NGO Funding Request


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

The recipient entity's physical address:
           1000 Saratoga Street
Ruston, LA 71270


The recipient entity's mailing address (if different):
           P. O. Box 1058
Ruston, LA 71273-1058


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:  9959

What is the dollar amount of the request?  $250,000

What type of request is this?  Both

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:
           Michelle Wright - Executive Director
3272 Olive Grove Road
Choudrant, LA 71227

Paul Woodard - Board Chairman
2119 Hwy 563
Simsboro, LA 71275

Lizzie White - Vice Chairman
2207 Cooktown Road
Ruston, LA 71270

Irma Davis - Secretary
2302 Cooktown Road
Ruston, LA 71270

Susie Doughty - Treasurer
1905 North Vienna Street
Ruston, LA 71270

James Pilgreen
P.O. Box 146
Dubach, LA 71235

Arthur Brewer
218 West Virginia Street
Ruston, LA 71270

James C. Austin
144 RWE Jones
Grambling, LA 71245

Linda Graham
P.O. Box 332
Ruston, LA 71273-0332

Jhn Mathewes
808 Mays Street
Ruston, LA 71270

Carolyn Pringles
1419 South Vienna Street
Ruston, LA 71270

Clyde Vidrine
902 Robinette Drive
Ruston, LA 71270

Eudell Vine
1701 Bistineau Street
Ruston, LA 71270

Bobby Till
151 Westlake Road
Dubach, LA 71235

Tommy Speights
3815 South Vienna Street
Ruston, LA 71270

Barbara Speights
3815 South Vienna Street
Ruston, LA 71270


Provide a summary of the project or program:
           The Lincoln COA need additional funds to increase hours for Caregiver Program, pay salary for another homemaker, locate a larger facility for the northern section of the parish and enlarge current location in Ruston.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $10,000
          Professional Services. . . $150,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $75,000
          Major Repairs . . . . . . . $0
          Operating Services. . . . $15,000
          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?
          Our sole purpose is to improve the senior population of Lincoln parish quality of life.

What are the goals and objectives for achieving such purpose?
          By increasing respite, personal care and sitters hours under the caregiver program clients will be able to stay in their homes longer before the possibility of having to move to a nursing home or assisted living facility.

Better facilities will give person a place to go to continue their social skills so they won't become isolated and become depressed.


What is the proposed length of time estimated by the entity to accomplish the purpose?
           If funding is approved this purpose can be accomplished within 2.5 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:
                 NA
    
     (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:
                 NA

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

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

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: 
               NA

(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:
               NA

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

          What is the nature of the relationship?  NA

(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:
                 Governor's Office of Elderly Affairs
P. O. box 61
Baton Rouge, LA 70821-0061


(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               To provide home delivered meals, congregate meals,homemaker, transportation, respite, personal care, information and assistance, outreach, wellness and senior center activities to person 60+ in Lincoln parish.


Contact Information
name:  Michelle Wright 
                                       address:  3272 Olive Grove Road
Choudrant, LA 71227

                                       phone:  318-255-5070
                                       fax:  318-255-5076
                                       e-mail:  mdwright@suddenlinkmail.com
                                       relationship to entity:  Executive Director