NGO Funding Request


The recipient entity's full legal name:  Concordia Council on Aging, Inc.

The recipient entity's physical address:
           405 Carter Street
Vidalia, La 71373


The recipient entity's mailing address (if different):
           conccoa@bellsouth.net

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:  5001

What is the dollar amount of the request?  $150,000

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:
           Dorothy H. McDonald, Executive Director
258 Crestview Dr., Ferriday, La 71334

James E. Lee - President, Board of Directors
P. O. Box 501, Clayton, La 71326

Patricia J. Anderson - Vice President,Board of Directors
2056 Viking St., Vidalia, La 71373

Catherine Cartwright - Secretary/Treasurer, Board of Directors
124 Concordia Park Dr., Vidalia, La 71373

Pat G. Bivings - 415 Concordia Ave., Vidalia, La 71373
Lynda B. Cantu - 156 Ray Blount Re., Ferriday, La 71334
Ellest E. Green- 200 Arkansas St., Apt. 204- Ferriday,La 71334
Betty J. Johnson- 105 Ferriday Dr., Ridgecrest, La 71334
George Jolla, Jr. - 325 Bayou Dr., Ferriday, La 71334
Suzanne R. Routon- 252 Boyette Rd.-(Wildsville)Jonesville,La 71343
Brittany V. Scott - 612 Tennessee Ave., Ferriday, La 71334
Dana White - 7718 Hwy 129, Monterey, La 71354


Provide a summary of the project or program:
           Maintain operation of Council at current level

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $466,830
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $66,735
          Other Charges. . . . . . . $409,236

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?
          To provide services to elderly aged 60 and over in Concordia Parish, to allow them to maintain an independent life style while remaining in their own homes.

What are the goals and objectives for achieving such purpose?
          Providing Food to around 80 clients daily in two Center Centers. as well as Nutrition Education, Wellness Programs and Recreational Services; Providing a minimum of 78,600 Home Delivered Meals to Homebound throughout the parish; to provide Transportation to Elderly (a minimum of 6583 trips); Provide a minimum of 1698 Hours Homemaker services; providing Outreach to new clients, Information and Assistance to elderly and

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

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:  Dorothy H. McDonald 
                                       address:  Concordia Cou8ncil on Aging, Inc.
405 Carter St.
Vidalia, La 71373

                                       phone:  318-336-7887
                                       fax:  318-336-7881
                                       e-mail:  conccoa@bellsouth.net
                                       relationship to entity:  Executive Director