The recipient entity's physical address:
           4020 Brinlee Street
Lake Charles, LA 70605

The recipient entity's mailing address (if different):
           4020 Brinlee Street
Lake Charles, LA 70605

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

If the entity is a corporation, list the names of the incorporators:
          Parent Booster USA

The last four digits of the entity's taxpayer ID number:  4981

What is the dollar amount of the request?  $325,000

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:
           Mandy Miller
Agent
4020 Brinlee Street
Lake Charles, LA 70605

Sheree McNease
Secretary, Director
2418 Misty Wood street
Lake Charles, LA 70605

Kamin Ferrell
Treasurer, Director
3456 Waterview Drive
Lake Charles, LA 70607

Don Martin
President, Director
100 Terrace Street
Sulphur, LA 70663

Provide a summary of the project or program:
           Provide new LED lighting to eliminate a public safety issue.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $405,000
          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?
          Eliminate a public safety issue with insufficient lighting on the field.

What are the goals and objectives for achieving such purpose?
          To replace inadequate lighting on the Barbe Baseball field.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           7-8 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:
               


Contact Information
name:  Mandy Miller 
                                       address:  4020 Brinlee Street
Lake Charles, LA 70605
                                       phone:  337-529-6848
                                       fax:  mmiller8327@yahoo.com
                                       e-mail:  mmiller8327@yahoo.com
                                       relationship to entity:  Agent