The recipient entity's physical address:
           1106 2nd Street
Ferriday, La 71334

The recipient entity's mailing address (if different):
           1106 2nd Street
Ferriday, La 71334

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

If the entity is a corporation, list the names of the incorporators:
          

The last four digits of the entity's taxpayer ID number:  0054

What is the dollar amount of the request?  $150,000

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:
           Rydell Turner, President, 236 Woodland Ave., Ferriday, La 71334
Hyram Copeland, Vice President, 603 Elm Street, Vidalia, La 71373
Georgia Washingon, Secretary/Treasurer, 207 Davis St., Clayton,La 71326
Lynda Cantu 156 Ray Blount Rd., Ferriday, La 71334
Catherine Cartwright, 124 Concordia Park, Vidalia, La 71373
Edith Chauvin, 941 Martin Luther King, Vidalia, La 71373
George Jolla, 325 Bayou Dr., Ferriday, La 71334
Belinda D. LaPrairie, 154 Sunshine Rd., Jonesvile. La 71343
Suzanne R. Routon, 252 Boyette Rd., Jonesville, La 71343
Brittney V. Scott, 612 Tennessee Ave., Ferriday, La 71334
Bobby R. Sheppard, Jr., 114 Cottonwood Dr., Ridgecrest, La 71334
Dorothy H. McDonald, Executive Director, 258 Crestview Drive, Ferriday, La 71334

Provide a summary of the project or program:
           Provide services to clients in Concordia Parish, ages 60 and above, to allow them to maintain an independent lifestyle while remaining in their own homes.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $401,249
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $473,201
          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?
          To allow elderly to remain in their own homes as long as possible

What are the goals and objectives for achieving such purpose?
          Provide meals at both Senior Centers, Home delivered meals Parishwide, Homemaker Services, Transportation (to Sr. Centers- groceries- Post Office- Doctors- etc.), Information & Assistance (to connect clients with services available), Care Giver relief, and telephone support.

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:
                
    
     (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:
                 none

     (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:  Dorothy H McDonald 
                                       address:  258 Crestview Drive
Ferriday, La 713344
                                       phone:  13187574667
                                       fax: 
                                       e-mail:  dmcdon2008@yahoo.com
                                       relationship to entity:  Executive Director