The recipient entity's physical address:
           2600 Johnston St.
Lafayette, LA 70503

The recipient entity's mailing address (if different):
           2600 Johnston St.
Lafayette, LA 70503

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

If the entity is a corporation, list the names of the incorporators:
          Carleen Castille, John Indest, Neil Morein, Michael Blanchard, Jim Bob Crawford, Flo Jones, Adrien Stewart, Ted Hoyt

The last four digits of the entity's taxpayer ID number:  6610

What is the dollar amount of the request?  $162,500

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:
           Jospeh C. Giglio, Jr., President
308 Keeney Dr.
Lafayette, LA 70501

Laura Ann Edwards, Secretary
124 Acacia Dr.
Lafayette, LA 70508

Nancy Mounce Cochrane
206 Annunciation
Lafayette, LA 70508

Joseph C. Moss
329 W. Farrell Rd.
Lafayette, LA 70508

Paul J. Hebert
P.O. Drawer 52606
Lafayette, LA 70503

Cathi Pavy
500 E. University Ave.
Lafayette, LA 70503

Durwood Conque
203 Louis Dr.
Lafayette, LA 70503

Renee Revett
210 Berigner Rd.
Duson, LA 70539

Kacee Thompson, Executive Director
111 Western Lane
Lafayette, LA 70507

Provide a summary of the project or program:
           The funds being requested will help cover the cost of the ongoing, free grief and counseling services provided by Hospice of Acadiana's Center for Loss & Transition. There is an increased need for grief and transition counseling through out community at this time. As a nonprofit organizaton, we are committed to caring for all those in our community. The funds provided will help to cover the salary expense, since this is a non-revenue generating service we provided to our hospice families, as well as the community at-large.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $12,500
          Professional Services. . . $150,000
          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?
          

What is the entity's public purpose, sought to be achieved through the use of state monies?
          As a community, we have a responsibility to provide compassionate, accessible options to deal with the social and emotional stressors o grief that are experienced by people of all ages, all races, and all socio-economic levels. The mental health services we provide are offered in various formats - individual, group, workshops, education, play therapy, grief yoga, etc. to ensure there is an option that will be of benefit to each and every individual based on how they deal with, and process, grief and loss.

These services are a valuable resource to our community and our State. By offering a variety of support services via outreach programs and partnerships to schools, churches, nonprofits, social service agencies, and corporations (for profit healthcare companies, nursing homes, mental health centers, etc.) we help to extend their reach within our community, as well.

What are the goals and objectives for achieving such purpose?
          Because all services are offered at no cost to the recipient, cost isn't a barrier to receiving assistance. By helping patients process emotions early and effectively, we mitigate the liklihood of added complications of grief, including family conflict, work struggles, self-harm, or further mental decline.

We have an increased aging population, coupled with a recent pandemic, and more than 50% of our State population suffering with 2 or more chornic illnesses; the need for this care is at an all-time high. By treating these individuals timely, holistically and professionally, we lessen the affects the grief will have on other facets of thier lives, as well as on our already burdened health care system as a whole.

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:
                 NA
    
     (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:
                 NA

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

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  NA

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: 
               NA

(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:
               NA

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

          What is the nature of the relationship?  NA

(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:
                 NA

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


Contact Information
name:  Kacee Thompson 
                                       address:  2600 Johnston St.
Lafayette, LA 70503
                                       phone:  3372321234
                                       fax: 
                                       e-mail:  kacee@hospiceacadiana.com
                                       relationship to entity:  Executive Director