The recipient entity's physical address:
           2121 N. Causeway Blvd
Suite 172
Metairie, LA 70001

The recipient entity's mailing address (if different):
           2121 N. Causeway Blvd
Suite 172
Metairie, LA 70001

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

If the entity is a corporation, list the names of the incorporators:
          Tonia Aiken
Cheryl Daniels
Deborah Foshee
Carol Harbo
Dianne Hall
Richard Keller
Beatina O'Carroll
Clara Pincus
Carol Powell
Lois Simpson
Ruth Speirer
Julie Tillie
Kathy Walsh

The last four digits of the entity's taxpayer ID number:  8351

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

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:
           Board of Directors

Elizabeth Dee Club, President
Julie Flower, Vice President
Beth Akin, Secretary
Jordan Scott, Treasurer
Michael Calogero
Betty Tedesco
Kelly Mackenroth
Carrie Pailet
Jason Frank
Patsy Jarreau

All Board Members have chose to disclose their address as the address of the nonprofit corporation: 2121 N. Causeway Blvd, Ste. 172, Metairie, LA 70001

Executive Director: Jason D. Asbill, Esq.
Staff Attorney: Steven E. Bain, Esq.

Provide a summary of the project or program:
           Our mission is to restore dignity and peace of mind to vulnerable adults through professional guardianship and advocacy when there is nobody else.
¿
Through guardianship, powers of attorney, trust management, personal escrow services, and low-bono legal services, Louisiana Guardianship Services, Inc. (LGSI) serves developmentally disabled and incapacitated elders across Louisiana. LGSI employs Nationally Certified Guardians, and is the state government's sole provider of guardianship and representative payee services.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $30,000
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $110,000
          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?
          

What is the entity's public purpose, sought to be achieved through the use of state monies?
          Our mission is to restore dignity and peace of mind to vulnerable adults through professional guardianship and advocacy when there is nobody else.
¿
Through guardianship, powers of attorney, trust management, personal escrow services, and low-bono legal services, Louisiana Guardianship Services, Inc. (LGSI) serves developmentally disabled and incapacitated elders across Louisiana. LGSI employs Nationally Certified Guardians, and is the state government's sole provider of guardianship and representative payee services.

What are the goals and objectives for achieving such purpose?
          Louisiana serves indigent individuals through agreements to provide services with the State of Louisiana Department of Health and the Governor's Office of Elderly Affairs

What is the proposed length of time estimated by the entity to accomplish the purpose?
           1 year

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:
                 Jason D. Asbill-Executive Director of LGSI and City of Harahan Councilman
573 Posey Avenue
Harahan, LA 70123
    
     (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:
                 0

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  Executive Director

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:
                 LDH-OCDD
LDH-OAAS
GOEA

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               Provides services related to protection of vulnerable adults through guardianships, financial management, and public education efforts.


Contact Information
name:  Jason D. Asbill 
                                       address:  2121 N. Causeway Blvd
Ste 172
Metairie, LA 70001
                                       phone:  5042762951
                                       fax: 
                                       e-mail:  jasbill@laguardianship.org
                                       relationship to entity:  Executive Director