The recipient entity's physical address:
           200 Elm Street
Bastrop, LA 71220

The recipient entity's mailing address (if different):
           P O Box 1471
Bastrop, LA 71221-1471

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

If the entity is a corporation, list the names of the incorporators:
          Earl Pickett
James Yeldell
Bill Blackwell
Velma Adams
Inez Wilson
Clarence Norris
Lela Johnson
Holmes Bryan
Maxine Bond
E C Reese
Ardelia Scott
Eddie Blackard
DM Quinn
Jack Cockrell
Fred Montomery

The last four digits of the entity's taxpayer ID number:  6010

What is the dollar amount of the request?  $60,000

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:
           Ivory Smith, President 204 Sentelle Street Bastrop, LA 71220
Vaness Scates, Vie-President 431 Martin Luther King North, Bastrop, LA 71220
Jake Ford, Secretary/Treasurer 1105 Gray Road, Collinston, LA 71229
Katie Carpenter 6286 Forrest Green Drive, Bastrop, LA 71220
Charlestime Burnette 2507 Providence Avenue, Bastrop, LA 71220
Maribeth Gambill 2153 Bonner Ferry Road, Bastrop, LA 71220
Dorothy Wheeler 512 Orion Drive, Bastrop, lA 71220
Pam Walker 1804 Post Oak Place, Bastrop, LA 71220
Timothy Williams P O Box 407, Bastrop, LA 71221
Thomas Crowder516 Fisher Lane, Bastrop, LA 71220
Emma Ross 505 Orion Drive, Bastrop, LA 71220

Provide a summary of the project or program:
           This project will replace very old kitchen equipment used in preparation for the Senior Meal Program, Meals on Wheels, and the storage of such food before and after being prepared by the agency central kitchen. The equipment was originally purchased in the early 90's and it is becoming very difficult to find parts to repair the units.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $60,000
          Major Repairs . . . . . . . $0
          Operating Services. . . . $0
          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?
          

What is the entity's public purpose, sought to be achieved through the use of state monies?
          The Agency is the designated Area Agency on Aging for Morehouse Parish. It is the 501c3 non-profit organization that was created by the Louisiana Legislature to serve the needs of the senior population in Morehouse Parish. It was established in 1976, and chartered by the State of Louisiana. It has operated continuously since that time. It provides I & R Transportation, Housing, Meals, In-Home services, and other services to the well, and disabled senior population in Morehouse Parish.

What are the goals and objectives for achieving such purpose?
          The agency plans and puts into the action the Area Plan for Services for Morehouse Parish through the Governor's Office of Elderly Affairs, HUD, DOTD, and USDA. The plan is a 4 year plan that entails goals and objectives to maintain seniors in their own home as long as possible, through the grants provided by the state of Louisiana, and the Older Americans Act of 1965.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           90 to 160 days for all phases

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:
                 None

     (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:  Reggie DeFreese Jr 
                                       address:  1410 Bowman Street
                                       phone:  13182830845
                                       fax:  13182830835
                                       e-mail:  reggiedir@bellsouth.net
                                       relationship to entity:  Executive Director