The recipient entity's physical address:
           123 E Main Street
Lafayette, LA 70501

The recipient entity's mailing address (if different):
           123 E Main Street
Lafayette, LA 70501

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:  0

What is the dollar amount of the request?  $500,000

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:
           Officer: KALLI CHRIST
Title: Executive Director
Address: 123 E. MAIN STREET
LAFAYETTE, LA 70501

Officer: NOAH BRANDON
Title: President
Address: 123 E. MAIN STREET
LAFAYETTE, LA 70501

Officer: TONY CARROLL
Title: Vice-President
Address: 123 E. MAIN ST.
LAFAYETTE, LA 70501

Officer: JACOB GROTH
Title: Treasurer
Address: 123 E. MAIN ST.
LAFAYETTE, LA 70501

Officer: EMILY HAMNER
Title: Secretary
Address: 123 E. MAIN ST.
LAFAYETTE, LA 70501

Provide a summary of the project or program:
           Big Brothers Big Sisters of Acadiana has supported the mentoring and fostering education to youth throughout the Acadiana region. The organization is currently looking to expand its efforts throughout the region in order to boost the number of adult mentors available to serve the growing number of children in the Acadiana area.

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. . . . $500,000
          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?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          All kids have potential, and by partnering with Big Brothers Big Sisters and supporting our 1-to-1 mentoring model, you can help defend the potential of Acadiana's kids. At Big Brothers Big Sisters of Acadiana, we ignite the biggest possible future for youth facing opportunity gaps by providing them with mentoring relationships. Our programs support youth in our community, resulting in a positive outcome for everyone involved. Studies show mentored youth have better grades and school attendance, and feel more confident. Join us as a Defender of Potential today.

What are the goals and objectives for achieving such purpose?
          Big Brothers Big Sisters of Acadiana has supported the mentoring and fostering education to youth throughout the Acadiana region. The organization is currently looking to expand its efforts throughout the region in order to boost the number of adult mentors available to serve the growing number of children in the Acadiana area.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           The request is for one year, but the effort is ongoing

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:
                 N/A

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


Contact Information
name:  David Koke 
                                       address:  123 E Main Street
Lafayette, LA 70501
                                       phone:  3372784871
                                       fax: 
                                       e-mail:  dkoke@thepicardgroup.com
                                       relationship to entity:  Board of Directors Member