The recipient entity's physical address:
           106 North Bay St.
Amite, Louisiana 70422

The recipient entity's mailing address (if different):
           106 North Bay St.
Amite, Louisiana 70422

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

If the entity is a corporation, list the names of the incorporators:
          Joyce Forrest
Manley Youngblood
Nita Gorrell
Ray Naquin
Billy Burch
T.W. Lewis
Winfred A. Blades
Mae Ola Carter
C.C. Decoteau
Collins Bonicard

The last four digits of the entity's taxpayer ID number:  3571

What is the dollar amount of the request?  $100,000

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:
           Tonya Mabry, Chairman, 110 N. Bay St., Amite, LA 70422
Anthony Mercante, Vice-Chairman,41196 N.Hoover Rd.,Ponchatouula, LA 70454
Delmas Dunn, member 47594 Monticello Dr.,Hammond, LA 70401
Buddy Pugh,member, 1600 E. Railroad Ave,Ponchatoula, LA 70454
Susan Husser, member,56298 LA445, Husser, LA 70442
Bruce Borderlon,member, 10698 Kellie Dr., Hammond, LA 70401
Farrah Lucurria,member, 132211 W.Blackcat Rd.Independence,LA 70443
Mike Kazerooni,member,308 Ave.G, Kentwood, LA 70444
Carolyn Howard,member, 43272 N. Little Italy Rd., Hammond, LA 70403
Danielle Littlejohn,member, 40325 Crestwood Dr., Ponchatoula, LA 70454
Cally Berner,member, 50 Weldon Circle, Ponchatoula, LA 70454
Audrey Winters, 217 Ave.F, Kentwood, LA 70444
Cassandra Butler,member,412 E.Mulberry St., Amite, LA 70422
Brad Cascio,member,110 N. Bay St.,Amite,LA 70422
Terry Tompkins, member, 43272 N. Little Italy Road, Hammond, LA 70403

Provide a summary of the project or program:
           Funding of this program helps purchase and distribute well-balanced meals to 391 homebound elderly residents of Tangipahoa Parish, purchase and serve well-balanced meals 250 days per year to 525 frail elderly individuals at five Senior Centers with activities, exercise and transportation. Other services such as light housekeeping and information and assistance are provided to approximately 1,500 individuals throughout the year at no cost (donations accepted from participants).

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $100,000
          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?
          To provide services and assistance to residents of Tangipahoa Parish, age 60 and older to help them remain independent and in their own homes as long as possible.

What are the goals and objectives for achieving such purpose?
          39,618 hot meals; 63,496 home delivered meals; 21,803 trips to doctor appointments, grocery and drug stores, senior centers, etc.; 2,022 units of information and assistance; 2,377 hours of housekeeping; 5,011 telephone reassurance calls; 194 nutrition education sessions; exercise, art and computer classes, book club and other activities and services to help elderly individuals remain independent and in their own homes as long as possible.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           1 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:
                 none
    
     (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:
                 none

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                 0

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  none

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: 
               None

(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:
               None

          Provide the name, address, and office of the official to whom the person is related:
                None

          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:
                 None

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               None


Contact Information
name:  Tangipahoa Voluntary Council on Aging Debi Fleming 
                                       address:  106 North Bay St.
Amite, Louisiana 70422
                                       phone:  9857487486
                                       fax:  9857483199
                                       e-mail:  debi@tvcoa.com
                                       relationship to entity:  Executive Director