The recipient entity's physical address:
           644 Washington Street
Breaux Bridge La.
70517

The recipient entity's mailing address (if different):
           POBox 1255
Breaux Bridge La
70517

Type of Entity (for instance, a nonprofit corporation):  Non-Profit Religious Corp.

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

The last four digits of the entity's taxpayer ID number:  0

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

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:
           Ken Tauzin Grand Knight 1809 Grand Anse Hwy Breaux Bridge La 70517

Dale Boudreaux Treasurer POBox 894/ 1083 Ruth Bridge Hwy Breaux Bridge La 70517

Provide a summary of the project or program:
           Council home improvements: roof repairs plumbing upgrades ,electrical repairs , flooring, and structure repairs

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $50,000
          Operating Services. . . . $0
          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?
          We are a catholic fraternity of men who seek to do community service through fund raising and educational information.

What are the goals and objectives for achieving such purpose?
          Our goal is to return the monies raised through fund raising back to the community. Scholarships to high school seniors, the local food pantry, special Olympics , assist the association for the mentally challenged, the eyeglass fund at the pantry and youth groups

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

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:
                 None
    
     (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:
                 None

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                 None

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  None

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: 
               None

(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:
               None

          Provide the name, address, and office of the official to whom the person is related:
                None

          What is the nature of the relationship?  None

(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:
                 None

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               None


Contact Information
name:  Dale Boudreaux 
                                       address:  POBox 894
Breaux Bridge La 70517
                                       phone:  337-654-0737
                                       fax: 
                                       e-mail:  daleboudreaux894@yahoo.com
                                       relationship to entity:  Treasurer