The recipient entity's physical address:
           100 Wood Drive, Monroe, LA 71203

The recipient entity's mailing address (if different):
           100 Wood Drive, Monroe, LA 71203

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

If the entity is a corporation, list the names of the incorporators:
          Crystal Rucker
Erica Valentine
Cora McGinnis
Melissa Riley
Cheranda Bridges

The last four digits of the entity's taxpayer ID number:  7152

What is the dollar amount of the request?  $25,000

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:
           Crystal Rucker, President/Director - 100 Wood Drive, Monroe, LA 71203
Erica Valentine, Vice President - 640 Kirby Place, Shreveport, La 71104
Cora McGinnis, Secretary - 152 Dodie Lane, Monroe, LA 71202
Melissa Riley, Treasurer - 1104 Powell Avenue, Monroe, LA 71203
Cheranda Bridges, Board Member - 504 Oregon Trail, Monroe, LA 71202

Provide a summary of the project or program:
           Teen Summit:
The youth will take part in teen summits and discussions on peer pressure and issues affecting their peer groups. The goal is to allow them the safe place to start discussion among their peers with the intent to begin changing the narrative of how they represent themselves in public and school setting and develop healthy relationships among their peers to influence positive behaviors.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $13,550
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $11,450
          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 youth will take part in teen summits and discussions on peer pressure and issues affecting their peer groups. The goal is to allow them the safe place to start discussion among their peers with the intent to begin changing the narrative of how they represent themselves in public and school setting and develop healthy relationships among their peers to influence positive behaviors. The session will be published on social media outlets. The participants will be prepped and properly guided through instruction prior to the public presentation. The participants will be active in recruiting peer panelists and all aspects of the production and presentation process. Stipends will be presented to the participants for participation in the process. Topics will be selected and approved by the organization’s administration. Participants of the sessions will be guided by the program director, parents, media consultants, community leaders. Parents and the community will be encouraged to attend in person as part of the audience and/or through social media outlets.

What are the goals and objectives for achieving such purpose?
          The goal is to promote and encourage:
• Parental Involvement
• A self-development plan to maintain continuous growth.
• Self-esteem and positive self-image.
• Positive peer engagement
• Developing healthy peer relationships
• Develop public speaking, reading, and writing skills.
• Work ethic
• Home life skills and tools for coping

What is the proposed length of time estimated by the entity to accomplish the purpose?
           Continuous

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:
                 None
    
     (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:
                 None

     (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:
                  None

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: 
               None

(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:
               None

          Provide the name, address, and office of the official to whom the person is related:
                None

          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:
                 None

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               None


Contact Information
name:  Crystal Rucker 
                                       address:  100 Wood Drive, Monroe, LA 71203
                                       phone:  903-701-0984
                                       fax: 
                                       e-mail:  kzimmerman2@comcast.net
                                       relationship to entity:  President/Director