The recipient entity's physical address:
           502 Avenue F
Bogalusa, La 70427

The recipient entity's mailing address (if different):
           PO Box 581
Franklinton, La 70428

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:  5328

What is the dollar amount of the request?  $150,000

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:
           Patrick Magee, Cochairman of the board
29027 CW Williams
Angie, La 70426
Patsy Welch, Cochairman of the Board
20645 Lee Road
Franklinton, La 70438
Clelie Dugan, Director of the center
102 Blue Heron Drive
Mandeville, La 70471
Leigh Anne Parden, Secretary
57584 Sam Mizell Road
Bogalusa, La 70427
Kim Gill, Treasurer
60050 Spring Valley Road
Bogalusa, La 70427

Provide a summary of the project or program:
           Southeast Louisiana Pregnancy Center for Women and Children Repairs to the building, grounds and parking lot

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $150,000
          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 entity's purpose of the funding is to perform repairs to the building, grounds, and parking lot.

What are the goals and objectives for achieving such purpose?
          The goals and objectives for achieving this purpose is to provide repairs to ensure that the building and grounds are suitable for the women and children that the center provides care to.

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

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:
                 0

     (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:  Patsy R. Welch 
                                       address:  20645 Lee Road Franklinton, La 70438
                                       phone:  9855162743
                                       fax: 
                                       e-mail:  patsywelch
                                       relationship to entity:  Co-Chair Southeast Louisiana Pregnancy Center for Women and Children