The recipient entity's physical address:
           2236 Oriole St
New Orleans, LA 70122

The recipient entity's mailing address (if different):
           2236 Oriole St.
New Orleans, LA 70122

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

If the entity is a corporation, list the names of the incorporators:
          Mark Raymond, Jr.
Renata Granger
Jimmy Vinturella

The last four digits of the entity's taxpayer ID number:  0639

What is the dollar amount of the request?  $100,000

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:
           Darryl Willis 3400 Montrose Blvd, #1501Houston , TX 77006 713-775-2850 Darryl.Willis@microsoft.com
Ernest English 225-614-1109 ernest@gmcadvertising.com
Greg Turner "13 Morgan Dr#301
Natick, MA 01769" 504-275-6437 G_turner405@yahoo.com Treasurer
Hyma Moore 504-491-6569 hymamoore@gmail.com Board Chair
Lance Thomas ¿646-617-5787¿ Lt4224@gmail.com
Macy Ledet "861 Grove Ave.
Harahan, LA 70123" 985-772-3781 macy@mledetlaw.com Secretary
Mark Raymond Jr. "2236 Oriole St.
New Orleans, LA 70122" 504-982-5268 mark@splitsecondfoundation.org CEO & President
Ryan Burks 504-329-4117

Provide a summary of the project or program:
           The Split Second Foundation Holistic Wellness Center is a first-of-its-kind facility in Louisiana dedicated to improving the quality of life for people with disabilities. The center provides a comprehensive, person-centered approach to wellness — offering adaptive fitness, physical therapy, mental health support, social services, and resource navigation all under one roof. Designed for individuals living with spinal cord injury, traumatic brain injury, stroke, amputation, multiple sclerosis, cerebral palsy, and other neurological conditions, the center empowers clients to build strength, resilience, and independence. Split Second Foundation’s model focuses not only on physical health but also on mental, emotional, and social well-being, helping individuals and families thrive after life-changing injury or illness. This $100,000 request will help us continue provide services for the families we support.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $580,000
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          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?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          To enhance the quality of life for individuals and families impacted by disability by providing holistic wellness services, connecting people with vital community resources, advocating for systemic inclusion and accessibility, and raising public awareness about the realities and opportunities of life after disability.

What are the goals and objectives for achieving such purpose?
          The Foundation’s work is organized around five primary goals and objectives:

1. Improve Quality of Life for People with Disabilities
We aim to help individuals reclaim and build lives of independence, strength, and joy. Our adaptive fitness programs focus on functional outcomes and fostering confidence. Split Second Cares extends this support to address mental health needs and connect families with vital resources. Together, these services fill critical gaps in post-rehabilitation care and improve long-term outcomes.

2. Increase Community Inclusion and Engagement
We create spaces and programs that foster connection, reduce isolation, and build a culture of inclusion. From adaptive yoga classes and support groups to community events and cultural programming, Split Second Foundation fosters networks of support and shared experience. These efforts empower clients to engage fully in their communities and contribute to the vibrancy of our city and region.

3. Drive Systems-Level Advocacy and Awareness
We advocate at the local, state, and national levels for policies that remove barriers and promote equity. Through events like Disability Awareness Day at the Capitol, partnerships with policymakers, and public awareness campaigns, we work to create systems that include and uplift the disability community. Our efforts aim to educate stakeholders about the social determinants of health that disproportionately impact people with disabilities and to champion solutions that foster inclusion and independence.

4. Expand the Reach and Impact of Services
To meet growing demand, we are scaling our holistic wellness model statewide. We seek to expand Split Second Fitness into a larger facility with the capacity to serve more clients and add clinical services such as physician-directed rehab, occupational therapy, and behavioral health. We also cultivate partnerships with healthcare providers, universities, and community organizations to amplify our impact and reach new populations.

5. Ensure Organizational Sustainability and Growth
We are committed to building a financially strong and sustainable organization. This includes diversifying funding through grants, corporate partnerships, events, and individual giving; investing in staff development and program innovation; and leveraging data to track outcomes and communicate impact. A strong, engaged Board of Directors and volunteer network help us drive growth and keep the organization grounded in community needs.

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

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
    
     (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:
                 No

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                 No

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  No

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: 
               No

(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:
               No

          Provide the name, address, and office of the official to whom the person is related:
                No

          What is the nature of the relationship?  None

(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:  Mark Raymond, Jr. 
                                       address:  2236 Oriole St.
New Orleans LA, 70122
                                       phone:  5049825268
                                       fax: 
                                       e-mail:  mark@splitsecondfoundation.org
                                       relationship to entity:  President