The recipient entity's physical address:
           800 East 7th Street, Thibodaux, LA 70301

The recipient entity's mailing address (if different):
           600 Canal Blvd., Suite B., Thibodaux, LA 70301

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:  8486

What is the dollar amount of the request?  $2,000,000

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:
           William Crawford, President
522 Green Street
Thibodaux, LA 70301

Dr. James Barr, Member at Large
402 West 2nd Street
Thibodaux, LA 70301

Nolan Smith, Member at Large
256 Bouverans Circle
Lockport, LA 70374

Monique Clark, Secretary
412 Cavaness Drive
Houma, LA 70364

Jerad David, Vice-Present/Parental Representative
504 Ashland Drive
Thibodaux, LA 70301

Hal Callais, Treasurer/Parental Representative
800 East 1st Street
Thibodaux, LA 70301

Shelba Harlan, Member at Large
312 Amis Street
Thibodaux, LA 70301

Danny Baker, Community Representative
141 Towne Way
Thibodaux, LA 70301

Melanie Becnel, Director/CEO
600 Canal Blvd., Suite B.
Thibodaux, LA 70301

Sara Barrilleaux, CFO
600 Canal Blvd., Suite B.
Thibodaux, LA 70301

Provide a summary of the project or program:
           Construct a gymnasium for the school.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $2,000,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          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?
          

What is the entity's public purpose, sought to be achieved through the use of state monies?
          To construct a gymnasium for Bayou Community Academy, Inc.'s (BCA) new campus.

What are the goals and objectives for achieving such purpose?
          To provide a new gymnasium for Bayou Community Academy's student daily use. BCA would spend $2,000,000 in professional services to construct a gymnasium.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           1 year from groundbreaking

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:  Sara Barrilleaux 
                                       address:  600 Canal Blvd., Suite B
Thibodaux, LA 70301
                                       phone:  985-387-1101
                                       fax:  985-387-1105
                                       e-mail:  sbarrilleaux@bcacharter.org
                                       relationship to entity:  CFO