The recipient entity's physical address:
           501 E Burton St
Sulphur LA 70663

The recipient entity's mailing address (if different):
           501 E Burton St
Sulphur LA 70663

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:  2959

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

What type of request is this?  Both

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:
           Executive Director, Joanne Coleman, 631 Kim St, Sulphur LA 70663
Board Member, Paula Taylor, 3701 Maplewood Dr, Sulphur LA 70663
Treasurer, Tim Conner, 1711 Stevenson St, Vinton LA 70668
Board Member, Phillip Clophus, 807 Magdalena St, Sulphur LA 70663
President, Dielle Barrentine, 939 W Houston River Rd, Sulphur LA 70663

Provide a summary of the project or program:
           Hope Refuge - Meet basic physical needs so participants can focus on long-term life transformation.
Hope Ignited - Begin healing through healthy relational community.
Hope Soaring - Ensuring long-term sustainability so participants can move to self-sufficient and independent.
Hope Rising - Preventing future generations from being caught in the cycle of poverty through children and youth programming that strengthens family.
Hope United - Developing a platform that strengthens and provides an outlet to put faith into action through community, service, and giving.

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. . . . $25,000
          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?
          Create an atmosphere and mold attitudes determined for transformational change by forming authentic neighborhood relationships and strong coalition partnerships, engaging in comprehensive empowerment programming, and investing in economic and community development that preserves dignity and ignites hope.

What are the goals and objectives for achieving such purpose?
          To break the multi-generational cycle of poverty and build a community where every child and adult will lead a healthy and purposeful life in a safe and vibrant neighborhood. A neighborhood in which residents choose to live, learn, work, worship, engage, play, and serve; to see our community, its places, people, and systems redeemed, empowered, transformed, and restored to reflect God's Kingdom on earth.

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

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:
                 0

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  0

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:
               None

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

          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:
                 No

(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:  Joanne Coleman 
                                       address:  501 E. Burton St.
                                       phone:  3373778722
                                       fax: 
                                       e-mail:  sulphurccc@gmail.com
                                       relationship to entity:  Executive Director