The recipient entity's physical address:
           5080 Hwy 68
Jackson, La 70748

The recipient entity's mailing address (if different):
           P.O> Box 39
Jackson, La 7048

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

If the entity is a corporation, list the names of the incorporators:
          Mary Reese
Gary Reese
Stacey Alleman

The last four digits of the entity's taxpayer ID number:  0584

What is the dollar amount of the request?  $100,000

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:
           Mary Reese
Executive Director
1163 Cordoba Drive
Zachary, La 70791

Gary Reese
Treasurer
1163 Cordoba Drive
Zachary, La 70791

Stacey Alleman
Secretary
8618 Hwy 955E
Ethel, La 70730

Provide a summary of the project or program:
           Food storage building for community feeding program
Crematorium for community assistance
Surgical instruments and supplies for low cost spay and neuter clinic

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. . . . $100,000
          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?
          

What is the entity's public purpose, sought to be achieved through the use of state monies?
          to help a rural community with much needed pet care, spay and neuter program, and a feeding program for spayed feral cat colonies. The crematorium will provide the community and surrounding areas with pet services and will also provide income for the shelter.

What are the goals and objectives for achieving such purpose?
          Our goal as an animal shelter is to help the community and surrounding areas with pet services and food programs.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           1 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:
                 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:
                 NA

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               NA


Contact Information
name:  Mary Reese 
                                       address:  1163 Cordoba Drive
Zachary, La 70791
                                       phone:  225-921-3417
                                       fax:  NA
                                       e-mail:  Humanesocietyofthefelicianas@gmail.com
                                       relationship to entity:  Self/owner