The recipient entity's physical address:
           8325 Oak Street
New Orleans, LA 70118-2043

The recipient entity's mailing address (if different):
           8325 Oak Street
New Orleans, LA 70118-2043

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

If the entity is a corporation, list the names of the incorporators:
          Galen Brown
Gideon Stanton
Edmond Heyd
William Cresson

The last four digits of the entity's taxpayer ID number:  5271

What is the dollar amount of the request?  $75,000

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:
           Rickii Ainey, 2702 Mexico St., New Orleans, LA 70122-6538
Cathy Lazarus, 1461 Nashville Avenue, New Orleans, LA 70115-4338
(Anna) Gale Dean, P. O. Box 4652 Shreveport LA 71134-0652
Rashad Bistro, 200 Ariel Ln, Mansfield LA 71052-5621
John Tarver, 12128 Towering Oaks Drive Baton Rouge, LA 70810-7113
Deanne Groves, 210 Breckenridge Dr. West Monroe LA 71292-2149
Tarj Hamilton, 4066 Little Farms Drive, Zachary LA 70791-4338
Hugh Eley 286 Alello Drive, Baton Rouge, LA 70806-4527
Patsi White, 312 Valencia Drive, Luling, LA 70070-2230
Courtney Vance, 601 Clare Ct. New Orleans, LA 70124-1763
Bradley Spedale, 818 St. Roch Ave. New Orleans, LA 70117-7819
Gisele Proby Bryant, 5635 South Lakeshore Drive Shreveport, LA 71119
Christopher Rodriquez , Exec. Dir, Disability Rights Louisiana 8325 Oak St New Orleans, LA 70118-2043
Jeff Rowe, Program Director, Disability Rights Louisiana 8325 Oak St New Orleans, 70118-2043

Provide a summary of the project or program:
           The Supported Independent Living Advocacy Program protects and advocates for persons with disabilities who live in the community with the support of Medicaid Waivers.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $57,089
          Professional Services. . . $1,922
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $14,437
          Other Charges. . . . . . . $1,552

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 purpose of the Disability Rights Louisiana, formally the Advocacy Center and its Supported Independent Living Advocacy Program is to protect and advocate for the rights of people with disabilities living in Louisiana.

What are the goals and objectives for achieving such purpose?
          Identify issues of abuse or neglect experience by the client population. (The program currently serves only people in the Jefferson, Metropolitan, and Capital Area Human Services Districts.) Help resolve issues identified via training in self advocacy or via negotiation and assistance with complaints.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           One 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:
                 Not applicable
    
     (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:
                 Not applicable

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                 Not applicable

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  Not applicable

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: 
               Not applicable

(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:
               Not applicable

          Provide the name, address, and office of the official to whom the person is related:
                Not applicable

          What is the nature of the relationship?  Not applicable

(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:
                 Louisiana Department of Justice
Public Protection Division
1885 North 3rd Street, 4th Floor
Baton Rouge, LA 70802

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               In order to assist individuals with disabilities to express requests and register complaints to the proper authorities, the Supported Independent Living Advocacy Program (SILAP) visits individuals who live in the community, exploring with the individual his or her specific needs, identifying problems, including needed changes in treatment plans or living conditions. Priority in assisting and advocating for individuals is given to problems surrounding health, autonomy, safety, education, and employment. The program expects to serve 150 people per year.


Contact Information
name:  Christopher Rodriquez 
                                       address:  8325 Oak St New Orleans, 70118-2043
                                       phone:  504-522-2337, ext 118
                                       fax:  504-522-5507
                                       e-mail:  crodriguez@disabilityrightsla.org
                                       relationship to entity:  Executive Director