The recipient entity's physical address:
           400 McNeil St.
Shreveport,La.
71101

The recipient entity's mailing address (if different):
           YMCA of Northwest La.
400 McNeil St.
Shreveport, La.

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

If the entity is a corporation, list the names of the incorporators:
          The YMCA of Northwest La. was incorporated on October 16,1922
The Incorporators were: J.E. Smitherman, C.H. Minor, John Jeter, T.H. McGregor, R.R. Emery, J.B Blaterman, William Barnette, William Kieth, D.A. Hamilton, W.A.Anderson, J. Ford, W.C. Marshall, Sam Mason, Jasper Smith, J.H. Fullilove, Jr., J. Scales, W.O. Banks, Ben Johnson, S.H. Bollinger

The last four digits of the entity's taxpayer ID number:  8997

What is the dollar amount of the request?  $1,569,161

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:
           Karen Anthony, 1033 Southern Trace Parkway, Shreveport La. 71106
Chip Burke, 5925 Line Ave. Shreveport, La. 71106
Robert Crawford, 333 Texas St. Suite 2300, Shreveport La. 71101
Drew Davis, 333 Texas St. Suite 699, Shreveport, La. 71101
Eric England, 6000 Doug Attaway Blvd. Shreveport, La. 71115
Archer Frierson, 330 Marshall St. Shreveport, La. 71101
Darlene Hall, 6121 Fern Ave. ,Shreveport,La. 71105
Eric Lang, 814 Pierremont Rd. ,Shreveport, La. 71106
Mark Montgomery, 1451 Airline Dr. ,Bossier City, La. 71112
Connor Peterson, 708 Milam St Suite 300, Shreveport, La. 71101
Mark Sealy, 333 Texas St. Suite 1050, Shreveport, La. 71101
Eric Sullivan, 3150 N Market St. , Shreveport ,La.71107
David Taggart, 401 Edwards St., Suite 1000, Shreveport La. 71101
Don Wiener, 330 Marshall Suite 1000, Shreveport La. 71101
Blake Young, 216 Sand Beach Blvd, Shreveport La., 71105

Provide a summary of the project or program:
           The YMCA of Northwest La. will purchase a 24 acre rundown youth sports facility used for only five months per year, and refurbish it to be used as a year round youth baseball /soccer complex. This facility will serve the youth of Northwest La.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $1,569,161
          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?
          Yes

What is the entity's public purpose, sought to be achieved through the use of state monies?
          This facility will serve all youth demographics and income level youth of Northwest La. as a year-round youth baseball/soccer complex. Programming at the complex is open to all the public and not just YMCA members

What are the goals and objectives for achieving such purpose?
          These funds will be used to purchase property that will be renovated for a state of the art youth baseball/soccer complex providing opportunity for the youth of our region to come together in sports activities to build relationships and help improve our community.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           Purchase will be immediate and followed by 12 month construction

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:
                 none

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  none

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?  none

(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:
                 nonr

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               none


Contact Information
name:  Gary Lash 
                                       address:  Gary Lash
400 McNeil
Shreveport,La
                                       phone:  318-470-6351
                                       fax: 
                                       e-mail:  glash@ymcanwla.org
                                       relationship to entity:  CEO