The recipient entity's physical address:
           501 Copperton Rd.
Rayne, LA 70578

The recipient entity's mailing address (if different):
           501 Copperton Rd.
Rayne, LA 70578

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

If the entity is a corporation, list the names of the incorporators:
          Heather Broussard, Founder & President
Adam Broussard, Co-Founder & Vice-President

The last four digits of the entity's taxpayer ID number:  4055

What is the dollar amount of the request?  $150,000

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:
           Heather Broussard, Founder & President - 501 Copperton Rd. Rayne, La 70578
Adam Broussard, Co-Founder & Vice-President
Spencer Girourd, Treasurer
Margo Dugas, Secretary

Provide a summary of the project or program:
           A press release from the Louisiana Department of Health revealed that 2020 was the deadliest year for child drownings for our state. Shockingly, there was a 60% increase in drownings for children ages 0 to 14 years old, compared to the year prior.

Additionally, data from the Centers for Disease Control and Prevention (CDC) shows that:
•Most drownings in Louisiana occur in warmer months and among children aged 1-4.
•Between 2017 and 2019, Louisiana had the fourth-highest drowning rate in the U.S. for children aged 1-14.
•Drowning remains the third-leading cause of death for children aged 1-14.

As Lafayette parents who tragically lost our 17 month old daughter, Mazie Leah, to a drowning accident in 2020, we are determined to do whatever it takes to ensure children are safer around water. We implemented Mazie’s Mission, a 501 (c) 3 organization, in 2021 to honor our daughter and to provide education on water safety, advocate for drowning prevention as well as swim resources to children and their families.

Our primary goal is to prevent as well as reduce the number of drownings, with a focus on children. Specifically, this will include water safety awareness and education through intentional partnerships. This endeavor has no boundaries as drownings can happen to anyone, anytime and anywhere. We hope to prevent drownings through these goals: providing at least 1,000 sponsorships for swim lessons to underserved communities nationwide, bridging gaps for ethnic groups who do not have access to swim lessons, providing access for survival swim and self-rescue lessons for babies and toddlers, raising awareness with signage near bodies of water with family activity (such as neighborhood and park retention ponds), offer educational material to medical professionals at pediatric clinics, offer teachers this material to be taught to students, and continue campaign efforts to parents and caregivers nationwide making the layers of prevention known to all. Specifically, this NGO request will assist Mazie's Mission to provide education and awareness throughout Louisiana including materials, campaigns and signs near any body of water that families with young children are often near.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $40,000
          Professional Services. . . $20,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $15,000
          Other Charges. . . . . . . $75,000

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 primary purpose of Mazie's Mission is to prevent as well as reduce the number of drownings, with a focus on children. Specifically, this will include water safety awareness and education throughout Louisiana. Specifically with this NGO request, we aim to raise awareness with signage near bodies of water with family activity (such as neighborhood and park retention ponds), offer educational material to medical professionals at pediatric clinics, offer teachers this material to be taught to students, and continue campaign efforts to parents and caregivers nationwide making the layers of prevention known to all. Currently, we have partnerships and signage at public parks with the City of Lafayette, Youngsville and Broussard. We hope to expand these efforts statewide and also include neighborhoods with retention ponds. This request will help fund signage as well as educational material to promote drowning prevention in every region.

What are the goals and objectives for achieving such purpose?
          Mazie's Mission has the following goals and objectives:

1. To provide educational awareness throughout every community in Louisiana. We will offer educational material and presentation to schools, medical communities and civic groups.

2. To reduce the number of childhood drownings, in hopes of at least 30% with a two year campaign.

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:
                 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:
                

     (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: 
               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? 

(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:  Heather Broussard 
                                       address:  501 Copperton Rd.
Rayne, LA 70575
                                       phone:  3375735574
                                       fax: 
                                       e-mail:  heather@maziesmission.net
                                       relationship to entity:  Founder & President