The recipient entity's physical address:
           134 Avis Street
Winnsboro, LA 71295

The recipient entity's mailing address (if different):
           P O Box 1114
Winnsboro, LA 71295

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

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

The last four digits of the entity's taxpayer ID number:  0033

What is the dollar amount of the request?  $40,000

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:
           EMMA JONES BLACKSHIRE, Chief Executive Officer
134 AVIS STREET
WINNSBORO, LA 71295

ERIKA ANDERSON-PIERSON-kDirector
605 PRAIRIE ST
WINNSBORO, LA 71295

EMILY PIERSON-Director
855 MCKEITHEN
WINNSBORO, LA 71295

JOHN E. WILSON, Director
27 OAKWOOD DRIVE
MONROE, LA 71203

CARL WILLIAMS, Chairman
410 N PALM CT
BROKEN ARROW, OK 74012

JAMESA ROBINSON, Treasurer
429 MILLIGAN DR
MIDLOTHIAN, TX 76065

DE NEIYA GOODLY, Secretary
4062 MADISON LANE
AUGUSTA, GA 30909

Provide a summary of the project or program:
           Bullying awareness, prevention and reporting training programs for all ages.
Career exploration tools and on-the-job training for teens.
Mentorship and tutoring programs.
Incorporate bullying reporting protocols.
Leadership development programs.
Provide access to mental health services and appropriate referral process.
Network with key institutions, communities, volunteers, and other nonprofits to combat bullying, suicide, and violence.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $20,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $10,000
          Other Charges. . . . . . . $10,000

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?
          Bullying RIP (Report It Please), a nonprofit organization dedicated to combating teen violence and providing support
services and resources to the victims of bullying in Franklin Parish. We currently offer career exploration/leadership
forums, and mentoring programs. We plan to offer on-the-job training for teens, tutoring, reporting and documenting
services, mental health services and group therapy to vulnerable students and teens. We are working with
education institutions, religious organizations, national organizations, and city/state universities. We will ensure
government participation in our programs to achieve our goals effectively. According to the National Center for
Educational Statistics, 2019 report, one out of every five (20.2%) students report being bullied in the US. Around
40% of students who reported being bullied at school indicated that they think the bullying would happen again.
Among all the states, Louisiana reported the highest percentage of bullying in schools. Surveys indicate that Louisiana has the highest percentage of high school students who have attempted suicide and the highest percentage of students getting into physical fights — it's tied for first with the District of Columbia and Maryland.
These demographic details necessitate intervention and initiatives to help victims of bullying and combat teen
violence in Louisiana.

What are the goals and objectives for achieving such purpose?
          Bullying Report It Please (Bullying RIP) mission is to prevent, advocate and provide resources for the bullied as well
as the bully. Bullying affects each individual differently, therefore, many resources are necessary to combat the
aftermath of this devastating crisis. The goals of Bullying RIP are to:
1. Educate
2. Provide a safe platform for reporting bullying
3. Coordinate needed resources, i.e., mental health, medical, spiritual, etc.
4. Monitor individuals’ progress
5. Work collaboratively with the community (families, schools, law enforcement, civic and spiritual leaders and other
organizations) to end this crisis
Our Objectives
To combat bullying and teen violence.
To provide career exploration tools and on-the-job training for teens.
To support the victims of teen violence and bullying by offering mentorship and tutoring programs.
To incorporate bullying reporting protocols into our programs and work with relevant authorities and departments for
effectively combating teen violence.
To encourage and empower teens and victims of bullying by offering opportunities to develop their leadership skills.
To provide access mental health services and appropriate referral process.
To provide access to group therapy and support services.
To mobilize and channel financial and network resources to effectively offer our services and programs.
To network with key institutions, communities, volunteers, and other nonprofits.
To expand our programs and services in the future gradually.

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:
                 NA
    
     (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:
                 NA

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

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

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: 
               NA

(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:
               NA

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

          What is the nature of the relationship?  NA

(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:
                 NA

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


Contact Information
name:  Emma Jones Blackshire 
                                       address:  134 Avis Street
WINNSBORO,LA 71295
                                       phone:  12056137079
                                       fax: 
                                       e-mail:  bullyingrip@gmail.com
                                       relationship to entity:  CHIEF EXECUTIVE OFFICER