The recipient entity's physical address:
           1450 Poydras St., Suite 2550
New Orleans, LA 70112

The recipient entity's mailing address (if different):
           1450 Poydras St., Suite 2550
New Orleans, LA 70112

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

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

The last four digits of the entity's taxpayer ID number:  9316

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

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:
           First Name Last Name Address 1 Address 2 City State Zip Code
Suzanne Alford 6219 Magazine St. New Orleans LA 70118
Kyle Brechtel 610 S. Peters Suite 305 New Orleans LA 70130
Tommy Capella 4928 Jasper Street Metairie LA 70006
Chris Casey 871 Topaz Street New Orleans LA 70124
Kimi Culp 314 Toyopa Dr. Pacific Palisados CA 90272
Rick Dickson 1657 Valmont St New Orleans LA 70115
Michelle Farr 22157 Highview Trail Pl Broadlands VA 20148-4598
Bryan Fitzpatrick 1201 Napoleon Ave New Orleans LA 70115
Scott Fujita 27350 Upper Forty Dr Carmel Valley CA 93924-9250
Dan Garske 2423 E Golden Rd Spokane WA 99208
Kyle Gleason
Tony Hazel 926 W Sprague Ave Spokane WA 99201
Kathy Holt

Danielle Kavanagh 600 Iona Street Metairie LA 70005
Jenny Lay-Flurrie 4419 E Mercer Way Mercer Island WA 98040
Jim Marggraff 20 Toledo Court Lafayette CA 94549
Dave Martin 113 Fair Way Chelan WA 98816
Mike McCready 140 Lakeside Avenue Suite A #306 Seattle WA 98122
Ashley McCready 140 Lakeside Avenue Suite A #306 Seattle WA 98122
Thomas McEachin 909 Poydras Street Suite 1600 New Orleans LA 70112
Cleland Powell 601 Poydras Street Suite 2075 New Orleans LA 70130
Stephen Rehage 1001 Julia St 4D New Orleans LA 70113
James Salters 10469 Cinderella Dr Cincinnati OH 45242
David Sherman One Galleria Blvd. Suite 1100 Metairie LA 70001
Vinnie Varisco 312 Magnolia Drive Metairie LA 70005
Paul Varisco, Jr. 6156 Louisville St. New Orleans LA 70124
Paul Varisco 930 Robert E Lee Blvd New Orleans LA 70124
Steve Gleason 16 Heron St. New Orleans LA 70124

Michel Gleason 16 Heron St. New Orleans LA 70124
CEO - Blair Casey 6425 Argonne Blvd New Orleans LA 70124

Provide a summary of the project or program:
           The funds will be used to provide technology, equipment and care to people living with ALS, including:
• Eye-tracking/AAC communication devices
• Synthetic voice preservation
• Portable Power wheelchairs and alternative drive controls
• Home automation tools for independence
• Complex rehab shower chairs for toileting and bathing

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. . . . $0
          Other Charges. . . . . . . $1,000,000

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?
          Team Gleason is the largest provider of assistive technology and equipment to the ALS community in the United States. Our mission is to improve the lives for people living with ALS and those who care for them by delivering innovative technology and equipment, as well as providing and empowering an improved life experience.

What are the goals and objectives for achieving such purpose?
          The technology and equipment we provide is a lifeline. The funding provided will be used to support the continued increase in program service requests through 2026/2027 as ALS diagnoses continue to rise.

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:
                
    
     (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: 
               Chairman: Paul Varisco 930 Robert E Lee Blvd New Orleans LA 70124
Director: Suzanne Alford 6219 Magazine St. New Orleans LA 70118

(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:
               General consulting services and marketing services.


Contact Information
name:  Kenny Mellor 
                                       address:  1450 Poydras St., Suite 2550
New Orleans, LA 70112
                                       phone:  504-688-4725
                                       fax: 
                                       e-mail:  kenny@teamgleason.org
                                       relationship to entity:  CFO