NGO Funding Request


The recipient entity's full legal name:  Ward 3 Water System, Inc.

The recipient entity's physical address:
           7411 Old Monroe Road
Bastrop, LA 71220


The recipient entity's mailing address (if different):
           7411 Old Monroe Road
Bastrop, LA 71220


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:  8564

What is the dollar amount of the request?  $1,668,400

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:
           Jimmy Perry - President
T.J. Little Water Operator
Karen Little - Office Secretary

7411 Old Monroe Rd.
Bastrop, LA 71220


Provide a summary of the project or program:
           Ward 3 Water System is in need of Water System improvements which included replacement of an 8" diameter transite pipe, paint the existing elevated tank, install a new water well, refurbish the existing water office, install new water valves, refurbish the chlorinator, and replace the existing meters with radio read meters. The Water System has done well with maintaining their system, and usually requests a CWEF each year for assistance with water system repairs. However, they are in need of some large scale improvements. The transite pipe is old and brittle, and water line breaks are frequent. The elevated tank is in desperate need for painting. The system's existing wells are aging and they are in need of a replacement well. The water office has had no major upgrades since its original construction, and needs refurbishment. The system would like to increase efficiency by replacing all existing meters with radio read meters, which will be more accurate than the 30 year old meters and reduce man hours, monthly, spent on reading meters.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $175,700
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $1,357,000
          Operating Services. . . . $0
          Other Charges. . . . . . . $135,700

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?
          To continue to maintain the water system, properly, and adhere to LA DHH and EPA requirements.

What are the goals and objectives for achieving such purpose?
          To repaint the elevated tank, construct a new water well, replace a transite pipe, replace water valves, replace existing meters with automatic read meters, renovate the water office, and refurbish the chlorinator.

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:
                 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:  Karen Little 
                                       address:  7411 Old Monroe Road
Bastrop, LA 71220

                                       phone:  318-281-9600
                                       fax:  318-281-9600
                                       e-mail:  klittle998@aol.com
                                       relationship to entity:  Office Secretary