NGO Funding Request


The recipient entity's full legal name:  Veterans Liberty Memorial Park of S.E. Louisiana

The recipient entity's physical address:
           4080 W. Airline Highway
Reserve, LA 70084


The recipient entity's mailing address (if different):
           4080 W. Airline Highway
Reserve, LA 70084


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

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

The last four digits of the entity's taxpayer ID number:  0

What is the dollar amount of the request?  $1,500,000

What type of request is this?  Both

Is this entity in good standing with the Secretary of State?  Not Applicable

Provide the name of each member of the recipient entity's governing board and officers:
           American Legion Post 383
Vernon Bailey, Commander, 609 Hancock Drive, Laplace, LA
Betty Robichaux, 2nd Commander
Mike Anderson, 1st Commander


Provide a summary of the project or program:
           Memorial site that is dedicated for deceased Veterans and their family in the Southeast Region.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $1,500,000
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          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?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          Purpose is to provide a memorial site for the family and friends of deceased Veterans; also tourist to visit.

What are the goals and objectives for achieving such purpose?
          Establish a memorial wall with the names of the Veterans listed on each brick of the wall.

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

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: 
               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:
               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:
               Preparation of site, surveying, and Construction of monument.


Contact Information
name:  Vernon Bailey 
                                       address:  Same as above
                                       phone:  9852105613
                                       fax: 
                                       e-mail:  vernonbailey2012@gmail.com
                                       relationship to entity:  None