The recipient entity's physical address:
           806 East Blvd
Baton Rouge, LA 70802

The recipient entity's mailing address (if different):
           806 East Blvd
Baton Rouge, LA 70802

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

If the entity is a corporation, list the names of the incorporators:
          CAROLYN COLEMAN
PRESIDENT
806 EAST BOULEVARD
BATON ROUGE, LA 70804

SHERRY BRISCOE
VICE-PRESIDENT
4600 RIVER ROAD
MARRERO, LA 70072

ROYANN LANE
SECRETARY/TREASURER
8236 LAKESHORE DRIVE
ETHEL, LA 70730

The last four digits of the entity's taxpayer ID number:  0111

What is the dollar amount of the request?  $95,000

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:
           CAROLYN COLEMAN
PRESIDENT
806 EAST BOULEVARD
BATON ROUGE, LA 70804
SHERRY BRISCOE

VICE-PRESIDENT
4600 RIVER ROAD
MARRERO, LA 70072
ROYANN LANE

SECRETARY/TREASURER
8236 LAKESHORE DRIVE
ETHEL, LA 70730

Executive Director: Pittre Walker
7903 Arcadian Shores Drive
Shreveport, LA 71129

Provide a summary of the project or program:
           The proposed project is for the purpose of youth enrichment, youth development, summer programming, purchasing of equipment and supplies.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $75,000
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $20,000
          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?
          The public purpose to be achieved through the use of state funds is to ensure equitable access to educational support, stability, and developmental resources for homeless and at risk children and youth in Louisiana.

What are the goals and objectives for achieving such purpose?
          Goals and Objectives
Goal 1: Increase academic support and educational stability for homeless and at-risk youth.
Goal 2: Support the mental health and emotional well-being of students and families.
Goal 3: Develop life skills and career readiness.
Goal 4: Expand outreach and access.

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:
                 Carolyn Coleman
Metro Councilwoman District 10
    
     (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:
                 33%

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  NA

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:
               

          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:  Carolyn Coleman 
                                       address:  806 East Blvd
Baton Rouge, LA 70802
                                       phone:  2254567505
                                       fax: 
                                       e-mail:  carolyncoleman4@yahoo.com
                                       relationship to entity:  President