The recipient entity's physical address:
           3101 East Causeway Approach
Mandeville, LA 70448

The recipient entity's mailing address (if different):
           3101 East Causeway Approach
Mandeville, LA 70435

Type of Entity (for instance, a nonprofit corporation):  Other

If the entity is a corporation, list the names of the incorporators:
          

The last four digits of the entity's taxpayer ID number:  0876

What is the dollar amount of the request?  $50,000

What type of request is this?  Capital Outlay 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:
           Clay Madden, Mayor - 3101 East Causeway Approach, Mandeville, LA 70448
Jessica Farno, Finance Director - 3101 East Causeway Approach, Mandeville, L 70448
Melissia O'Neil, Executive Assistant to the Mayor 3101 East Causeway Approach, Mandeville, LA 70448
Christy Delgado, Director of Keep Mandeville - 3101 East Causeway Approach, Mandeville, LA 70448

Provide a summary of the project or program:
           Beautification Project on the 4 corners of the N. Causeway Approach in Mandeville, Louisiana. This project will include the purchase and installation of trees and plants along one of the busiest intersections in all of St. Tammany Parish.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $205,000
          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?
          

What is the entity's public purpose, sought to be achieved through the use of state monies?
          To add beautification to the City of Mandeville

What are the goals and objectives for achieving such purpose?
          To add beautification to the City of Mandeville

What is the proposed length of time estimated by the entity to accomplish the purpose?
           12 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:
                
    
     (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? 

(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:  Clay Madden 
                                       address:  3101 East Causeway Approach
Mandeville, LA 70448
                                       phone:  985-624-3138
                                       fax: 
                                       e-mail:  moneil@cityofmandeville.com
                                       relationship to entity:  Mayor