The recipient entity's physical address:
           Highway 879 near Rollinson Ford Road

The recipient entity's mailing address (if different):
           P.O. Box 336, Oak Grove, LA 71263

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:  5923

What is the dollar amount of the request?  $587,800

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:
           Jerry Hagan - President - P.O. Box 336, Oak Grove, LA 71263
Tommy Roberson - Board Member- P.O. Box 336, Oak Grove, LA 71263

Provide a summary of the project or program:
           The Fiske Union Water System serves 600 customers to the West of Oak Grove in West Carroll Parish. They system currently just finished performing major improvements to their water treatment plant, which is using the Parish ARPA, CWEF and their local funds. They need additional mprovements, but due to their water treatment plant project, they cannot afford the additional improvements. The System is requesting Priority 1 (CLOC) funds to for this project. They are in need to two new supply pumps
to replace their existing pumps. These pumps supply the entire water system. They have been repairing their existing pumps, but they have reached the end of their useful life. The system currently sends water from the elevated tank through their old abandoned treatment plant, out to the distribution system. When temperatures freeze, the line in the old plant breaks, causing large water losses and hinders the System's capabilities to provide water to their customers. The System would like to construct a bypass line, demolish the existing treatment plant, and remove the unneeded valves from the water main. The existing water
meters are 30 years old and need replacing. Additionally, the System would like to install automatic read meters, in order to reduce the monthly effort in reading meters for a rural water system. The System has purchased and installed approximately 150 automatic read meters. They are seeking to install AMRs on the remaining of their system. Also, they will reduce the overhead costs with less days required to read the meters. The request can be completed with Year One's funding, with planning, permitting, and construction. Project inspection ($16,300), permitting ($5,000), and agency administration ($7,000) have been included in equipment costs. Since these are public facilities supplying the public, potable water, it is important that an inspector is present to ensure that construction of the facilities meet all approved plans, specifications and codes. Fiske Union WS would like to request a match wavier, as per LA R.S. 39.112.E.2.c, they have less than 1,250 customers and are a rural water system. In order to provide a match, the system would have to enter into a loan program, which would make it unaffordable to the customers, due to the limited amount of customers.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $46,625
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $466,250
          Operating Services. . . . $0
          Other Charges. . . . . . . $28,300

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?
          Bypass old abandoned treatment plant, replace pumps, Automatic Read Meters

What are the goals and objectives for achieving such purpose?
          Reduce water losses caused by broken lines in the old abandoned plant, provide reliable service with new pumps, reduce overhead costs with AMRs.

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

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:
                 Not Applicable
    
     (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:
                 Not Applicable

     (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:
                  Not applicable

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: 
               Not Applicable

(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:
               Not Applicable

          Provide the name, address, and office of the official to whom the person is related:
                Not Applicable

          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:
                 Not Applicable

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               Not Applicable


Contact Information
name:  Jerry Hagan 
                                       address:  P.O. Box 336, Oak Grove, LA 71263
                                       phone:  318-428-9955
                                       fax: 
                                       e-mail:  pharris125@bellsouth.net
                                       relationship to entity:  President