NGO Funding Request


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

The recipient entity's physical address:
           2407 Ferrand Street
Monroe, LA 71201


The recipient entity's mailing address (if different):
           P.O. Box 7418
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:
          Dr. Frank P. Forwood
Mrs. Rebecca Bose
Miss Josephine Cascio


The last four digits of the entity's taxpayer ID number:  0389

What is the dollar amount of the request?  $30,000

What type of request is this?  Capital Outlay 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:
           Mr. Anthony Lamarca, President
2002 Rosedown Dr.
Monroe, La 71201
Ms. Jennifer Bass, Vice-President
206 Blair Ave.
West Monroe, LA 71291
Mrs. Lisa Dixon, Secretary
4210 Ave Lane
Monroe, LA 71201
Mr. Rick Guillot, Treasurer
3101 Cypress St. Suite 1
West Monroe, La 71291
Mr. Wyche Ashcraft
1510 Island Dr.
Monroe, La 71201
Mr. Cedric Crossley, Jr.
46 West Elmwood
Monroe, La 7203
Ms. Ashley Doughty
2004 Brierfield
Monroe, La 71201
Mr. Jim Greenlaw
2107 Redwood Dr.
Monroe, La 71201
Ms. Tabitha Hendon
109 Tamarack Circle
West Monroe, La 71291
Mr. Don Newton
2528 Felicity Dr.
Monroe, La 71201
Mr. David O'Neal
1800 Lexington Ave.
Monroe, La 71201
Mr. Ray Rhymes,III
3213 Lake DeSiard
Monroe, La 71201
Mr. Greg Scallan
2002 N.7th St.
West Monroe, La 71291
Mr. Chris Valentine
123 Willow Bend
Monroe, La 71203
Ms. Nikkie Wasson
2120 Old Sterlington Rd., # 16
Monroe, La71280


Provide a summary of the project or program:
           Capital Outlay funding would allow the purchase of a new Van in which to deliver meals. The Department of Transportation does not allow delivery of meals in the vans that are purchased through their program.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $30,000
          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?
          The purpose of the acquisition of a van is to be able to deliver meals to the homebound in our own van.

What are the goals and objectives for achieving such purpose?
          The goal and objective is to reduce the cost of delivery by not having to pay mileage to a driver. The drivers who are driving their own vehicles are paid both a salary and mileage. Another goal is saving fuel costs by operating a mini-van as opposed to our drivers who have older vehicles.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           One 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:
                 N/A
    
     (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:
                 N/A

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                 N/A

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  N/A

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: 
               N/A

(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:
               N/A

          Provide the name, address, and office of the official to whom the person is related:
                N/A

          What is the nature of the relationship?  N/A

(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:
                 Governor's Office of Elderly Affairs
Post Office Box 61
Baton Rouge, La 70821-0061


(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               The contract is with GOEA to provide Title III services and Senior Center services to senior citizens 60 years of age and older in Ouachita Parish.


Contact Information
name:  Lynda McGehee 
                                       address:  2407 Ferrand St.
Monroe, La 71201

                                       phone:  318-387-0535
                                       fax:  318-322-0545
                                       e-mail:  aging@centurytel.net
                                       relationship to entity:  Executive Director