The recipient entity's physical address:
           100 West Main Street
Thibodaux, La. 70301

The recipient entity's mailing address (if different):
           P.O. Box 269
Thibodaux, La. 70302

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:  5633

What is the dollar amount of the request?  $500,000

What type of request is this?  Both

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:
           Richard J. Bouterie, Jr President
408 West Third Street
Thibodaux, La. 70301
George Stack, Secretary/Treasurer
509 Ducrose Drive
Thibodaux, La. 70301
Dr. James Danos, Vice President
341 Choctaw Road
Thibodaux, La. 70301
Janice Ordoyne
252 Highway 307
Thibodaux, La. 70301
Carmel Breaux
408 St. Antony Street
Raceland, La. 70394
Ben Harang
515 Blake Court
Thibodaux, La. 70301
Renee Brinkley
1706 Lynn Street
Thibodaux, La. 70301
Wendy F. Eschete, Executive Director
107 Eustice Street
Houma, La. 70364

Provide a summary of the project or program:
           The funds would be utilized for one or more of the following projects:
The purchase of land and the construction of a new community home for 6 severely disabled women to reside in.
The purchase of needed equipment to renovate and upgrade existing enterprises to continue to present employment opportunities to persons with developmental disabilities such a saw dust removal system for the existing saw shop; expand the existing camera system to promote greater safety for persons with developmental disabilities; purchase a new baler for the cardboard recycling enterprise which employs persons with developmental disabilities; repair an existing driveway at Grenier Industries to enhance the flow and safety of vehicles utilize to transport persons with developmental disabilities to and from their place of employment; The future development and construction of affordable, safe and accessible housing for those persons with intellectual and developmental disabilities.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $150,000
          Major Repairs . . . . . . . $350,000
          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?
          Lafourche Arc's public purpose is to meet the needs of people with intellectual and developmental disabilities and provide opportunities for growth and independence within our communities.

What are the goals and objectives for achieving such purpose?
          The goals and objectives for achieving this purpose is to enhance life opportunities and choices for people with intellectual and developmental disabilities through the provision of a wide range of support services from residential/housing to vocational and employment opportunities.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           The funds would be utilized within a 12 month period.

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:  Wendy F. Eschete 
                                       address:  100 West Main Street
Houma, La. 70364
                                       phone:  9854476214
                                       fax:  9854474813
                                       e-mail:  Lafourchearc@triparish.net
                                       relationship to entity:  Executive Director