The recipient entity's physical address:
           8325 oak str.
new orleans, LA 70118

The recipient entity's mailing address (if different):
           8325 oak str.
new orleans, LA 70118

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:
           Barksdale Hortenstine 2601 Tulane Avenue, 7th Fl New Orleans, LA 70119
Adrienne Thomas 9831 St. Roman Road , West Baton Rouge, LA
Kathryn Lafrentz 9022 Fig Street, NOLA 70122
Monica Stampley 2213 Belle Grove Drive Bossier City, LA 71111
Hugh Eley 6832 Goodwood Ave, Baton Rouge, LA 70810
Patsy White 312 Valencia Drive, Luling, LA 70070-2230
Gisele Celestine 1214 East Alexander Lafayette, la 70501
Ranie Thompson 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
T. Shontae Johnson 515 Oregon Trail Monroe, LA 71202
Jakeel Abdullah 1824 Oretha Castle Haley, Apt. #308 New Orleans, LA 70113
Leslie Durham 404 Plank Road, St. Joseph, LA 71366

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. . . . . . . . . . . . . $57,884
          Professional Services. . . $5,705
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $8,567
          Other Charges. . . . . . . $2,844

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:  Ranie Thompson 
                                       address:  8325 oak str.
new orleans, LA 70118
                                       phone:  504-522-2337, ext 1010
                                       fax:  504-522-5507
                                       e-mail:  rthompson@disabilityrightsla.org
                                       relationship to entity:  Executive Director