The recipient entity's physical address:
           801 Prairie Street Winnsboro, La 71295

The recipient entity's mailing address (if different):
           P.O. BOX 51 Winnsboro, La 71295

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

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

The last four digits of the entity's taxpayer ID number:  1171

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:
           Dana Kelly(Chairman)-3007 Earle Dr. Winnsboro, La 71295
Yolanda Wilson(Vice Chairman)- 3003 Earle Dr. Winnsboro, La 71295
Latanya Ausberry(Secretary) 402 Eunice St. Mangham, La 71259
Tyler Williams(Treasurer) 1000 Robinson St, Winnsboro, La 71295
Rochelle Kelly(Executive Director)-160 Louisiana St. Winnsboro, La 71295

Provide a summary of the project or program:
           1. Financial Literacy
2. Life Skills
3. Suicide Prevention
4. Sexual Assault
5. Mentoring
6. Bullying
7. Leadership
8. Mental Health
9. Hunger/Homeless
10.Community Outreach

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $125,000
          Professional Services. . . $50,000
          Contracts . . . . . . . . . . . $25,000
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          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?
          The organization is focus on developing and implementing strategies, activities, and services that are intended to prevent delinquency and violence among Louisiana youth and young adults. LSC focuses on community engagement, strategic planning, counseling services (coordination, linkage, and/or delivery) and referral.
Increase in community engagement for developing and supporting delinquency and violence prevention.
Increase in meaningful youth involvement and decision-making.
Improve youth role in educating peers regarding available community resources.
Ensure services and programs selected are a good fit (age, developmental, and culturally appropriate) for the youth population.
Increase youth connection to existing health, employment and human services.
Increase youth knowledge of available services.
Increase in family communication.
Increase in life skills development that will lead to self-sufficiency and delay and deter engagement in risk behaviors – alcohol tobacco and other drug use, sexual activity, fighting, gang involvement, etc.
Increase youth life skills such as problem solving, conflict resolution, decision making, handling peer pressure, relationships, coping, and stress management.
Increase youth communication skills – interpersonal, writing, and oral.
Increase youth recognition of feelings and how feelings influence their behaviors and actions. Increase youth understanding in managing money, budgeting, and managing a checking account.
Increase youth skills in using existing health, employment, and human services.
Increase in preparation to continue onto college and high-demand career fields.
Increase youth knowledge of career options, salaries, and quality of life issues associated with various professions.

What are the goals and objectives for achieving such purpose?
          The programs are designed to increase children, adults, and parents’ interest and participation by emphasizing positive images of individuals engaged in positive and healthy promotion habits in life. LSC is customized to reach toward individuals’ wellness by tailoring to each person’s needs with providing messages to their current health behaviors and desired self-images as realized values.
The dual connection with CDC will enhance the mindset of several individuals experiencing ADHD that will simulate other life skill activities and programs offered at our organization.
Some programs aforementioned under “Programs and Needs Assessment” is quick and easy to implement. It provides a very practical solution to offering an evidence-based program within a busy organizational setting. It will increase the reach of our prevention program and leadership program to a greater number of participants.
Participants will be enlightened and taught how substance use risk behaviors and wellness behaviors are connected and influence each other. This unique educational and motivational strategy is for improving the whole health and well-being of individuals within LSC’s parishes.

Obective 1: Develop soft skills necessary to better transition into the workforce: Participants will learn soft skills that are essential to being successful at school and becoming work-ready adults. These skills include teamwork, and problem-solving skills, effective communication with coworkers and employers, and time management. With these skills, participants will be better prepared for academic success, daily interactions, and job duties in the workplace.
Outcome 1: Significantly improved soft skills as measured by the ACT
Objective 2: Increased application of soft skills necessary to obtain and maintain employment: Our program will provide participants with knowledge and experience regarding the collaborative team soft skills utilized in the workplace. Participants will learn and perform skills to manage employment-related pressures, solve problems, and work.

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

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? 

(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:  Rochelle Kelly 
                                       address:  P.O.BOX 792 Winnsboro, La 71295
                                       phone:  318-547-6293
                                       fax:  318-367-5090
                                       e-mail:  lcollaboration@yahoo.com
                                       relationship to entity:  Owner