NGO Funding Request


The recipient entity's full legal name:  St. Landry Council on Aging, Inc.

The recipient entity's physical address:
           2419 James Eaglin Lane
Opelousas, Louisiana 70570


The recipient entity's mailing address (if different):
           P. O. Box 1596
Opelousas, Louisiana, 70571-1596


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:  4406

What is the dollar amount of the request?  $100,000

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:
           Mary Chapman, Executive Director
649 Guillory Road
Church Point, LA 70525

Toria Comeaux, Board Chairman
P. O. Box704
Port Barre, LA 70541

La'Pearl Keys, Co-Chairman
P. O. Box 1024
Port Barre, LA 70577

Suzanne Belleau, Secretary/Treasurer
P. O. Box 218
Krotz Springs, LA 70750


Provide a summary of the project or program:
           St. Landry Council on Aging is a non profit organization which operates a broad range of programs under the provision of a state charter which was issue in November of 1972.

The Council on Aging acts in an advocacy on behalf of the elderly population of the parish of St. Landry.

The activities, policies and procedures of the Council on Aging are supervised by a Board of Directors comprised of 15 individuals who represent their municipalities and hospitals. A staff of 23 individuals (mostly part time) are hired to conduct activities under the sponsorship of the Council on Aging.


What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $100,000
          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?
          The Council on Aging operates a number of different services and programs aimed at teaching those in need of services and who find themselves alone, isolate,lonely and in need.

The use of the monies will be for operating services through the home delivered meals, homemaker, congregate meals, transportation and outreach services.


What are the goals and objectives for achieving such purpose?
          The goals and objectives is to strengthen and continue existing systems of services to the elderly and foster the development of new system in order to increase the older person's mobility, independence, security, comfort, well-being and happiness,

What is the proposed length of time estimated by the entity to accomplish the purpose?
           One year - 2016-2017

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:  Mary Chapman 
                                       address:  P. O. Box 1596
Opelousas, Louisiana 70571-1596

                                       phone:  337-942-1938
                                       fax:  337-942-3483
                                       e-mail:  stlandrycoa1@juno.com
                                       relationship to entity:  Executive Director