The recipient entity's physical address:
           123 State St
New Orleans, LA 70118

The recipient entity's mailing address (if different):
           123 State St
New Orleans, LA 70118

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:  8941

What is the dollar amount of the request?  $685,000

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:
           Cameron Currie
Chair
5360 Camp St
New Orleans, LA 70115

Connie Bellone
Vice Chair
304 Black River Drive
Madisonville, LA 70447

Ed Stauss
Secretary
P.O. Box 1151
Baton Rouge, LA 70821

Keith McCulloch
Treasurer
6047 Annunciation St
New Orleans, LA 70118

Celeste Eustis
2 Cromwell Place
New Orleans, LA 70118

Pastor Gregory Manning
3105 Milan St
New Orleans, LA 70125

Laura McWhirter
3305 Ridgeway Dr
Metairie, LA 70002

Dr. Seema Walia
1025 Soniat St
New Orleans, LA 70115

Rebecca Waxman
913 Burdette St
New Orleans, LA 70118

Glenda Spears
5430 Montegut Dr
New Orleans, LA 70126

Dr. Duronne Walker
3251 Wall Blvd Bldg 32
Condo 3203
Gretna, LA 70056

Katie Laskey
619 Homedale St
New Orleans, LA 70124

Megan Majoue
2638 Cadiz St
New Orleans, LA 70115

Peter Waring
2619 Fern St
New Orleans, LA 70125

Mercedes Montagnes
1233 Lowerline St
New Orleans, LA 70118

Tamra Manfredo
445 North Blvd Suite 800
Baton Rouge, LA 70802

Hayden Presley
118 Aubergine Lane
Lafayette, LA 70506

Darlene Budgewater
Chief Executive Officer
12322 Parnell Dr
Baton Rouge, LA 70815-6553

Paul Bernard
Chief Financial Officer
5713 Bridget St
Metairie, LA 70003

Theodore Haefele
Chief Production Officer
325 Orion Ave
Metairie, LA 70005

Jenice Heck
Chief Operating Officer
9 Admiralty Court
New Orleans, LA 70131

Provide a summary of the project or program:
           Promote individual independence and self-reliance for individuals who are blind or visually impaired by providing a range of rehabilitative, vocational, recreational, and educational programs for people of all ages who have experienced vision loss. Vision rehabilitation for Access Technology, Orientation & Mobility, Independent Living Skills, Occupational Therapy, Transportation, and more.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $856,373
          Professional Services. . . $3,688
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $258,107
          Other Charges. . . . . . . $185,000

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?
          Promote individual independence and self-reliance for individuals who are blind or visually impaired by providing a range of rehabilitative, vocational, recreational, and educational programs for people of all ages who have experienced vision loss. Vision rehabilitation for Access Technology, Orientation & Mobility, Independent Living Skills, Occupational Therapy, Transportation, and more.

What are the goals and objectives for achieving such purpose?
          Provide educational, vocational, and recreational services to at least 400 participants in adult Vision Rehabilitation programs by 6/30/25.
Provide at least 700 one way trips to and from Lighthouse programs and other community locations for clients who are blind or visually impaired by 6/30/25.
Provide education and training to at least 20 blind and visually impaired Lighthouse employees to improve their skills for independence and/or career development by 6/30/25.
Provide adaptive devices to at least 125 blind or visually impaired clients to improve independence with daily tasks and/or mobility by 6/30/25.
Provide early intervention, educational, and recreational services to at least 40 participants in youth Vision Rehabilitation programs by 6/30/25.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           12 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:
                 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:
                 N/A

     (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? 

(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:  Paul Bernard 
                                       address:  123 State St
New Orleans, LA 70118
                                       phone:  504-899-4501 xt 237
                                       fax: 
                                       e-mail:  pbernard@lighthouselouisiana.org
                                       relationship to entity:  Chief Financial Officer