NGO Funding Request


The recipient entity's full legal name:  Lafourche Council on Aging, Inc.

The recipient entity's physical address:
           238 Bowie Road, Raceland, LA 70394

The recipient entity's mailing address (if different):
           P O Box 500 Raceland, LA 70394

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

If the entity is a corporation, list the names of the incorporators:
          Allen Rebstock, Chairman
Maudrey Vizier, Vice Chairman
Virginia Ordoyne, Secretary/Treasurer
Andrew Robertson
Charlene Davaine
Patsy Babin
Annette Adams
Shaheedah Raoof
Phillip Gouaux
Claude Pitre, Jr.
Diana Toups
Barbara Hebert
Davis Naquin
Carla Landry
Stephen Baudoin


The last four digits of the entity's taxpayer ID number:  6130

What is the dollar amount of the request?  $85,000

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:
           Allen Rebstock, Chairman 142 West 109th Street Cut Off, La 70345
Maudrey Vizer, Vice Chairman, 203 East 28th Street Cut Off, La 70345
Virginia Ordoyne, Secretary/Treasurer979 Hwy.20 Thibodaux, LA 70301
Andrew Robertson 202 Winder Road Thibodaux, LA 70301
Charlene Davaine 162 North Leon Drive Gheens, LA 70355
Patsy Babin 3272 Hwy. 308 Raceland, LA 70394
Annette Adams 534 Hospital Drive Raceland, LA 70394
Shaheedah Ra-Oof 475 Fredrick Drive P O Box 527 Thibodaux, LA 70302
Phillip Gouaux III, 1421 Hyland Drive Lockport, LA 70374
Claude Pitre, Jr. 213 West 220th Street Golden Meadow, LA 70357
Diana Toups 2013 North Bayou Drive Golden Meadow, LA 70357
Barbara Hebert P O Box 205 Lockport, LA 70374
Carla Landry 210 Pelican Drive Raceland, LA 70394
Stephen Baudoin 209 Justin Street Lockport, LA 70374
Davis Naquin 3032 Hwy. 316 Gray, LA 70359
Charlene Rodriguez, Executive Director 103 Myrtle Delaune Street Lockport, LA 70374
Debrah Terrebonne Assistant Director 136 East 114th Street Galliano, La 70354 and Margaret Milstead, Financial Administrator 2027 Hwy. 182 Raceland, LA 70394
Charlene Rodriguez, Executive Director is responsible for the day to day operations along with Debrah Terrebonne Assistant Director. Margaret Milstead is responsible for the financial part.


Provide a summary of the project or program:
           We are in the process of building an office for the Lafourche Council on Aging. We would like to purchase a 150k generator. The cost of the generator is $65,000.00 and installation is $20,000.00. We have a budget of two million dollars, and adding this generator will go over our budget. Having this generator during power outages would be a great help to the agency as we service elderly clients. This would allow us to not have disruption in service. During hurricane season we had to go to the local bank to use their internet to do payroll because the electricity was out.
The entity's officers are Allen Rebstock, Chairman Maudrey Vizier, Vice Chairman, and Virginia Ordoyne, Secretary/Treasurer.


What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $85,000
          Acquisitions . . . . . . . . . $0
          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?
          Yes

What is the entity's public purpose, sought to be achieved through the use of state monies?
          The entity's public purpose is to assist clients 60 years of age and older. During power outages, there may be a disruption in services. These clients depend on us daily. Sometimes we are the only people they see. By having this generator, our agency can ensure the clients can still receive their services, including home delivered meals, transportation to and from dialysis and doctors appointments, etc. without interruption. This will also assist the agency to stay open and will ensure we are able to carryout other necessary office functions when the electricity is out.

What are the goals and objectives for achieving such purpose?
          Goal - to keep the agency open during power outages
Objective #1- to keep elderly clients independent and in their own homes while receiving our uninterrupted services provided by our agency
Objective #2 to enable our agency to perform necessary office functions during power outages to ensure services are uninterrupted for our clients


What is the proposed length of time estimated by the entity to accomplish the purpose?
           upon completion of office building

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:
                
    
     (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:
                

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

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

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: 
               

(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:
              

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

          What is the nature of the relationship? 

(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:
                

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


Contact Information
name:  Charlene Rodriguez 
                                       address:  238 Bowie Road Raceland, La 70394 physical
P O Box 500 Raceland, LA 70394 mailing

                                       phone:  9855320457
                                       fax: 
                                       e-mail:  lafcoadirector@viscom.net
                                       relationship to entity:  Executive Director