The recipient entity's physical address:
           100 Missouri Street
Centerville, LA 70522

The recipient entity's mailing address (if different):
           P.O. Box 3
Centerville, LA 70522

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:  2222

What is the dollar amount of the request?  $140,000

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:
           President-Billy Duhon, Sr. 214 Elina Street, Baldwin, LA 70514

1st Vice President- Shelia Jones 207 Estate Drive, New Iberia, LA 70563

2nd vice President- Eddie Clausen P.O. Box 721, Franklin, LA 70538

Executive Director- Kristal Hebert 117 Palmer Lane Franklin, LA 70538

Provide a summary of the project or program:
           The requested funds will help cover daily operating costs, enabling the organization to continue providing day habilitation and employment services to adults with developmental and intellectual disabilities in St. Mary Parish.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $141,000
          Professional Services. . . $30,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $6,500
          Operating Services. . . . $153,000
          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?
          No

What is the entity's public purpose, sought to be achieved through the use of state monies?
          The Arc of St. Mary is a day program that offers day habilitation and employment-related services to adults with developmental and intellectual disabilities in St. Mary Parish. The funds received will enable us to remain open and continue providing essential support services to current and future program participants with intellectual and developmental disabilities in St. Mary Parish. The Arc of St. Mary is the only day program in St. Mary Parish that offers day habilitation and employment-related services to adults with developmental disabilities. Remaining open is vital to the quality of life and overall well-being for those we serve.

What are the goals and objectives for achieving such purpose?
          The purpose of The Arc of St. Mary/Center of Hope is to encourage each program participant to discover and develop his/her maximum potential as a productive citizen of Saint Mary Parish and the State of Louisiana. By participating in the day program, participants can become more engaged in the community, interact socially with their peers, and form lasting friendships with their other program participants and other community members. They can work and earn a paycheck, therefore establishing a sense of usefulness and belonging.
The Arc of St. Mary is the only day program in St. Mary Parish that offers day habilitation and employment-related services to adults with developmental disabilities. Remaining open is vital to the quality of life and overall well-being for those we serve.

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

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:
                 0

     (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?  N/A

(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:  Kristal K. Hebert 
                                       address:  117 Palmer Lane
Franklin, LA 70538
                                       phone:  (337)3032420
                                       fax: 
                                       e-mail:  arcofstmary@att.net
                                       relationship to entity:  executive director