The recipient entity's physical address:
           2062 Woodmere Blvd.
Harvey, LA 70059

The recipient entity's mailing address (if different):
           3848 Irwin Kuntz Drive
Harvey, LA 70058

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

If the entity is a corporation, list the names of the incorporators:
          Elwin Decay
Darlene Torrengan
Natasha Jackson

The last four digits of the entity's taxpayer ID number:  5894

What is the dollar amount of the request?  $200,000

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:
           Elwin Decay 3848 Irwin Kuntz Dr. Harvey,LA 70058

Darlene Torrengano 1444 Quebrada Del Sue Lane. Harvey, LA 70058

Natasha Jackson. Baton Rouge, LA

Provide a summary of the project or program:
           The purpose is to setup programming and startup of Woodmere Youth Center

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $90,000
          Professional Services. . . $10,000,000
          Contracts . . . . . . . . . . . $30,000
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $70,000
          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?
          To provide prevention and intervention for youth, children, and young adults through arts, academic support, entrepreneurial training, and enrichment activities and events.

What are the goals and objectives for achieving such purpose?
          The goals will be to provide after school tutoring, dance program, entrepurial training and reach out to community with various enrichment activities and/or events.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           12 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:
                

     (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: 
               N/A

(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:  Deidra Decay 
                                       address:  2062 Woodmere Blvd
                                       phone:  15044197786
                                       fax: 
                                       e-mail:  thecenteralod1@gmail.com
                                       relationship to entity:  Executive Directot