The recipient entity's physical address:
           965 Hwy 384, Lake Charles, La. 70607 Cameron Parish

The recipient entity's mailing address (if different):
           965 Hwy 384, Grand Lake Cameron Parish

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:  8002

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

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:
           Dinah Landry, 191 LeBoeuf Road, Bell City, La. 70630 Cameron Parish Director
Chris Savoie, 124 Recreation Lane, Cameron, La. 70631 -Chairman
JoDee Roberts, 117 Brian Circle, Lake Charles, La. 70607 Cameron Parish
Wilson LeJeune, 145 Brent Road, Bell City, La. 70630 Cameron Parish
Lenore Reese, 331 Hebert Camp Road, Lake Charles, La. 70607 Cameron Parish
Dr. Kevin Dupke, 160 Calcasieu Drive, Creole, La. 70632
Glenda Welch, 1385 Semien Lane, Hackberry, La. 70645
Judy Clement, 520 W. Main, Hackberry, La. 70645

Provide a summary of the project or program:
           The Cameron Council on Aging provides a lunch meal five days a week for senior citizens residing in Cameron Parish. The meal is nutritious and well balanced. The agency would like to provide this meal to the extreme outlying areas of the 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. . . . $40,000
          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 Cameron Council on Aging provides meals, transportation, utility assistance, commodities, homemaker services, health screening, recreation and other necessary services for the elderly in Cameron Parish.

What are the goals and objectives for achieving such purpose?
          Goals: The goal for state money is to provide meals to 44 additional seniors in outlying areas of Cameron Parish.
Objective: Secure $44,000 to add those persons to the meals program.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           2 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:
                 No compensation for any board members.
    
     (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:
                 0

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  0

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:  Dinah Landry, Director 
                                       address:  965 Hwy 384, Lake Charles, La. 70607
                                       phone:  337-532-3030
                                       fax:  337-905-6500
                                       e-mail:  dinahlandry@yahoo.com
                                       relationship to entity:  Director