The recipient entity's physical address:
           121 Robinhood Drive
Hammond, La 70403

The recipient entity's mailing address (if different):
           121 Robinhood Drive
Hammond, La 70403

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:  7603

What is the dollar amount of the request?  $30,000

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:
           Rick Durham
56061 Caboose Lane
Loranger, La 70446

Randi Matthews
42431 Pelican Professiojal Park
Hammond, La 70403

Sam and Stacey Hickey
41122 Rue Chene
Ponchatoula, La 70454

Tim San Filippo
1523 Camellia Drive
Hammond, La 70403

Anita Henderson
20466 Fairway Drive
Springfield, La 70462

Provide a summary of the project or program:
           To improve grounds and maintenance by pouring a slab to offer a play area and future gym expansion for the students.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $30,000
          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?
          

What is the entity's public purpose, sought to be achieved through the use of state monies?
          Courtney Christian School's purpose is to provide an excellent education which includes a quality academic program, as well as imparting a Biblical worldview, developing Godly character, and instilling the knowledge of our nations's Christian heritage.

What are the goals and objectives for achieving such purpose?
          Courtney Christian School's goal is to continue to improve academic programs and hire highly qualifies teachers to provide an excellent education. The school is focused on a Capital Outlay to have a facility to offer this education and expand our sports program, art program, and exposure to cultural activities. It is our desire to meet the needs of every student as the focus being on educating the whole child and build a better community.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           Slab - 6 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:
               To pour a 10,000 square. foot slab.


Contact Information
name:  Kenya Carter 
                                       address:  121 Robinhood Drive
Hammond, La 70403
                                       phone:  9854154469
                                       fax:  9853407761
                                       e-mail:  kcarter@courtneycs.org
                                       relationship to entity:  Business Manager