The recipient entity's physical address:
           2833 Robinson Street, Richwood, LA 71202

The recipient entity's mailing address (if different):
           P.O. Box 4255, Monroe, LA 71211

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

If the entity is a corporation, list the names of the incorporators:
          Rev. Sherman Davis
Mrs. Teriece Cyrus
Ms. Janet Hartwell
Mrs. Alice Jackson
Mr. Patrick Robinson
Rev. P Rayfield Brown, III

The last four digits of the entity's taxpayer ID number:  1911

What is the dollar amount of the request?  $630,000

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:
           James E. (Jamie) Mayo, Board Chairman
318 King Oaks Drive
Monroe, LA 71211
Mrs. Teresia Dickerson (Board Secretary)
2805 Cuba Blvd.
Monroe, LA 71201
Judge Larry Jefferson (Personnel Chairman)
Legal Consultant
6511 Cypress Point Drive
Monroe, LA 71203
Ms. Rose Lee
P.O. Box 650
Monroe, LA 71210
Mr. Bernard Menyweather
Consultant/Artist
106 Evers Drive
Monroe, LA 71202
Mr. Wilson W. Wilson
601 South 5th Street
Monroe, LA 71202

Provide a summary of the project or program:
           The Project is the Acquisition and Renovation of an existing structure to provide Workforce Training and other Academic Classes

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $160,000
          Professional Services. . . $7,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $380,000
          Major Repairs . . . . . . . $0
          Operating Services. . . . $83,000
          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?
          Provide Workforce, Job and Life Skill Training for low to moderate income and Justice Based individuals in Ouachita Parish to allow them to earn livable wages and be financially independent.

What are the goals and objectives for achieving such purpose?
          OIC will prepare 75 participants for the workforce and assist in finding job placements for 75 percent (75%) of that number (i.e. 45 participants), thereby helping participants to become independent of social programs while enhancing their standards of living and improving the quality of life.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           Twelve 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:  William Smith 
                                       address:  202 Mayhaw Stree
Monroe, Louisiana 71203
                                       phone:  3182373019
                                       fax:  3183221977
                                       e-mail:  pastorsmith03@yahoo.com
                                       relationship to entity:  Director