0
NANCY SIMPKINS
Trustee0$0
AMMUNDEEP TAGORE
Trustee0$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCULLARI CARRICO LLCPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 LANE ROAD STE 300AddressLine1Txt
CityFAIRFIELDCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07004ZIPCd
FieldValueIRS element (for citing)
Phone9734063955PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$61,259CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$210,752CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$111,995CurrentTaxYearMinus1YearAmt
Current Tax Year$60,243CurrentTaxYearAmt
Total$444,249TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$205,587CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$500,700CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$104,275CurrentTaxYearMinus1YearAmt
Current Tax Year$40,000CurrentTaxYearAmt
Total$850,562TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$266,846CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$711,452CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$216,270CurrentTaxYearMinus1YearAmt
Current Tax Year$100,243CurrentTaxYearAmt
Total$1,294,811TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,294,811PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$266,846CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$711,452CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$216,270CurrentTaxYearMinus1YearAmt
Current Tax Year$100,243CurrentTaxYearAmt
Total$1,294,811TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind
Public Support CY5090.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJOHN CARRICOPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionCFORelationshipDescriptionTxt
Transaction$10,969TransactionAmt
TransactionFULL ADMIN. SERVICESTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationCFO IS A PARTNER IN CULLARI CARRICO LLC, THE ACCOUNTING FIRM THAT PROVIDES ALL ADMINISTRATIVE SUPPORT INCLUDING FRONT OFFICE, BOOKKEEPING & ACCOUNTING, AND TAX SERVICES REQUIRED BY THE ORGANIZATION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Revenue.1MEDICAL DIRECTION $20838
Other Revenue.2LOMN REVIEWS $1600
Other Expenses.1005Travel $428
Other Expenses.1007Conferences, Conventions, and Meetings $105
Other Expenses.1009Depreciation $17569
Other Expenses.1012Insurance $19270
Other Expenses.1SUPPLIES $5675
Other Expenses.2LOSS ON SALE OF ASSET $2768
Other Expenses.3TELEPHONE $1335
Other Expenses.4WEBSITE $448
Other Expenses.5TRAINING $144
Other Expenses.6SOFTWARE $127
Other Expenses.7OTHER $30
Other Expenses.8BANK CARD FEES $29
Other Assets.1001Automobiles - Beginning $44085 Automobiles - Ending $0
Other Assets.1003Machinery and Equipment - Beginning $27766 Machinery and Equipment - Ending $23639
Other Assets.1005Accounts Receivable - Beginning $0 Accounts Receivable - Ending $33307
Other Assets.1Due From MD1 Medical Care - Beginning $69926 Due From MD1 Medical Care - Ending $32866
Other Assets.2Prepaid Insurance - Beginning $1612 Prepaid Insurance - Ending $0
Other Assets.4Due from MG Medical Consulting - Beginning $6299 Due from MG Medical Consulting - Ending $0
Total Liabilities.1001Accounts Payable and Accrued Expenses - Beginning $9349 Accounts Payable and Accrued Expenses - Ending $1642

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