The recipient entity's physical address:
           *** Confidential Address ***

The recipient entity's mailing address (if different):
           P.O. Box 4461
Monroe, LA 71211

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

If the entity is a corporation, list the names of the incorporators:
          Janet R. Floyd- President
Dr. Stacey Floyd-Thomas-Vice President
Raquel Pittman- Secretary/Treasurer

The last four digits of the entity's taxpayer ID number:  6865

What is the dollar amount of the request?  $400,000

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:
           Janet R. Floyd- Esq.-Executive Director/President
Dr. Stacey Floyd-Thomas- Vice-President
Raquel Pittman- Secretary/Treasurer

Provide a summary of the project or program:
           The purpose of the proposed project is to provide assistance (i.e.food, clothing, academic assistance, counseling, conflict resolution, anger management and self-esteem building skills, etc.) to at-risk youth and young adults in disenfranchised and marginalized communities to equip them to gain the skills necessary to lead meaningful and productive lives.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $175,000
          Professional Services. . . $100,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $75,000
          Other Charges. . . . . . . $50,000

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?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          Our program is designed to provide the at-risk youth of Monroe's southside community, the most impoverished area of Monroe, with the necessary educational, financial, emotional, spiritual and psychological support they need to escape the detrimental conditions of their environment to become productive and beneficial members of their city and state.

What are the goals and objectives for achieving such purpose?
          Our goals are to provide the at-risk youth of our city with educational assistance (i.e. tutoring, standardized test taking skills as well as GED assistance) food and clothes, (meals provided during the program and food assistance) counseling (safe-sex /dating, self-esteem building, conflict resolution, anger management, and job training skills. Additionally, we will conduct field trips in order to give the youth a firsthand look at the various career opportunities. Through these various activities, we will provide these young people with the wherewithal to confidently enter our community and to be positive, prepared and prosperous members of our community.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           3 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:  Janet R. Floyd 
                                       address:  2712 W. Deborah Drive
                                       phone:  3188011175
                                       fax:  3183232653
                                       e-mail:  drjanetfloyd@aol.com
                                       relationship to entity:  President/Executive Director