NGO Funding Request


The recipient entity's full legal name:  Finding Our Roots African American museum

The recipient entity's physical address:
           109 Bisland St. Houma, La 70360

The recipient entity's mailing address (if different):
           918 Roussell St. Houma, La. 70360

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:  1623

What is the dollar amount of the request?  $50,000

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:
           Margie Scoby
109 Bisland St.
Houma, La. 70360

Martha Turner
216 Riley DR.
Houma, La 70363


Provide a summary of the project or program:
           We have plans on completing several areas of the building; repair ceilings, installing up-lights, replace flooring, replace window panes, completing research center,library and an area we call (Grandma's corner).

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $20
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $50
          Major Repairs . . . . . . . $30
          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?
          The monies will help to improve upon the many of the exhibits throughout the museum that tells the stories of those who played a major role in the history of this parish and the country.

What are the goals and objectives for achieving such purpose?
          Our goal is to teach, tell and preserve the history of the tri-parish area of Terrebonne, Lafourche and St. Mary parish by displaying artifacts, documenting, and researching the history of the African American people. Our objective is to reach the future generation in order that they carry on the history for years to come.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           12 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: 
               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:
                

(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:  Margie Scoby 
                                       address:  918 Roussell St.
Houma, La. 70360

                                       phone:  9858559202
                                       fax: 
                                       e-mail:  findingourroots@yahoo.com
                                       relationship to entity:  Founder/President