NGO Funding Request


The recipient entity's full legal name:  DeSoto Council on Aging, Inc.

The recipient entity's physical address:
           404 Polk Street, Suite A
Mansfield, La 71052


The recipient entity's mailing address (if different):
           P.O. Box 996
Mansfield, La 71052


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

If the entity is a corporation, list the names of the incorporators:
          

The last four digits of the entity's taxpayer ID number:  0486

What is the dollar amount of the request?  $42,000

What type of request is this?  General Appropriation

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:
           Mr. William Richardson-246 Ebony Blvd. Mansfield, La 71052
Mr. Thomas Jones, 144 Murphy Street, Mansfield, La 71052
Mrs. Doris Ross, 480 Antioch Rd, Mansfield, La 71052
Mr. Richard Fuller- 230 White Oak Dr. Mansfield, La 71052
Mrs. Brenda Ford- 360 Rose Mary Lane, Stonewall, La 71078
Mr. Fredrick Lowery 511 Lee Street, Mansfield, La 71052
Mrs. Edna Thornton 193 Oak Hill Dr Apt. # 14, Mansfield, La 71052
Mrs. Curlie Gillyard 907 Jefferson Street, Mansfield La 71052
Mrs. Betty Chatman 427 Antioch Rd, Mansfield La 71052
Mr. Danny Procell 506 Forest Dr. Mansfield, La 71052
Mr. Dallas Niette, 1107 Linwood Avenue, Stonewall, La 71078
Mrs. Hattie Norris, 148 Kim Lane, Mansfield, La 71052


Provide a summary of the project or program:
           I would like Desoto Council on Aging to have a building by itself for our Seniors to enjoy their meals in a comfortable setting in Longstreet, where it is not sub-lease where anyone can go into the building using the building for different activities and renting out the building.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $10,000
          Professional Services. . . $15,000
          Contracts . . . . . . . . . . . $5,000
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $6,000
          Other Charges. . . . . . . $6,000

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?
          DeSoto Council on Aging would like for our Seniors in Desoto Parish to realize that they are loved and cared for very much. Our seniors needs our support and DeSoto Council on Aging is here to do just that. Just to have a building that is not being shared with different functions. To provide a hot and nourish meal and provide senior trips and different activities for them to enjoy.

What are the goals and objectives for achieving such purpose?
          To ensure our Seniors that DeSoto Council on Aging is here for our seniors and to know that there is a place where they can go to achieve this goal.Sometime this is the only meal that some of our senior get, maybe we can provide them with an extra meal, one that they can enjoy at the Senior Center and possibly one the can enjoy at home

What is the proposed length of time estimated by the entity to accomplish the purpose?
           1-2 years

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:
                 0

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

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:
                 Governor's Office of Elderly Affairs
P.O. Box 61
Baton Rouge, La 70821


(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               The Governor's Offices of Elderly Affairs will see to it that these funds are used accordingly


Contact Information
name:  Cheryl Lane 
                                       address:  404 Polk Street,
Mansfield, La 71052

                                       phone:  3188723700
                                       fax:  3188729473
                                       e-mail:  dcoa@bellsouth.net
                                       relationship to entity:  Executive Director