The recipient entity's physical address:
           *** Confidential Address ***

The recipient entity's mailing address (if different):
           102 Freeman Street
Ferriday, LA 71334

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

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

The last four digits of the entity's taxpayer ID number:  9512

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:
           Ashley Atkins- (Vice-President): 636 Shady Acres Circle Ferriday, LA 71334
Raneisha Mays (President): 3601 Dee Street Apt#1812 Shreveport, LA 71105
Jamesia Webster (Secretary): 7536 Proxie Drive Baton Rouge, LA 70817
Sharina Mays (Executive Director): 102 Freeman Street Ferriday, LA 71334

Provide a summary of the project or program:
           This project will focus on building the workforce development skills of school-aged students through STEM training, AI workforce training, drone education, and infrastructure & environmental engineering. We plan to introduce and eventually enhance these skills for students preparing them for the workforce.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $105,000
          Professional Services. . . $50,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $30,000
          Other Charges. . . . . . . $65,000

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?
          

What is the entity's public purpose, sought to be achieved through the use of state monies?
          21st Century Workforce Development's public purpose is to educate and train the community through various workforce development initiatives.

What are the goals and objectives for achieving such purpose?
          The main goal of 21st Century Workforce Development is to decrease the unemployment rate in the community by providing essential training for constituents. This training will help citizens obtain employment in diverse fields.

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:
                
    
     (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:
                

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

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                 

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: 
               

(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:
              

          Provide the name, address, and office of the official to whom the person is related:
               

          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:
                

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               


Contact Information
name:  Sharina Mays 
                                       address:  102 Freeman Street
Ferriday, LA 71334
                                       phone:  318-719-4443
                                       fax: 
                                       e-mail:  info@21stcenturyworkforce.org
                                       relationship to entity:  Executive Director