The recipient entity's physical address:
           1004 Nolan Ave. Donaldsonville La. 70346

The recipient entity's mailing address (if different):
           P.O.Box 1609 DonaldSONVILLE, La. 70340

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

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

The last four digits of the entity's taxpayer ID number:  4613

What is the dollar amount of the request?  $225,000

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:
           Darryl Ovide 120 Greenbriar St. Belle Rose La.70341 [WM]
Murray Walker 118 Burns Dr. Donaldsonville La. 70346 [SW]
Deletrieck Dickerson 39250 Superior Wood Gonzales La. 70737 [JW]
Herbert J.Edwards 10525 Boudreaux Rd. Gonzales La. 70737 [T]
Joseph M. Steven 139 Evangeline Donaldsonville La. 70346 [T]

Provide a summary of the project or program:
           Remodel and renovate our historical building .We have be displaced for three pulse years

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $225,000
          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?
          Yes

What is the entity's public purpose, sought to be achieved through the use of state monies?
          The mission of the Most Worshipful Prince Hall Grand Lodge of Louisiana is to render service to the people of our communities though unity and brotherly love and to improve their cultural,social and economic conditions.

What are the goals and objectives for achieving such purpose?
          We are reaching out to help change the culture of our community through Education, Training, Leadership and by networking with other entities.

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

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:  Deletrieck Dickerson 
                                       address:  39250 Superior Wood Ave. Gonzales, La. 70737
                                       phone:  225-316-9267
                                       fax: 
                                       e-mail:  deletrieckdickerson@gmail.com
                                       relationship to entity:  Officer junior warden