The recipient entity's physical address:
           102 Thomas Road, Suite 615
West Monroe, LA 71291

The recipient entity's mailing address (if different):
           102 Thomas Road, Suite 615
West Monroe, LA 71291

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

If the entity is a corporation, list the names of the incorporators:
          Agent of Record:
Michael F. Zombie, M.D.
909 N. Third St.
Monroe, LA 71201

Officers:
Caleb Seney
Director
102 Thomas Road, Suite 615
West Monroe, LA 71291

Josh Perot
President
102 Thomas Road, Suite 615
West Monroe, LA. 71291

Anthony Jacola
Officer
102 Thomas Road, Suite 615
West Monroe LA. 71291


Rick Guillot
Vice-President
102 Thomas Road, Suite 615
West Monroe, LA. 71291

Lana Benson
Secretary
102 Thomas Road, Suite 615
West Monroe, LA. 71291

David Moore
Treasurer
102 Thomas Road, Suite 615
West Monroe, LA. 7191

The last four digits of the entity's taxpayer ID number:  0517

What is the dollar amount of the request?  $85,000

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:
           Anthony Jacola, Board Past President
Care Solutions.Inc
509 North 2nd
Monroe LA 71201

Josh Perot, Board President
Louisiana National Bank
2001 N. Trenton St
Ruston LA 71270

Gary DeWitt
DeWitt & Giger
1871 Hudson Circle
Monroe LA 71201

Rick Guillot, Board Vice President
Origin Bank
2211 N. 7th St.
West Monroe LA 71291

David Moore, Board Treasurer
CFM Enterprises
7506 Frontage Road
Monroe LA 71202

Lana Benson, Board Secretary
164 Twin Creeks Bend
Choudrant LA 71227

Bill Hogan
CenturyNext Bank
505 N. Vienna St
Ruston LA 71270

Jeb Andrews
Clinical Trials of America
2417 Timberlane Dr
Monroe LA 71201

Christy Gallot
141 Gallot Dr.
Grambling LA 71245

Brad Booth
Booth Wealth Management
1861 Hudson Circle
Monroe LA 71201

Adam O'Neal
Origin Bank
1511 N. Trenton St.
Ruston LA 71270

Jennifer Banks
150 Shady Nook
Choudrant LA 71227

Clay Borden
O'NealGas & Hercules
3003 Lakeview Place
Ruston LA 71270

Misti Cordell
2603 Pargoud Blvd
Monroe, LA 71201

Luke Lary
Iron Oak Services
545 Huey Lenard Loop
West Monroe LA 71291

Bradley Walker
Smoothie King
411 Forest Circle
Ruston LA 71270

Daniel Cummins
Cummins & Fitts
401 Walnut St.
Monroe LA 71201

Teila Lee
420 Valley View Dr.
Ruston LA 71270

Melanie Massey
Melanie Massey Physical Therapy
107 Summer Lane
West Monroe LA 71291

Hunter Smith
Po Box 209
Ruston LA 71270

James Breaux
Merrill Lynch
1809 Glenmar Ave
Monroe, LA 71201

Duke Marcus
3141 Marcus Dr.
Ruston LA 71270

Provide a summary of the project or program:
           More fun for more kids with special needs!

MedCamps of Louisiana holds a series of one-week, fun-filled camps each summer free of charge for children living with a variety of chronic illnesses, physical and cognitive disabilities. These include spina bifida, cerebral palsy, asthma, sickle cell anemia, autism, epilepsy, juvenile diabetes, orthopedic conditions, visual impairments, hearing impairments, speech impairments, cognitive disabilities and cancer survivors.

Children battling these disorders are often unable to participate in typical childhood activities. Consequently, they are often “left out” because they have special needs. With MedCamps that is no longer the case!

A different camp each week:
Every week during the summer a different camp is held. Each session of camp is designed specifically for a particular type of chronic illness or disability – and includes appropriate health professionals, specially trained staff and tailored activities. (Prior to camp, each parent/guardian is responsible for providing the camp office with the details of their camper’s medical management program as prescribed by the camper’s physician).

At camp the focus is on what campers can do, and all campers are challenged and encouraged to reach their full potential. In the safe environment of MedCamps, surrounded by other children with similar challenges, these special campers discover they are not alone and gain a genuine sense of belonging, accomplishment and self – worth.

Where is all the fun located?
MedCamps of Louisiana’s summer camps are held each year at Camp Alabama. Camp Alabama is a property of the Presbytery of the Pines and operated in partnership with MedCamps of Louisiana. Camp Alabama is an 80 acre wooded paradise, located in the rolling hills of North Central Louisiana between Monroe and Ruston. It features comfortable accommodations, paved pathways, a beautiful lake with canoes and paddleboats and wonderful facilities including a wheelchair accessible swimming pool and zipline. Activities include fishing, boating, arts and crafts, archery, nature hikes, music, drama, canoeing and swimming. Memorable evening activities include camp wide games, karaoke and an end of camp dance. All activities, which may be modified, are supervised by trained camp counselors and appropriate medical professionals.

The entrance to Camp Alabama is located at 136 Hwy 821 in Choudrant, Louisiana which is approximately 4 miles north of Interstate 20 at the Choudrant-Sibley Exit 93.

MedCamps Promise:
At the core of everything we do as an organization is the belief that all people, regardless of special medical, cognitive or physical needs, deserve to experience life to the fullest and that camping is an American tradition which epitomizes normalcy and provides participants with a sense of well-being, belonging, accomplishment and self-worth. In light of these beliefs it is our promise to provide, at no charge, a medically supervised residential summer camping experience that supports growth in the physical, social and emotional aspects of the life of a person living with special needs by developing normalcy, building confidence and fostering independence..

Founded in 1987:
MedCamps of Louisiana was founded in 1987 by Dr. Michael F. Zambie of Monroe. He first camp was a one-week session for 13 children living with asthma and allergies. Today we host camp for kids with 20 or more categories of chronic illnesses, physical and cognitive disabilities

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $250,000
          Professional Services. . . $6,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $245,000
          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?
          To improve the health and wellness of children, young adults and their families living with chronic illnesses and disabilities through recreational and educational residential and day camping experiences.

What are the goals and objectives for achieving such purpose?
          Provide residential summer camps.
Provide residential family camps and retreats.
Provide day camps
Provide medical, social and emotional learning experiences through outdoor recreation and camping.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           Annually

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:
                
    
     (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:
                

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

     (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: 
               

(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:
              

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

          What is the nature of the relationship? 

(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:
                

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


Contact Information
name:  Caleb M. Seney 
                                       address:  Med-Camps of Louisiana, Inc
102 Thomas Road, Suite 615
West Monroe, LA 71291
                                       phone:  318-329-8405
                                       fax:  318-329-8407
                                       e-mail:  caleb@medcamps.org
                                       relationship to entity:  Executive Director