NGO Funding Request


The recipient entity's full legal name:  Dr. James Gilmore Institute for Human Development & Excellence

The recipient entity's physical address:
           7600 Airline Highway, Baton Rouge, LA 70814

The recipient entity's mailing address (if different):
           PO Box 44492, Baton Rouge, LA 70804

Type of Entity (for instance, a nonprofit corporation):  Non-Profit Corporation

If the entity is a corporation, list the names of the incorporators:
          Dr. James Gilmore Jr.

The last four digits of the entity's taxpayer ID number:  8225

What is the dollar amount of the request?  $250

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:
           Dr. James Gilmore Jr., 130 Jalyn Lane, Port Allen, LA 70767
Jason Myer, 5543 Cortez Dr., Baton Rouge, 70811
Steven Baham, 15444 POINT BRETON AVENUE, BATON ROUGE, LA 70817


Provide a summary of the project or program:
           To support residents who are most vulnerable economically, socially, academically, and in regards to health, with solutions to improve their well being, deter crime, decrease poverty, and make them a more productive citizen.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $250,000
          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?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          To assist individuals who are uneducated, unemployed, underemployed, under educated, unhealthy, become better citizens.

What are the goals and objectives for achieving such purpose?
          1. To increase the number of people who have job readiness skills
2. To increase the number of people who are trained in entrepreneurship
3. To increase the number of youths who have a mentor, tutor, or life skills coach
4. To improve the health outcomes of residents in East Baton Rouge Parish


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:
                 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:
                 None

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               None


Contact Information
name:  James Gilmore 
                                       address:  130 Jalyn Lane
                                       phone:  2252367692
                                       fax: 
                                       e-mail:  drjamesgilmorejr@gmail.com
                                       relationship to entity:  Founder/Executive Director