The recipient entity's physical address:
           824 E 1st Street
Crowley, LA 70527

The recipient entity's mailing address (if different):
           P. O. Box 1482
Crowley, LA 70527

Type of Entity (for instance, a nonprofit corporation):  Non-Profit Corporation

If the entity is a corporation, list the names of the incorporators:
          Malita Bartie
Dorothy Cole
Hilda Wiltz
Ivan Lewis

The last four digits of the entity's taxpayer ID number:  6101

What is the dollar amount of the request?  $100,000

What type of request is this?  Both

Is this entity in good standing with the Secretary of State?  Yes

Provide the name of each member of the recipient entity's governing board and officers:
           Malita Bartie 824 E. 1st Street, Lafayette, LA 70526
Dorothy Cole 1844 Grady Poullard Street, Crowley, LA 70526
Hilda Wiltz 713 W. 11th Street, Rayne, LA 70578
Ivan Lewis 1252 Mockingbird Lane, Crowley, LA 70526
Debria Broussard 570 Ross Avenue, Crowley, LA 70526
Leroy Goodwill 614 W.. 1st Street, Crowley, LA 70526
Lindsey Halley 667 N. Wilson Street, Church Point, LA 70525
Deborah Smith P. O. Box 505, Rayne LA 70578
Mona Woods 618 W. 10th Street, Crowley, LA 70526
Russell Buchanan 113 Golden Harvest Lane, Crowley, LA 70526
Joe Soileau 131 W. Holt Avenue, Crowley, LA 70526

Provide a summary of the project or program:
           Funding is requested to provided individuals sixty years of age and older in Acadia parish the following services: home delivered meals, nutrition education, recreation activities, homemaking, outreach, public education and transportation.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $74,000
          Professional Services. . . $130,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $13,000
          Operating Services. . . . $0
          Other Charges. . . . . . . $0

Does your organization have any outstanding audit issues or findings?  No

If 'Yes' is your organization working with the appropriate governmental agencies to resolve those issues or findings?
          

What is the entity's public purpose, sought to be achieved through the use of state monies?
          Their mission is simple, “to provide supportive activities and services that are vital to older persons to improve their mental and physical well-being.” The office staff is a very friendly, informative group of people that are eager to lend a helping hand.

What are the goals and objectives for achieving such purpose?
          The goal of the programs offered by Acadia Council on Aging is to provide supportive activities and services that are vital to older persons to improve their mental and physical well-being.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           The services are ongoing for the individual in need.

If any elected or appointed state official or an immediate family member of such an official is an officer, director, trustee, or employee of the recipient entity who receives compensation or holds any ownership interest therein:
     (a) If an elected or appointed state official, the name and address of the official and the office held by such person:
                 None
    
     (b) If an immediate family member of an elected or appointed state official, the name and address of such person; the name, address, and office of the official to whom the person is related; and the nature of the relationship:
                 None

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                 0

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  None

If the recipient entity has a contract with any elected or appointed state official or an immediate family member of such an official or with the state or any political subdivision of the state:
(a) If the contract is with an elected or appointed state official, provide the name and address of the official and the office held by such person: 
               None

(b) If the contract is with an immediate family member of an elected or appointed state official:
          Provide the name and address of such person:
               None

          Provide the name, address, and office of the official to whom the person is related:
                None

          What is the nature of the relationship?  None

(c) If the contract is with the state or a political subdivision of the state, provide the name and address of the state entity or political subdivision of the state:
                 None

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               None


Contact Information
name:  Malita Bartie 
                                       address:  824 E. 1st Street
Crowley, LA 70526
                                       phone:  3377881400
                                       fax:  3377883198
                                       e-mail:  acadiacoa1@bellsouth.net
                                       relationship to entity:  Director