NGO Funding Request


The recipient entity's full legal name:  Agromen, Inc

The recipient entity's physical address:
           867 Highway 749, Opelousas LA, 70570

The recipient entity's mailing address (if different):
           PO Box 2208, Opelousas LA, 70570

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:  3943

What is the dollar amount of the request?  $10,000

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:
           President: Antonio Harris
Address: 9480 Hwy 103,Washington LA, 70589
Secretary: Marcus Sam
Address: 293 Lilac Rd, Opelousas LA, 70570
Treasurer: Raymond Cassimere


Provide a summary of the project or program:
           1.) Youth Development: Provide(s) Louisiana Youth with show animals for the St. Landry Parish & SU Ag Center's Livestock Show.
2.) Facilitate workshops in Agriculture: (A) Annual Fall Fest (B) Equine , goat and broiler shows.
3.) Offers scholarships to students in Agriculture at state institutions.
4.) Sponsorships for Agriculture events.


What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $2,500
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $2,500
          Major Repairs . . . . . . . $0
          Operating Services. . . . $3,000
          Other Charges. . . . . . . $2,000

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?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          1.) Youth Development: Provide(s) Louisiana Youth with show animals for the St. Landry Parish & SU Ag Center's Livestock Show.
2.) Facilitate workshops in Agriculture: (A) Annual Fall Fest (B) Equine , goat and broiler shows.
3.) Offers scholarships to students in Agriculture at state institutions.
4.) Sponsorships for Agriculture events.


What are the goals and objectives for achieving such purpose?
          Our goals/objectives:

1.) Encourage youth to become interested in agriculture in its entirety
2.) Possibly enter college in Agriculture studies.
3.) Introduce the youth to entrepreneurship and land ownership.
4.) Teach youth basic mechanisms of farming.


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:
                 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:  Antonio Harris 
                                       address:  9480 Highway 103,Washington LA, 70589
                                       phone:  337-278-6865
                                       fax: 
                                       e-mail:  agromeninc@gmail.com
                                       relationship to entity:  President