The recipient entity's physical address:
           1525 River Oaks Road West
New Orleans, LA 70123

The recipient entity's mailing address (if different):
           1525 River Oaks Road West
New Orleans, LA 70123

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

If the entity is a corporation, list the names of the incorporators:
          According to the Secretary of State website and information received from our Corporate office, there are no Incorporator names listed. This was listed uder Domicile Address: C/O Corporation Service Company, 501 Louisiana Avenue, Baton Rouge, LA 70802

The last four digits of the entity's taxpayer ID number:  7735

What is the dollar amount of the request?  $140,000

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:
           Governing Board Members:
Matthew Peterson, President, Director, 367 S. Gulph Road, King of Prussia, PA 19406
Steve Filton, Vice-President, Director, 367 S. Gulph Road, King of Prussia, PA 19406
Thomas Day, Vice-President, Director, 367 S. Gulph Road, King of Prussia, PA 19406
Matthew D. Klein, Secretary, 367 S. Gulph Road, King of Prussia, PA 19406
George h. Brunner, Jr., 229 Ridgeview Drive, Collegeville, PA 19426
Cheryl K. Ramagano, 11 Allison Drive, Broomall, PA 19008
Katharine M. Lyver, 100 Tenby Road, Havertown, PA 19083

CEO:
Joshua Sumrall, 716 Cathy Ave., Metairie, LA 70003

School Program Teacher:
Michael Sowell, 1312 Manson Ave., Metairie, LA 70001

Provide a summary of the project or program:
           River Oaks Hospital is an acute psychiatric hospital. The requested funding is to support the inhouse school program for the adolescents and children during their hospitalization.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $105,742
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $0
          Other Charges. . . . . . . $34,258

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 provide educational services to the child/adolescent population while hospitalized so they do not lose any academic standing while receiving treatment.

What are the goals and objectives for achieving such purpose?
          The goal and objective is to provide an educational component to hospitalized youth. The program is also designed to maintain a schedule as close as possible to what would be experienced outside of hospitalization in a school setting.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           Seven to nine days per student.

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:  Linda Weymouth 
                                       address:  1525 River Oaks Road West
New Orleans, LA 70123
                                       phone:  504/734-1740 ext 350
                                       fax: 
                                       e-mail:  linda.weymouth@uhsinc.com
                                       relationship to entity:  Chief Financial Officer