NGO Funding Request


The recipient entity's full legal name:  Union Masonic Board, Inc.

The recipient entity's physical address:
           5632 Hearne Ave.
Shreveport, LA 71108


The recipient entity's mailing address (if different):
           5632 Hearne Ave.
Shreveport, LA 71108


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:  1855

What is the dollar amount of the request?  $650,000

What type of request is this?  Both

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:
           Charles Henderson --Chairman 3887 Winterpark Dr. Shreveport, LA 71119
Willie Hill-Vice Chairman 303 Coppice Pl. Bossier City, LA 71111
Damien Moore-Treasurer 3170 Blanchard Rd. Shreveport, LA 71103
Carl Youngblood-Secretary 3131 Knight St.#229 Shreveport, LA 71105
Jimmy Ray Adams-Parliamentarian 6633 Long Timbers Dr. Shreveport,LA 71119
Larry Cain -Business Manager 5730 Ferrell Dr. Shreveport, LA 71129


Provide a summary of the project or program:
           1. Demolish the interior & reconfigure the space.
2. Upgrade electrical to code.
3. Upgrade plumbing.
4. Upgrade HVAC.
5. Install new flooring.
6. Install new windows.
7. Repair and upgrade bathrooms for handicap access.
8. Install new hot water heater.
9. Hire an engineer.
10. Install a security system.
11. Add fencing.
12. Add asphalt parking lot and stripes.
13. Replace exterior doors.
14. Replace exterior steps.
15. Cover outer exterior with stucco.


What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $50,000
          Professional Services. . . $30,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $570,000
          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?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          The Union Masonic Boards wants to strengthen the community by providing an indoor activity center that includes an all-purpose area for community citizens to meet, learn, socialize and share family resources.
More than just a physical space, this facility will be available for use as an on-line resource center, sponsoring educational and/or social events and workshops for youth and adult learning opportunities.


What are the goals and objectives for achieving such purpose?
          1. Provide a safe and usable building for the community.
2. Have repairs and updates done in a timely manner.
3. Make the community aware of our existence and intent in the community.
4. Provide rental opportunities to generate funds for maintenance and improvements.
5. Provide a venue for assistance with forms, applications, etc.


What is the proposed length of time estimated by the entity to accomplish the purpose?
           2 1/2 years

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:  Charles Henderson 
                                       address:  3887 Winterpark Drive
Shreveport, LA 71119

                                       phone:  318-518-2527
                                       fax: 
                                       e-mail:  opalchas@aol.com
                                       relationship to entity:  Chairman of the Board