The recipient entity's physical address:
           5763 Hooper Road
Baton Rouge, LA 70811

The recipient entity's mailing address (if different):
           5763 Hooper Road
Baton Rouge, LA 70811

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

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

The last four digits of the entity's taxpayer ID number:  1653

What is the dollar amount of the request?  $250,000

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:
           Jo' Hilliard
Chair
12537 Iceland Ave
Baton Rouge, LA 70814

Anthony Kenney
Vice-Chair
6440 Celia Ave
Baton Rouge, LA 70811

Lorenzo Septs
Secretary
1526 Sora St
Baton Rouge, LA 70807

Claudia Dixon
Treasure
501 Government St, Ste 105
Baton Rouge, LA 70802

Brielle Self
Board Member
17334 Amaryllis Avenue
Baton Rouge, La 70817

Kasey Williams
Board Member
P.0. Box 65361
Baton Rouge, LA 70896

Ronnie Henderson
Board Member

Micah Jones
Board Member
5935 San Juan Dr.
Baton Rouge, LA 70811

Shalyric Self
Board Member
5668 Hartford Ave
Baton Rouge, LA 70812

Jessica Carter
Board Member
1431 Teal Street
Baton Rouge, LA 70807

Jocelyn Cooks
5763 Hooper Road
Baton Rouge, LA 70811

Provide a summary of the project or program:
           To provide programs and services that build leadership, improve academic skills, and increase self esteem and motivation. The Institute's aim is to create leaders for the 21st century by exposing students to educational, cultural, and recreational activities.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $75,000
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $50,000
          Major Repairs . . . . . . . $75,000
          Operating Services. . . . $50,000
          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?
          To develop leadership skills in elementary, secondary, and post-secondary education students by providing programs and opportunities that enhance students' learning and cultural experiences.

What are the goals and objectives for achieving such purpose?
          Our programs and services are built upon a four-point plan of action which consist of:
Knowledge Acquisition
Character Development
Social Interaction
Global Viewpoint
Through this four-point plan of action, the programs and services offered by the Institute addresses educational and global awareness as well as many of the basic life skills that children should be exposed to in order to function productively and successfully in our information-age based, global society. It is these four premises that serve as our foundation and qualitative measuring tool to evaluate each program and service provided by our organization.

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

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: 
               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:  Jo' Hilliard 
                                       address:  5763 Hooper Road
Baton Rouge, LA 70811
                                       phone:  225-366-7168
                                       fax: 
                                       e-mail:  thelaleadershipinstitute@gmail.com
                                       relationship to entity:  Chair-Executive Board of Directors