The recipient entity's physical address:
           6620 Riverside Drive, Suite 216
Metairie, Louisiana 70003

The recipient entity's mailing address (if different):
           6620 Riverside Drive, Suite 216
Metairie, Louisiana 70003

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

If the entity is a corporation, list the names of the incorporators:
          Ms. John M. Jourdan
Paul J. Solis
Theodore J. Dorsa
Ms. Edwin D. Bayer, Jr.
Ms. Marcel B. Berot
Msgr. Henry C. Bezou
Rev. Joseph Calato
George L. Gillespie, Jr.
Rev. Howard C. Goetz, Jr.
Sr. Elizabeth Harris
Bert C. LeBlanc
Tommy LeBlanc
Hon. J. Kenneth Leithman
Ms. Margaret Pellegrin
Morris Shushan, M.D.
Henry L. Steward, Jr.
Ms. Albert Williams

The last four digits of the entity's taxpayer ID number:  8657

What is the dollar amount of the request?  $31,000

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:
           Gordon Wadge, Chairman
1351 Hesper Avenue
Metairie, Louisiana 70005

Jarrett Falcon, Vice-Chairman
2301 Alcide Drive
Marrero, Louisiana 70072

Ms. Miriam Brown, Treasurer
2936 Baywood Drive
Gretna, Louisiana 70056

Ms. Doris Rappold, Secretary
12 Guadalupe Street
Kenner, Louisiana 70065

Ms. Luis Arocha, Jr.
Executive Director, Café Hope
1 Timberlane Drive
Gretna, Louisiana 70056

Ms. Katherine Carter
1916 Arrow Lane
Gretna, Louisiana 70056

Col. John N. Fortunato, ret.
20 Gainswood Dr. East
Marrero, Louisiana 70072

Jim Thomas
118 Glenwood Drive
Metairie, Louisiana 70005

Ms. Linda Amedee
1416 N. Starrett Road
Metairie, Louisiana 70003

Kenneth Fleming
352 Bonnabel Boulevard
Metairie, Louisiana 70005

Landon Allen
4445 Perkins Street
Metairie, Louisiana 70001

Ms. Marge Garvey
56 Tokalon Place
Metairie, Louisiana 70003

Ms. Claudia Shabetai
5000 West Esplanace Avenue, Suite 326
Metairie, Louisiana 70006

Hon. Roscoe W. Lewis, Sr.
9014 Rousseau Street
Kenner, Louisiana 70062

Ms. Verdie Richburg
3732 Olney Street, Unit 204
Metairie, Louisiana 70002

Albert J. Robichaux, Jr., Executive Director and CEO
780 Terry Parkway
Gretna, Louisiana 70056

Provide a summary of the project or program:
           The grant would allow for the acquisition of 25 computers to be utilized at the 10 senior centers as well as the set up cost.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $6,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $25,000
          Major Repairs . . . . . . . $0
          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?
          Replace outdated computers and software

What are the goals and objectives for achieving such purpose?
          Allow seniors greater access to the internet for educational purposes and also to pay bills, schedule appointments, et.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           before the end of the fiscal 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:
                 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:  Albert J. Robichaux, Jr. 
                                       address:  6620 Riverside Drive, Suite 216
Metairie, Louisiana 70003
                                       phone:  504-207-4140
                                       fax:  504-888-5887
                                       e-mail:  ARobichaux@jcoa.net
                                       relationship to entity:  Executive Director and CEO