The recipient entity's physical address:
           219 Plum Street
Monroe, LA 71202

The recipient entity's mailing address (if different):
           P.O. Box 4082
Monroe, LA 71211

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

If the entity is a corporation, list the names of the incorporators:
          Patricia W. Johnson; Kassandra W. Cole; Gladys D. Goins; Carolyn B. Lewis; Larry Willis; Phillip Brunner

The last four digits of the entity's taxpayer ID number:  0116

What is the dollar amount of the request?  $50,000

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:
           Patricia W. Johnson, 309 Jackson St., West Monroe, LA 71291; Kassandra W. Cole, 505 S 7th St., Monroe, LA 71202; Gladys D. Goins, 1023 Alabama St., Monroe, LA 71202; Carolyn B. Lewis, 2800 Westminster Ave., Monroe, LA 71201; Larry Willis, 805 Wilson St., Monroe, LA 71202; Phillip Brunner, 200 Fairway Ave., Monroe, LA 71202

Provide a summary of the project or program:
           The purpose of these funds is to upgrade the facility by painting the inside of the building, addressing plumbing, electrical and ceiling issues. Also, to obtain a reliable utility vehicle necessary for picking up items needed for the facility on a daily basis and salary for one (1) non-volunteer as a general worker.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $424
          Professional Services. . . $458
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $1,880
          Operating Services. . . . $765
          Other Charges. . . . . . . $900

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?
          To continue to feed and clothe the homeless and the needy in the community. Also, to make referrals to other service organizations within the community.

What are the goals and objectives for achieving such purpose?
          To assist families in becoming self-sufficient and be able to provide for their families. To provide business attire for job seekers and assist them to navigate their appointments.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           The time is unpredictable due to the clientele continuously rotating.

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:  Patricia W. Johnson 
                                       address:  309 Jackson St., West Monroe, LA 71291
                                       phone:  318-557-7998
                                       fax: 
                                       e-mail:  johnson.patricia2011@gmail.com
                                       relationship to entity:  Chairman