The recipient entity's physical address:
           223 W. 28th Ave. Covington, LA 70433

The recipient entity's mailing address (if different):
           P.O. Box 1852 Covington, LA 70434

Type of Entity (for instance, a nonprofit corporation):  Non-Profit Corporation

If the entity is a corporation, list the names of the incorporators:
          Thomas Mitchell

The last four digits of the entity's taxpayer ID number:  1514

What is the dollar amount of the request?  $250,000

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:
           Leslie Lyons - Board President
351 Holiday Blvd. Covington, LA 70433

Julie Philippus - Past Board President
240 S. Tallowwood Drive Covington, LA 70433

Bonnie Dennis - Board Treasurer
161 River Ln. Madisonville, LA 70447

Rebecca Fenton Henderson - Board Vice Preseident
108 Golfview Lane Covington, LA 70433

Danielle Fridge - Board Secretary
755 Solomon Drive Covington, LA 70433

Thomas Mitchell - Executive Director
1044 Whitetail Drive Mandeville, LA 70448

Christina Ainsworth - Director of Finance
20116 Tammany Ave Covington, LA 70435

Provide a summary of the project or program:
           Children's Advocacy Center - Hope House is an independent, non-profit organization dedicated to ending the cycle of child abuse in our community by providing a path to recovery, a bridge to justice for victims of abuse, and education for the community.

The professionals who help families after reported child sexual or other severe abuse are from many different organizations—and they all work together as a team at Hope House

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $250,000
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          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?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          The monies will fund the staff needed to support our mission of ending the cycle of child abuse in our community by providing forensic interviews, victim advocacy, and clinical therapy to families and children who are victims of abuse.

What are the goals and objectives for achieving such purpose?
          To provide a path to recovery and a bridge to justice for victims of abuse. CAC Hope House will provide forensic interviewing, family advocacy, counseling services, and prevention outreach within St. Tammany and Washington Parishes.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           Full Grant Cycle

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:  Thomas Mitchell 
                                       address:  223 W. 28th Ave. Covington, LA 70433
                                       phone:  9858923885
                                       fax:  9858923875
                                       e-mail:  thomas@cachopehouse.org
                                       relationship to entity:  Executive Director