The recipient entity's physical address:
           11404 Lake Sherwood North Suite B.
Baton Rouge, LA 70816

The recipient entity's mailing address (if different):
           11404 Lake Sherwood North Suite B.
Baton Rouge, LA 70816

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:  0993

What is the dollar amount of the request?  $10,000,000

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:
           Kathy Victorian - Kathy.Victorian@healthybluela.com Medicaid Territory Marketing Manager, Healthy Blue
Jada Lewis - jadadesireelewis@gmail.com – I need to confirm with Ms. Dianna, Ms. Jada’s position and company.
Kristy Richard - krichard@mcglinchey.com Attorney at Law, McGlinchey Law Office
Lauren Fowler - lauren.fowler@exitrealtybr.com Exit Realty Group
Penny Cement - penny@pennantrealestate.com Commercial Real Estate, Pennant Real Estate
Dr. Ashley Saucier - ashleysaucier@gmail.com – Our Lady of the Lake Pediatric Medical Director
Renada Deschamp - Renada.Deschamp@fmolhs.org Diversity Equity and Inclusion Manager, Franciscan Missionaries Health System
Dr. Renita Marshall - RENITA_MARSHALL@subr.edu – Vice Chancellor, Southern University Ag Center

Provide a summary of the project or program:
           Early Childhood Family Development Center - To provide social services and economic enhancement programming to low-income families in East Baton Rouge Parish.

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. . . . . . . $10,000,000

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?
          Uplift those that are in poverty, by providing employment training, mental health counseling, housing placement assistance, job placement assistance, etc.

What are the goals and objectives for achieving such purpose?
          Uplift those that are in poverty, by providing employment training, mental health counseling, housing placement assistance, job placement assistance, etc.

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

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:
                
    
     (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:
                

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

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

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: 
               

(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:
              

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

          What is the nature of the relationship? 

(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:
                

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


Contact Information
name:  Dianna Payton 
                                       address:  11404 Lake Sherwood North, Suite B
Baton Rouge, LA 70816
                                       phone:  225-3830681
                                       fax: 
                                       e-mail:  paytond@ywca-br.org
                                       relationship to entity:  CEO