The recipient entity's physical address:
           114 East Main Street Winnfield, La. 71483

The recipient entity's mailing address (if different):
           PO Box 823 Winnfield,La.71483

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

If the entity is a corporation, list the names of the incorporators:
          Michael B. Durbin
Shannan Chevallier
Chuck Jurek

The last four digits of the entity's taxpayer ID number:  1946

What is the dollar amount of the request?  $300,000

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:
           President- Michael B. Durbin-209 Pecan Drive Winnfield,La.71483

Exe. Vice President- Shannan Chevallier 7952 Gum Springs Road
Atlanta,LA.71404

VP- Chuck Jurek - 778 Horseshoe Road Winnfield,La. 71483

Provide a summary of the project or program:
           This will be an Open Air Veterans Memorial with 4 brick walls with 3 openings in the front facing main street in Winnfield. All 3 entrances will be ADA approved for handicap. The will be a 70 ft. Flag Pole coming out through the top of the Memorial roof. The will be small areas of landscaping with 5 benches for seating visitors. There will be 5 statues in a circle representing the 5 branches of American Military service members. These service members will represent both male and female soldiers and also Black American soldiers. This will be a place of peace remembrance and appreciation for all of our Veterans. This will also be a Memorial that will bring our community together and it will change the face of this entire town.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $250,000
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $50,000
          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?
          This will be a place that will bring the community together and at the same time to let our Veterans know that we truly care and appreciate all that they them selves and their families have given for our country.

It will be a place of Peace- Reflection- Honor and Support to provide a supportive community for Veterans

What are the goals and objectives for achieving such purpose?
          The Veteran's Memorial Association is dedicated to providing a serene and respectful place for all veterans. Our Memorial will be a place of peace, reflection and honor for those who have served and continue to serve our country.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           October 18th, 2026

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:
                 N/A
    
     (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:
                 N/A

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

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  N/A

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: 
               N/A

(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:
               N/A

          Provide the name, address, and office of the official to whom the person is related:
                N/A

          What is the nature of the relationship?  N/A

(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:
                 N/A

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               N/A


Contact Information
name:  Michael Durbin 
                                       address:  209 Pecan Drive
Winnfield, LA 71483
                                       phone:  3186637093
                                       fax: 
                                       e-mail:  mdurbin@qualitycarriers.com
                                       relationship to entity:  Founder