The recipient entity's physical address:
           126 W. Washington St.
New Iberia, LA 70560

The recipient entity's mailing address (if different):
           126 W. Washington St.
New Iberia, LA 70560

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

If the entity is a corporation, list the names of the incorporators:
          Orres LeBlanc, President
Mrs. Morris Dauhpine, Vice President
L. J. Freyou, Secretary/Treasurer
Claud Gonsoulin
Mrs. Fabian Lemaire, Sr.
Joseph J. Neuville
Erland Johnson
Alton Huval
Rev. H. A. Hill

The last four digits of the entity's taxpayer ID number:  8635

What is the dollar amount of the request?  $40,000

What type of request is this?  Capital Outlay 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:
           Bernice Borel
Board President
P. O. Box 798
Loreauville, LA 70552

Carolyn L. Pierre
Vice President
11504 Gondron Road
St. Martinville, LA 70582

Kay Wolf
Secretary/Treasurer
4008 South Drive
New Iberia, LA 70563

Jarred Benoit
2608 Olivier Rd.
Jeanerette, LA 70544

Hayley Boutte
708 Bonnet St.
New Iberia, LA 70563

Ruth Collins
925 S. Lewis St.
PMB 269
New Iberia, LA 70560

Savitra Collins
319 Willow Wood Drive
New Iberia, LA 70563

Margaret Green
1704 S. Gibbs
New Iberia, LA 70560

Joe Kidd
2315 E. Main St.
New Iberia, LA 70560

Loretta Landry
312 Cemetery Rd.
St. Martinville, LA 70582

Barbara Martin
519 Texaco St.
New Iberia, LA 70560

Susan Perdue
P. O. Box 11734
New Iberia, LA 70563

Bonnie Viator
601 Mullins Rd.
New Iberia, LA 70563

Provide a summary of the project or program:
           Capital Outlay- The parking lot at the main office is full of holes and we do not have the funding to repair this lot. It is dangerous for our seniors to come to our office with the holes as they often use canes and walkers and occasionally wheelchairs. This lot needs to be repaired, preferably with a complete lot of asphalt.

One of our Parish Council Members refused to bring his truck into our lot and parked on the side of the road and this was an younger man. Imagine the difficulties the seniors have in maneuvering around in our lot.

Our carpet is over 17 years old and if there is money left after the paving of the lot, we would like to put new carpet down or flooring.

Also we have not had a refrigerator in our office for over a year; any money left over could go to that.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $40,000
          Operating Services. . . . $0
          Other Charges. . . . . . . $0

Does your organization have any outstanding audit issues or findings?  Yes

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

What is the entity's public purpose, sought to be achieved through the use of state monies?
          Iberia Council on Aging exists to identify the needs of older persons and to provide the delivery of services to said individuals. The Capital Outlay appropriation will provide a safer entrance for our seniors who are often using walkers or wheelchairs and the new carpet will provide a clean working environment for both the employees and clients. Also, having a new refrigerator at the office will help if there is an overflow of food at the meal site that needs to be stored in our freezer.

What are the goals and objectives for achieving such purpose?
          Capital Outlay: The entrance to our office space continues to deteriorate and is unattractive and unsafe. The objective is to help achieve a safe environment when the elderly and staff come into the building. The aging carpet is also a health risk for everyone as a few years ago we had an environmental study done and dust and mold was a big issues that was addressed except for carpet.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           1-2 weeks, depending on the weather and the time it takes to remove the old asphalt and prepare the ground for the laying of the new asphalt.

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:
               The contract bid that we received is to remove the old asphalt, level and prepare the ground, and then have the asphalt replaced. It will include the removal of the waste material.


Contact Information
name:  Carol H. Whipp 
                                       address:  126 W Washington St.
New Iberia, LA 70560
                                       phone:  (337) 367-1556
                                       fax:  (337) 367-0130
                                       e-mail:  CarolwICOA@live.com
                                       relationship to entity:  Executive Director