NGO Funding Request


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

The recipient entity's physical address:
           118 Plank Road, St. Joseph, LA. 71366

The recipient entity's mailing address (if different):
           P. O. Box 726, St. Joseph, LA. 71366

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

If the entity is a corporation, list the names of the incorporators:
          Gary Warlick, Board President; Donna Rushing, Vice-President; Louise Taylor, Secretary/Treasurer

The last four digits of the entity's taxpayer ID number:  6636

What is the dollar amount of the request?  $120,000

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:
           Clarissa C. Newman, Exec. Director, 102 Woodlawn, St. Joseph, LA. 71366
Gary Warlick, Board President, P. O. Box 226, St. Joseph, LA. 71366
Donna Rushing, Vice President, 6232 Hwy. 65, St. Joseph, LA. 71366
Louise Taylor, Sec/Treasurer, P. O. Box 403, St. Joseph, LA. 71366
Barbara Blackmon, 211 10th Street, St. Joseph, LA. 71366
Glenda Jones, P. O. Box 96, St. Joseph, LA. 71366
Betty Hampton, 116 Martha Street, St. Joseph, LA. 71366
Arittia Wynn, 3651 Hwy. 605, St. Joseph, LA. 71366
Thelma Bradford, P. O. Box 127, St. Joseph, LA. 71366
Pearl Conner, P. O. Box 7583, St. Joseph, LA. 71366
Pamela King, P. O. Box 846, St. Joseph, LA. 71366


Provide a summary of the project or program:
           Begin the renovation of a building that was donated to the Tensas Council on Aging, Inc. Repair/replace roof, remove walls in the interior; purchase of a new/used vehicle.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $30,000
          Major Repairs . . . . . . . $100,000
          Operating Services. . . . $0
          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?
          Provide a more pleasant atmosphere for the senior citizens to come in for fellowship and meals. At present, we are renting a building that has leaks when it rains; the floors are needing repairs. We plan to use these funds to begin some of the renovations. For the last 3 years, we have applied to Delta Regional Authority for a grant to accomplish this and was not funded. Also, one of our vehicles is in poor shape and we would like to purchase another vehicle.

What are the goals and objectives for achieving such purpose?
          To provide a more pleasant atmosphere for our seniors to come and play game, fellowship, listen to speaker, participate in crafts and enjoy and hot, nutritious meal. By renovating this building, it would help beginning the transition to fully functioning senior center that one would be proud to come to.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           6 months

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:  Clarissa C. Newman 
                                       address:  P. O. Box 726, St. Joseph, LA. 71366
                                       phone:  318-766-3770
                                       fax:  318-766-3774
                                       e-mail:  tenscoa@yahoo.com
                                       relationship to entity:  Executive Director