NGO Funding Request


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

The recipient entity's physical address:
           106 North Bay St.
Amite, LA 70422


The recipient entity's mailing address (if different):
           106 North Bay St.
Amite, LA 70422


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

If the entity is a corporation, list the names of the incorporators:
          Joyce Forrest, Manley Youngblood, Nita Gorrell, Ray Naquin, Billy Burch, T.W. Lewis, Winfred A. Blades, Mae Ola Carter, C.C. Decoteau, Collins Bonicard

The last four digits of the entity's taxpayer ID number:  3571

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:
           Tonya Mabry, Chairman, 111-B N. Bay St., Amite, LA 70422
Jenel Secrease, Vice Chairman, 240 Pine St., Ponchatoula, LA 70454
LeAnne Malnar, Sec./Treas., 53207 S. Bennett Road, Independence, LA 70443
Delmas Dunn, Board Member, 47594 Monticello Dr., Hammond, LA 70401
Carl Wells, Board Member, 21118 Pine Tree, Ponchatoula, LA 70454
Jacki Giesey, Board Member, 805 Ash St., Amite, LA 70454
Derlean Butler, Board Member, 208 E. Factory St., Amite, LA 70422
Thomas Freeman, Board Member, 13489 Pineywoods Rd., Hammond, LA 70403
David Keys, Board Member, 2008 Demarco Blvd., Hammond, LA 70403
Celestin Harris, Board Member, 943 Hwy. 1047, Amite, LA 70422
Robin Dagro, Board Member, 52288 Hwy. 1065, Independence, LA 70443
Gobel Lynn, Board Member, No. 6 Silman Ave., Hammond, LA 70401
Juiet Schillings, Board Member, 69075 Hwy. 1061, Kentwood,, LA 70444
Colleen Ebarb, Board Member, 11552 Alan Drive, Hammond, LA 70401
Ronald Peevy, Board Member,55202 Hwy. 1062, Loranger, LA 70446
Debi Fleming, Executive Director, 106 N. Bay St., Amite, LA 70422


Provide a summary of the project or program:
           Funding of this program helps purchase and distribute well-balanced meals to 225 homebound elderly residents of Tangipahoa Parish; purchase and serve well-balanced meals 250 days per year to 300 frail elderly individuals at five senior citizen centers with activities, exercise and transportation. Other services such as light housekeeping and information and assistance are provided to approximately 1,500 elderly individuals throughout the year.

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?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          To provide services and assistance to residents of Tangipahoa Parish, age 60 and older to help them remain independent and in their own homes as long as possible.

What are the goals and objectives for achieving such purpose?
          36,000 hot meals; 55,000 home delivered meals; 25,000 trips to doctor appointments, grocery and drug stores, senior centers, etc.; 2,500 units of information and assistance; 3,500 hours of housekeeping, 1,800 telephone reassurance calls; 550 nutrition education sessions; exercise, art and computer classes; and other activities and services to help elderly individuals remain independent and in their own homes as long as possible.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           1 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:
                 None
    
     (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:
                 None

     (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: 
               None

(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:  Debi Fleming 
                                       address:  106 N. Bay St.
Amite, LA 70422

                                       phone:  985-748-7486
                                       fax:  985-748-3199
                                       e-mail:  debi@tvcoa.com
                                       relationship to entity:  Executive Director