The recipient entity's physical address:
           Iowa Kickoff Club
4650 Lake St
Lake Charles, La 70605

The recipient entity's mailing address (if different):
           Iowa Kickoff Club
4650 Lake St
Lake Charles, La 70605

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:  7061

What is the dollar amount of the request?  $225,000

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:
           Darren Theriot - President
2352 E MCNEESE ST
Lake Charles, LA 70607

Chad Welch - Vice President
23497 Vidrine Rd
Kinder, La 70648

John McDonald - Treasurer
4650 Lake St.
Lake Charles, La 70605

Provide a summary of the project or program:
           A new digital scoreboard at the football stadium. It will benefit both the football program and the Track & Field programs. It will also be used for community nights for the children of Iowa, La. The rec league football programs will also be able to use the new scoreboard. It will also allow us to add a digital media class at our high school to teach the students about media outlets. The class is planning on promoting all sports and clubs/organizations within the school using not only social media platforms but also the operations of the scoreboard.

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. . . . $0
          Other Charges. . . . . . . $225,000

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 purpose of the Club is to promote and support the Football program at Iowa High School in an atmosphere that is consistent with the educational philosophy of the school community.

What are the goals and objectives for achieving such purpose?
          Develop an organization with an active and involved membership that is concerned with the total football program of Iowa High School and all its participants regardless of sex, race, or socio-economic status.

Promote school spirit and sportsmanship and encourage attendance at all Iowa High School football events.

Encourage and support the academic endeavors of Iowa High athletes.

Provide supplementary financial support for the Iowa High School football program.

Aid the staff in organizing and staging special events and projects.

Aid and support the school staff in the areas of football promotion, publicity and program development.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           3 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:
                
    
     (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:  John McDonald 
                                       address:  4650 Lake St.
Lake Charles, La 70605
                                       phone:  337-263-9263
                                       fax: 
                                       e-mail:  iowakoclub@yahoo.com
                                       relationship to entity:  Treasurer