The recipient entity's physical address:
           1051 Main St

The recipient entity's mailing address (if different):
           PO Box 326
Franklinton, La. 70438

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:  9001

What is the dollar amount of the request?  $100,000

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:
           Norman J, Roberts
39316 Highway 440
Franklinton, La. 70438

Joan Forcier-Miller
17573 Wildwood Dr.
Bogalusa, La. 70427

Tammy MaGruder
1106 Hillcrest Dr.
Franklinton, La. 70438

Provide a summary of the project or program:
           Construction of a Veterans Memorial Park.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $699,875
          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?
          Our Veterans Memorial Park is to provide visitors with an atmosphere of natural beauty, peace for quiet meditation and a sense of dignity an honor to the memory of Veterans and loved ones.

What are the goals and objectives for achieving such purpose?
          Our Veterans Memorial Park goal would be a place of remembrance and respect for Veterans and their loved ones. To anticipate a special place for involvement of Veterans of all ages to ensure a beautiful space that will serve the needs of many different types of Veterans events, including memorial ceromancies, holiday celebrations, military wedding, and much more.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           To accomplish phase I, II, III, we anticipate 3 years.

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:
                 None
    
     (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:
                 None

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                 None

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  None

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: 
               None

(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:
               None

          Provide the name, address, and office of the official to whom the person is related:
                None

          What is the nature of the relationship?  none

(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:  Norman J. Roberts 
                                       address:  PO Box 326
Franklinton, La. 70438
                                       phone:  985-630-6936
                                       fax: 
                                       e-mail:  joeyroberts.survey@yahoo.com
                                       relationship to entity:  President