NGO Funding Request


The recipient entity's full legal name:  Top Ladies of Distinction, INC. ~ Top Teens of America

The recipient entity's physical address:
           Lady Louise Breaux, President
1601 Sunset Dr.
Monroe, LA. 71202

The recipient entity's mailing address (if different):
           P.O. Box 5077
Monroe, La. 71211

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

If the entity is a corporation, list the names of the incorporators:
          Top Ladies of Distinction National Headquarters~ Top Teens of America
2914 Southmore
Houston, TX 77004
Website: www.tlodinc.org

The last four digits of the entity's taxpayer ID number:  4312

What is the dollar amount of the request?  $6,000

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:
           Louise Breaux,President, 1601 Sunset Dr.Monroe, La.71202
Ethel Belt, Vice President, 402 E. Carlton St. MOnroe, LA. 71202
Ruby Harris, Recording Secretary, 3604 Hanging Moss Ln. Monroe, La. 71201
Magnolia Lewis, Corresponding Secretary, P.O. Box 265 Arcadia, LA. 71001
Carolyn Taylor, Treasurer, 3815 Halsell St. Monroe, LA. 71203
Ollie Taylor, Financial Secretary, 1309 Walton Ln. Monroe, LA. 71202
Chetamor Crawford, Chaplin, 5116 Highland Rd. Monroe, La. 71202
LaTanya Head,, Top Teen Adviser, 2005 Weaver Circle, Monroe, La. 71202
Osna Horne, Asst. to Top Teen Adviser, 1401 Erin St. Monroe, LA. 71201

Provide a summary of the project or program:
           To obtain funding for the purpose of assisting teens in service and community projects that impact society in a positive and productive way.

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. . . . $1,000
          Other Charges. . . . . . . $5,000

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?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          To empower teens to lead in the 21st Century by providing opportunities to exhibit: effective leadership, mentoring...leading by example, fostering relationships within the community and corporations, and taking ownership of daily choices.

What are the goals and objectives for achieving such purpose?
          * Under the auspices of their advisers,Top Teens will prioritize community and service projects that are feasible for the organization.
*Review guidelines and criteria set forth by the state regarding the use of such funding, as well as provide documentation and other paperwork required in a timely manner.
*Bring an awareness to the community by being visible and involved in various projects.
*Providing a positive role model for today's youth.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           Now until June 30, 2016

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:  LaTanya Head 
                                       address:  2005 Weaver Circle
Monroe, La. 71202
                                       phone:  318-267-4746
                                       fax:  N/A
                                       e-mail:  lrhead@bellsouth.net
                                       relationship to entity:  Top Teen Advisor