The recipient entity's physical address:
           2100 False River Drive
New Roads, La. 70760

The recipient entity's mailing address (if different):
           P.O. Box 110
New Roads, La. 70760

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

If the entity is a corporation, list the names of the incorporators:
          Kenneth StRomain, President
Janet Vosburg, Vice-President
Kathleen David, Secretary
Valerie Jarreau, Treasurer

The last four digits of the entity's taxpayer ID number:  0070

What is the dollar amount of the request?  $1,920,598

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:
           Kenneth StRomain, President
P.O. Box 958
New Roads, La. 70760

Janet Vosburg, Vice President
9431 False River Rd.
New Roads, La. 70760

Kathleen David, Secretary
P.O. Box 15
Jarreau, La. 70749

Valerie Jarreau, Treasurer
P.O. Box 383
Livonia, La. 70755

William Vercher, Board Member
4750 Cherie Ln.
Oscar, La. 70762

George LaCour, Board Member
P.O. Box 280
Morganza, La. 70759

Brock Vosburg, Board Member
114 Alamo St.
New Roads, La. 70760

Billy Soulier, Board Member
P.O. Box 105
New Roads, La. 70760

Jenny Settoon, Board Member
205 Fairfield Ave.
New Roads, La. 70760

Rene Thibodeaux, Board Member
P.O. Box 275
Morganza, La. 70759

Rose O’Rear, Board Member
345 Major Parkway #305
New Roads, La. 70760

Rosalie Griffin, Board Member
P.O. Box 44
Lettsworth, La. 70753

Terry Jarreau, Board Member
P.O. Box 283
Livonia, La. 70755

Becky Bergeron, Executive Director
9183 False River Rd.
New Roads, La. 70760

Provide a summary of the project or program:
           This project is for a facility or possibly multiple facilities to house the Senior Center and Council on Aging Administrative space to
provide meals, recreation, and wellness programs and other essential services for senior citizens. At the current stage of planning
the Pointe Coupee Council on Aging is considering new construction. The project will be located at the site of the Pointe Coupee Health Services District No.1, which is a political subdivision of both the Pointe Coupee
Parish Government. The proposed project site is on Memorial Blvd. in New Roads. Pointe Coupee Council on Aging will purchase the property from Point Coupee Health Services District, the cost is estimated to be about $175,000. Currently the Pointe Coupee Council on Aging is operating out of two buildings on the Pointe Coupee General Hospital campus, which are owned by the Pointe Coupee Health Service District No. 1. The current facilities are very old, with only one bathroom for seniors, and the buildings are in need of major renovation. It is determined that renovation is not feasible to meet the project goal, then new construction will be pursued or a combination of both renovation and new construction. New facilities will enable us to attract more seniors to participate in the overall wellness programs and services that we offer. The project scope is in the process of being developed, but at this point in the planning process, we are planning for site manager office, restrooms, dining room, wellness/activity room, kitchen, supply room, waiting
room, director's office, assistant director's office, reception area, bookkeeper's office, service coordinator's office, program
assistant's office, workers room, training room, storage/file room, meeting room. Pointe Coupee Health Services District has
agreed to fund additional operating costs after project is completed.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          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?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          The purpose of the Pointe Coupee Council on Aging is to improve the quality and availability of services for the citizens 60 years of age and older in Pointe Coupee Parish by simulating public interest and awareness of the issues affecting the aging citizens. We help maintain the nutritional, physical and emotional wellbeing of this population by providing these needed services. Wellness programs are essentinal to keeping the seniors healthy.

What are the goals and objectives for achieving such purpose?
          Pointe Coupee Council on Aging's goal is to provide and coordinate services designed to assist parish elderly to continue living independently with dignity in their own home and community for as long as possible, delaying the need for long term facilities. The services we provide at a much lower cost to the taxpayers can prevent early institutionalization.

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

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?  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:
                 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:  Becky Bergeron 
                                       address:  P.O. Box 110
New Roads, La. 70760
                                       phone:  (225) 638-4402
                                       fax:  (225) 638-4403
                                       e-mail:  bbergeron@pc-coa.org
                                       relationship to entity:  Executive Director