The recipient entity's physical address:
           43095 HINSON ROAD
HAMMOND, LA 70403

The recipient entity's mailing address (if different):
           43095 HINSON ROAD
HAMMOND, LA 70403

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

If the entity is a corporation, list the names of the incorporators:
          DAWNYA HOGAN, incorporator

The last four digits of the entity's taxpayer ID number:  4910

What is the dollar amount of the request?  $40,000

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:
           Dawnya Hogan
43095 Hinson Road
Hammond, LA 70403

Nicole Dryer
57183 Hano Road
Independence 70443
985-510-9511
teleiadry2@gmail.com

Eltora Hogan
43095 Hinson road
Hammond, 70403
985-510-5564
bj.productions@hotmail.com

Provide a summary of the project or program:
           BJs Community Foundation will create and implement comprehensive prevention and intervention programs for youth and families in the community including: Free haircuts and school supplies for Back to School, Summer Fun Family Health Experience, Weekend Community Lunch for All, Holidays in Hammond (free community feeding).

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $10,000
          Professional Services. . . $10,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $20,000
          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?
          The principal purpose of BJs COMMUNITY FOUNDATION, INC. is to Create and host community events that uplift the community and improve human lives via positive community engagement.

What are the goals and objectives for achieving such purpose?
          Goal 1: Back to School Extravaganza
Objective: Partner with local barbers and stakeholders to provide Free haircuts and school supplies for children returning to school.

Goal 2: Summer Fun Family Health Experience
Objective: End of School year celebration focused on educating the community about youth health and wellness, teen job opportunities, and teacher appreciation.

Goal 3: Weekend Community Lunch for All
Objective: Provide free community meals one weekend a month.

Goal 4: Holidays in Hammond
Objective: Provide complimentary holiday meals and entertainment for Thanksgiving, Christmas, Easter and Mothers & Fathers Day

What is the proposed length of time estimated by the entity to accomplish the purpose?
           12 MONTHS

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:  DAWNYA HOGAN 
                                       address:  43095 HINSON ROAD
HAMMOND, LA 70403
                                       phone:  985-662-9682
                                       fax: 
                                       e-mail:  dawnyajj@hotmail.com
                                       relationship to entity:  INCORPORATOR/ADMINISTRATOR