NGO Funding Request

The recipient entity's full legal name:  Kount Teens 2 Mentor Organization

The recipient entity's physical address:
           201 Century Village Blvd
Monroe, Louisiana 71203

The recipient entity's mailing address (if different):
           201 Century Village Blvd
Monroe, Louisiana 71203

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:  7638

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:
           President- Aircinia Marshall- 1814 Jackson Street Monroe, Louisiana 71202

Vice President - Articya Barker-506 West Heights Dr. West Monroe, Louisiana 71292

Secretary- Brendalyn Hill- 6005 S.Oswego Ave Tulsa, Oklahoma 74135

Treasurer- Donald Williams-4415 Winnsboro Monroe, Louisiana 71203

Founder-Jonee' Williams - 201 Century Village BLVD, Monroe, Louisiana 71203

Provide a summary of the project or program:
           1. Financial Literacy
2. Life Skills
3. Suicide Prevention
4. Violent crimes
5. Mentoring
6. Entrepreneurship
7. Leadership
8. Mental Health
9. Community Outreach
10. Health and Nutrition

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $15,000
          Professional Services. . . $10,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $10,000
          Other Charges. . . . . . . $15,000

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?
          Increase in community engagement for developing and supporting delinquency and violence prevention.
Increase in meaningful youth involvement and decision-making.

Improve youth role in educating peers regarding available community resources.
Ensure services and programs selected are a good fit (age, developmental, and culturally appropriate) for the
youth population.
Increase youth connection to existing health, employment and human services.
Increase youth knowledge of available services.
Increase in family communication.
Increase in life skills development that will lead to self-sufficiency and delay and deter engagement in risk
behaviors – alcohol tobacco and other drug use, sexual activity, fighting, gang involvement, domestic, etc.
Increase youth life skills such as problem solving, conflict resolution, decision making, handling peer pressure,
relationships, coping, and stress management.
Increase youth communication skills – interpersonal, writing, and oral.
Increase youth recognition of feelings and how feelings influence their behaviors and actions. Increase youth
understanding in managing money, budgeting, and managing a checking account.
Increase youth skills in using existing health, employment, and human services.
Increase in preparation to continue onto college and high-demand career fields.
Increase youth knowledge of career options, salaries, and quality of life issues associated with various professions..

What are the goals and objectives for achieving such purpose?
          The dual connection with CDC will enhance the mindset of several individuals experiencing ADHD that will
simulate other life skill activities and programs offered at our organization.
Some programs aforementioned under “Programs and Needs Assessment” is quick and easy to implement. It
provides a very practical solution to offering an evidence-based program within a busy organizational setting. It
will increase the reach of our prevention program and leadership program to a greater number of participants.
Participants will be enlightened and taught how substance use risk behaviors and wellness behaviors are.
connected and influence each other.
Objective 1: Develop soft skills necessary to better transition into the workforce: Participants will learn soft skills.
that are essential to being successful at school and becoming work-ready adults. These skills include.
teamwork, and problem-solving skills, effective communication with coworkers and employers, and time
management. With these skills, participants will be better prepared for academic success, daily interactions,
and job duties in the workplace.
Outcome 1
Objective 2: Increased application of soft skills necessary to obtain and maintain employment: Our program will
provide participants with knowledge and experience regarding the collaborative team soft skills utilized in the
workplace. Participants will learn and perform skills to manage employment-related pressures, solve problems,
and work.

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:
     (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?  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:

(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:  Jonee Williams 
                                       address:  305 Cason Street
West Monroe, Louisiana 71292

                                       phone:  (318) 602-0902
                                       relationship to entity:  Founder