The recipient entity's physical address:
           203 South Elm Street
Tallulah, LA 71282

The recipient entity's mailing address (if different):
           203 South Elm Street
Tallulah, LA 71282

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

If the entity is a corporation, list the names of the incorporators:
          William Buckner, Arkishia Chocklin, Gloria Hancock, Edgar Lancaster, Jr., Fred Washington, Sr.

The last four digits of the entity's taxpayer ID number:  4167

What is the dollar amount of the request?  $241,563

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:
           Harold Allen, Director
912 Florida Street
Tallulah, LA 71282

Tiki Shavers, President
242 Old Hwy. 65 South
Tallulah, LA 71282

Charlie Trimble, Vice President
926 Holt Street
Tallulah, LA 71282

Provide a summary of the project or program:
           The purpose of the funds is to enlarge the activities building of the senior center, which serves as a multipurpose room such as a dining are, fitness area, activities area, and special events area and includes restrooms and storage. Upon re-opening the center in 2009, we have increased in population, doubling the seniors who participate in activities. In our congregate meal program, we currently seat 56 seniors and there is great need for many more in the area as the senior age rises in population in Madison parish. The additional space will allow increased participation in the wellness and other recreational activities offered each day. Funds will also repair and restore Additional storage facilities owned by the agency.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $241,563
          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?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          The Madison Voluntary Council on Aging is an organization whose purpose is to improve the lives and living conditions of our rapidly aging population. Many seniors especially in the economically depressed parishes along the Mississippi River are not able to participate in services that are available in more urban areas. Many of our seniors are surviving spouses and are on very limited incomes. Our community lacks the arts centers, restaurants and activity centers that are available to urban dwellers. The MCVOA provides a gathering place, congregate meals, recreation center and group activities that are so important to our elderly population. The MCVOA offers information services, legal advice, wellness, crafts, recreation and a place for social interaction for this segment of the population. All funding is from the DHH and private donations. With the economically depressed times, the council lacks funding to reach all those in need of senior services.

What are the goals and objectives for achieving such purpose?
          The purpose of the request is to building a large multipurpose room onto the existing center to provide more services to the seniors and to provide for more seniors. It is the goal of The Madison Voluntary Council on Aging, Inc. to provide needed services to all seniors who are not receiving services from some other source and to provide for those in need of additional services. It is our goals to provide services to every eligible senior in Madison Parish.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           The proposed additional will be completed in eleven 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:
                 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: 
               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:
               None

          Provide the name, address, and office of the official to whom the person is related:
                None

          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:
                 DHH

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               DHH provides funds for Elderly protective services


Contact Information
name:  Mike Rome 
                                       address:  203 South Elm Street
Tallulah, LA 71282
                                       phone:  318-574-3666
                                       fax:  318-574-3668
                                       e-mail:  mcvoa@att.net
                                       relationship to entity:  Executive Director