NGO Funding Request


The recipient entity's full legal name:  Allen Council on Aging

The recipient entity's physical address:
           602 East Sixth Avenue
Oakdale, Louisiana 71463


The recipient entity's mailing address (if different):
           Post Office Drawer EL
Oakdale, Louisiana 71463


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:  1211

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

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:
           Mrs. Rebecca Johnson, Board President
206 Clark Road
Oakdale, Louisiana 71463

Mrs. Linda Thompson, Board Vice President
310 Braxton Road
Oberlin, Louisiana 70655

Mrs. Martha Turner, Board Secretary
586 Tom Jeff Road
Elizabeth, Louisiana 70638

Mrs. Wilma Hargrove, Board Treasurer
611 Park Avenue
Oakdale, Louisiana 71463

Charles Fontenot
15299 Parish Line Road
Kinder, Louisiana 70648

Mrs. Jacqueline Hebert
118 North 9th Street
Oberlin, Louisiana 70655

Wayland LaFargue
503 North 7th Street
Kinder, Louisiana 70648

Joseph Manuel
317 North 6th Street
Oberlin, Louisiana 70655

Gene Paul
333 East 6th Avenue
Oakdale, Louisiana 71463

Ms. Karen Teigen
121 South 12th Street
Oberlin, Louisiana 70655

Mrs. Shirley Williams
114 South 10th Street
Oakdale, Louisiana 71463

Mrs. Patricia Jones, Executive Director
121 Thom Street
Oakdale, Louisiana 71463


Provide a summary of the project or program:
           To provide adequate space as an add-on for training of staff and drivers; to provide educational and recreational programs for the aging; to provide meeting room space for ACOA Board and other network partners.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $25,000
          Contracts . . . . . . . . . . . $125,000
          Acquisitions . . . . . . . . . $0
          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?
          

What is the entity's public purpose, sought to be achieved through the use of state monies?
          Space is at a minimum; Allen Council on Aging has to rent building space to provide the necessary training for staff and particularly the van drivers; also for any educational programs that are needed by the aging.

What are the goals and objectives for achieving such purpose?
          The goals would be to ensure that the best training available is given to the staff and drivers in the most economical way as to not take away from services; also due to distance in the parish, the aging in the northern area would be served by additional space.

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:
                 Wayland LaFargue, Mayor, Town of Kinder
503 North 7th Street
Kinder, Louisiana 70648

Joseph Manuel, Mayor, Town of Oberlin
317 North 6th Street
Oberlin, Louisiana 70655

Gene Paul, Mayor, City of Oakdale
333 East 6th Avenue
Oakdale, Louisiana 71463

    
     (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:  Patricia R. Jones 
                                       address:  121 Thom Street
Oakdale, Louisiana 71463

                                       phone:  318-335-3195
                                       fax:  318-335-3199
                                       e-mail:  allencouncil@bellsouth.net
                                       relationship to entity:  Executive Director