NGO Funding Request


The recipient entity's full legal name:  Grant Council on Aging

The recipient entity's physical address:
           706 Maple St.
Colfax, La. 71417


The recipient entity's mailing address (if different):
           P.O. Box 145
Colfax La. 71417


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:  1091

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:
           Randall Fletcher, President, 4299 Hwy 71 Colfax, La. 71417
Malva Jones, V-President, 430 Lake St Colfax, La. 71417
Carol W. Shelton, Sect./Treas, 1869 Hwy 122 Montgomery, La. 71454
El Ray Lemoine, 2157 Hwy 122 Montgomery, La 71454
Deanre Johnson, 109 Sparrow Lane Colfax, La 71417
Elaine Woodard, 167 Fralick Rd Colfax, La 71417
Shirley Morrill, 1000 E. Nantachie Drive Montgomery, La 71454
Morris Chelette, 1063 Baudry Rd. Colfax, La 71417
Virgil Williams, 763 O'Quinn Spru Rd Colfax, La 71417
Granham Hendricks, 201 Second St. Colfax, La 71417
Karron M. Guillory, 300 Seventh St. Colfax, La 71417
Gay Marie O'Neal, 150 Lois Seals Rd. Atlanta, La 71404


Provide a summary of the project or program:
           The Council needs money to expand some of the vital programs that we provide. We live in a very rural area and need more transportation funds to provide transit to the doctor, hospital, shopping, drug store, any other medical visits or necessary trips. Many of our Seniors have no family around and few friends to draw help from. This is such a necessary program! This program and others can help the Senior remain in their home and avoid early institutionalization. It's proven to cost less to them home than to send them to a nursing home. But they must have needed services to remain at home.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $25,000
          Professional Services. . . $1,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $25,000
          Major Repairs . . . . . . . $5,000
          Operating Services. . . . $31,000
          Other Charges. . . . . . . $13,000

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 purpose is to plan, develop and carry out services to those persons aged 60 or older as provided for under the Older American's Act to help those remain in their home as long as it is safe to do so.

What are the goals and objectives for achieving such purpose?
          Our goal is to have programs that provide for healthier Seniors and preventing early institutionalization by allowing all to remain in their own community and home. To treat our Seniors with the utmost respect and dignity that they deserve.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           one 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:
                 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:
                 N/A

     (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:  Gay Marie O'Neal 
                                       address:  P.O. Box 145
706 Maple St.
Colfax, La 71417

                                       phone:  318-627-5757
                                       fax:  318-627-5561
                                       e-mail:  grantcoa@aol.com
                                       relationship to entity:  Excutive Director