NGO Funding Request


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

The recipient entity's physical address:
           6620 Riverside Drive, Suite 216
Metairie, Louisiana 70003


The recipient entity's mailing address (if different):
           6620 Riverside Drive, Suite 216
Metairie, Louisiana 70003


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

If the entity is a corporation, list the names of the incorporators:
          Ms. John M. Jourdan, Paul J. Solis, Theodore J. Dorsa, Ms. Edwin D. Bayer, Jr., Ms. Marcel B. Berot, Msgr. Henry C. Bezou, Rev. Joseph Calato, George L. Gillespie, Jr., Rev. Howard C. Goetz, Jr., Sr. Elizabeth Harris, Bert C. LeBlanc, Tommy LeBlanc, Hon. J. Kenneth Leithman, Ms. Margaret Pellegrin, Morris Shushan, M.D., Henry L. Stewart, Jr., and Ms. Albert Williams.

The last four digits of the entity's taxpayer ID number:  8657

What is the dollar amount of the request?  $60,000

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:
           Luis Arocha, Jr., Chairman
Executive Director, Café Hope
1101 Barataria Boulevard
Marrero, Louisiana 70072

Gordon Wadge, Vice-Chairman
1351 Hesper Avenue
Metairie, Louisiana 70005

Jim Thomas, Treasurer
118 Glenwood Drive
Metairie, Louisiana 70005

Susan Guidroz, Secretary
15 Fairlane Drive
Metairie, Louisiana 70003

Doris Rappold, Board Member
12 Guadalupe Street
Kenner, Louisiana 70065

Cynthia B. Jackson, Board Member
1613 Lake Salvador Drive
Harvey, Louisiana 70058

Lynne Z Peterson, Board Member
3217 Metairie Court
Metairie, Louisiana 70002

Gisela Chevalier, Board Member
3226 Idaho Avenue
Kenner, Louisiana 70064

Kevin A. Casey, Board Member
3011 46th Street
Metairie, Louisiana 70002

Katherine Carter, Board Member
1916 Arrow Lane
Gretna, Louisiana 70056

Michael A. Lulich, Board Member
1216 Poplar Street
Metairie, Louisiana 70005

Wayne Nocito, Board Member
35 Nottoway Drive
Marrero, Louisiana 70072

Col. John N. Fortunato, Board Member
20 Gainswood Drive. East
Marrero, Louisiana 70072

Jarrett Falcon, Board Member
2301 Alcide Drive
Marrero, Louisiana 70072

Miriam Brown, Board Member
2936 Baywood Drive
Gretna, Louisiana 70056

Albert J. Robichaux, Jr., Executive-Director and CEO (Key Personnel responsible for the program)
780 Terry Parkway
Gretna, Louisiana 70056


Provide a summary of the project or program:
           Purchase Cisco Voice Router to replace 2851 Phone System at Main office and center centers.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $10,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $50,000
          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?
          Replace the present phone system that effective January 1, 2017 will no longer be eligible for technical support.

What are the goals and objectives for achieving such purpose?
          Replacing an antiquated system will allow for greater access for seniors to access the services of the Jefferson Council on Aging, Inc.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           before the end of the fiscal 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:
                 not applicable
    
     (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:
                 not applicable

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                 not applicable

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  not applicable

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: 
               not applicable

(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:
               not applicable

          Provide the name, address, and office of the official to whom the person is related:
                not applicable

          What is the nature of the relationship?  not applicable

(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:
                 not applicable

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               not applicable


Contact Information
name:  Albert J. Robichaux, Jr. 
                                       address:  6620 Riverside Drive, Suite 216
Metairie, Louisiana 70003

                                       phone:  504-207-4140
                                       fax:  504-888-5887
                                       e-mail:  ARobichaux@jcoa.net
                                       relationship to entity:  CEO and Executive Director