NGO Funding Request


The recipient entity's full legal name:  Twelfth District, Number Three, Association, Inc.

The recipient entity's physical address:
           850 Highland Avenue
Many, Louisiana 71449


The recipient entity's mailing address (if different):
           PO Box 123
Many, Louisiana 71449


Type of Entity (for instance, a nonprofit corporation):  Non-Profit Religious Corp.

If the entity is a corporation, list the names of the incorporators:
          Entity has been existence for 109 years. Recent registered agent is Donny Edmonson, President.

The last four digits of the entity's taxpayer ID number:  8237

What is the dollar amount of the request?  $182,000

What type of request is this?  Capital Outlay 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:
           President
DONNY EDMONSON
3785 HWY. 476
MANY, LA 71449

Vice President
BRUCE E. GARNER, SR.
959 LEE JORDAN RD
FLORIEN, LA 71429

Secretary
EVELYN BUSH
205 CHURCH ST
MANY, LA 71449


Provide a summary of the project or program:
           The project proposed addresses the assessed needs of residents in Sabine Parish. After thorough and intense scrutiny by elected officials, business owners, and community leaders, the consensus is that a recreational facility is desperately needed in the area to diminish contemplation of crime, violence, and boredom and challenge citizens to grow spiritually, mentally, intellectually, and physically. Renovation of an existing recreation facility would offer residents the opportunity to attain/maintain a more productive lifestyle, improve self-confidence and increase pride in their community. It would free youth of idle time and increase the quality of life for all citizens, visitors, and future residents. The overall aim of renovating the recreational facility is to utilize the space for fostering an attitude of "reduce and produce". The facility will provide a space for athletic and civic events, workshops and seminars, and community outreach which will make a substantial impact in reducing negative influences within the parish communities and provide an outlet for producing a healthy, proactive citizenry.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $175,000
          Operating Services. . . . $0
          Other Charges. . . . . . . $7,000

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?
          Preliminary totals for renovating the facility stands at $182,000 which includes costs for repairs: roofing ($22,883), plumbing ($22,000),flooring ($16,927), HVAC ($48,000), electrical ($44,000), plans/surveys ($7000), doors ($6000), paint ($6500), lumber ($3500), supervision ($5190).

What are the goals and objectives for achieving such purpose?
          Offering an abundance of worthwhile services to the public is the overarching goal of the recreational facility. Objectives of the recreational facility are to host:
*athletic and civic events,
*workshops and seminars,
*social events, and
*emergency preparedness triage (if needed) as due to flooding, hurricane evacuation, etc.


What is the proposed length of time estimated by the entity to accomplish the purpose?
           90 days

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:
                 not applicable
    
     (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:
                 not applicable

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                 not applicable

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  not applicable

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: 
               not applicable

(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:
               not applicable

          Provide the name, address, and office of the official to whom the person is related:
                not applicable

          What is the nature of the relationship?  not applicable

(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:
                 not applicable

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               not applicable


Contact Information
name:  Donny Edmonson 
                                       address:  PO Box 123
Many, Louisiana 71449

                                       phone:  3183150246
                                       fax:  3188722525
                                       e-mail:  dondatoni@gmail.com
                                       relationship to entity:  President