The recipient entity's physical address:
           *** Confidential Address ***

The recipient entity's mailing address (if different):
           PO BOX 51594
LAFAYETTE, LA 70505

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:  7087

What is the dollar amount of the request?  $250,000

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:
           Kirk Taylor 3930 W Congress Lafayette, LA 70506
Chris Rader 838 Coolidge St, Lafayette, LA 70503
Christian Williford 117 Row 3, Lafayette, LA 70508
Robert Dominic 463 Heymann Blvd, Lafayette, LA 70503
Holly Cure 1118 Coolidge St A, Lafayette, LA 70503
Mark Barton 113 Heymann Blvd #7 Lafayette, LA 70503
Cliff Roy Jr 304 Aububon Blvd, Suite 131 Lafayette, LA 70503
George Holland 1018 Harding St #104, Lafayette, LA 70503
Carol Trosclair 304 Aububon Blvd, Lafayette, LA 70503
Denise Lanclos PO BOX 2541 LAFAYETTE, LA 70502
Kristin Bodin 414 Heymann Boulevard Lafayette, LA 70503
Shelly Judice 914 S College Rd, Lafayette, LA 70503
Kevin McKay 822 Harding St ste 200, Lafayette, LA 70503
Marie Lukaszeski 1214 Coolidge St, Lafayette, LA 70503
Mary Hays 906 Harding St, Lafayette, LA 70503
Dana Baker 412 Travis St, Lafayette, LA 70503
Kendra Deville 111 Heymann Blvd, Lafayette, LA 70503
Lauren Sibley Brasseaux 910 Coolidge St, Lafayette, LA 70503

Provide a summary of the project or program:
           Alignment with the re-development plan within the Oil Center, projects to create walkability and economically beneficial projects. IN addition to supporting the business sector to ensure growth and sustainability

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $50,000
          Professional Services. . . $7,500
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $100,000
          Operating Services. . . . $92,500
          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?
          Mission Statement: An association designed to unite the business and professional community in what is recognized as Lafayette’s Oil Center. It is our vision to preserve, enhance, and assure the continued viability while encouraging growth, avoiding urban decay, and promoting a positive image.

State monies would allow the Association to address these focused points more effectivley and efficiently.

What are the goals and objectives for achieving such purpose?
          The goals aligned with projects and operations of these dollars are to support business growth in the Oil Center. It will allow the hiring of an Executive Director to maintain focus and give consistent direction.
The focus is to ensure the Oil Center thrives and creates a stronger community as a growing district.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           24 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:
                 na
    
     (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:
                 na

     (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: 
               na

(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:
               na

          Provide the name, address, and office of the official to whom the person is related:
               

          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:
                 na

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               na


Contact Information
name:  Kirk Taylor 
                                       address:  3930 W Congress
Lafayette, LA 70506
                                       phone:  3372301207
                                       fax: 
                                       e-mail:  kirk.taylor@chase.com
                                       relationship to entity:  Board Chairman