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

The recipient entity's mailing address (if different):
           P.O. Box 4461
Monroe, LA 71211

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

If the entity is a corporation, list the names of the incorporators:
          Dr. Stacey Floyd-Thomas, President
Raquel Pittman, Secretary/Treasurer

The last four digits of the entity's taxpayer ID number:  6865

What is the dollar amount of the request?  $5,000,000

What type of request is this?  Both

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:
           Stacey Floyd-Thomas, President/Director, 2007 A Overhill Drive, Nashville, TN 37215
Raquel Pittman, Secretary/Treasurer, Director, 150-17 75 75th Road, Apt. 3B, Flushing, NY 11367
Janet Floyd, Executive Director, 2712 W Deborah Drive, Monroe, LA 71201

Provide a summary of the project or program:
           The purpose of the proposed project is to provide essential assistance (i.e. . .food, clothing, academic assistance, counseling, conflict resolution, anger management and self-esteem building skills, etc.) to youth, young adults, as well as services for senior citizens, veterans, schools and others in need, particularly disenfranchised and marginalized communities. Help towns, municipalities, and schools with operational, administrative and community aid, particularly in rural and low populated areas. Services will aid the improvement of life-skills, health and education necessary to lead meaningful and productive lives and safe environments.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $300,000
          Professional Services. . . $700,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $500,000
          Major Repairs . . . . . . . $100,000
          Operating Services. . . . $350,000
          Other Charges. . . . . . . $3,050,000

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?
          Our program is designed to provide youth, young adults, seniors, veterans and others citizens with essential services. The goal is to connect with other entities in areas to create a network that will provide necessary educational, financial, emotional, spiritual and psychological support. With extensive coverage in services and resources, it will provide outlets to reduce the detrimental conditions of their environment and become more productive and beneficial members of their city and state. Partnering with other resource entities, small towns, cities and municipalities will help with access to much needed services that are unavailable and/or limited in these areas.

What are the goals and objectives for achieving such purpose?
          Our goals are to provide youth and young adults of our cities with educational assistance through tutoring, mentoring programs, educational and informational programs; provide food and clothing initiatives, counseling (safe sex/dating sessions, self-esteem building, conflict resolution, anger management, and job training skills, summer camps, field trips and workshops. The creation of self-help programs and resources centers will aid senior citizens, veterans and others experiencing needs in communities through a centralized network that is accessible and ease of use for services. To aid municipalities and towns with up-to-date services, equipment and proper staffing to improve the safety and security for its citizens.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           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:
                 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:  Janet R. Floyd 
                                       address:  2712 W.Deborah Drive
Monroe, LA 71201
                                       phone:  318-801-1175
                                       fax:  318-323-2653
                                       e-mail:  drjanetfloyd@aol.com
                                       relationship to entity:  Executive Director