The recipient entity's physical address:
           171 Keller Street
Hahnville, LA 70057

The recipient entity's mailing address (if different):
           P.O. Box 232
Destrehan, LA 70047

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

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

The last four digits of the entity's taxpayer ID number:  9407

What is the dollar amount of the request?  $100,000

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:
           WENDY BENNEDETTO
Title: President
Address 1: 12 W. WOODLAWN DR
City, State, Zip: DESTREHAN, LA 70047

REGMON CHANEY
Title: Vice-President
Address 1: 308 LAC IBERVILLE DRIVE
City, State, Zip: LULING, LA 70070

PAMELA JORY
Title: Secretary
Address 1: 1 EAST LEVERT DRIVE
City, State, Zip: LULING, LA 70070

JAMIE JOHNSON
Title: Treasurer
Address 1: 325 LAC CALCASIEU DR
City, State, Zip: LULING, LA 70070

LORI NAUQIN
Title: Officer
Address 1: 221 ORMOND MEADOWS
City, State, Zip: DESTREHAN, LA 70047

DONNA PALAHONG
Title: Secretary
Address 1: 113 COTTAGE DRIVE
City, State, Zip: LULING, LA 70070

BRAIN NOVICKI
Title: Officer
Address 1: 14902 RIVER ROAD
City, State, Zip: NORCO, LA 70079

ELIZA EUGENE
Title: Executive Director
Address 1: 171 E. 12TH ST.
City, State, Zip: RESERVE, LA 70047

Provide a summary of the project or program:
           A Safe Space of St. Charles provides emergency shelter for victims/survivors of domestic violence from three to 45 days. Other services include counseling (individual and group), meeting basic needs such as food, clothing and daily essentials, referrals to community resources such as legal services, transportation and training. Our most recent endeavor is to formalize a job readiness program to empower domestic violence victims in seeking gainful employment.

Our clients face several challenges while fleeing from domestic violence, but the most challenging one is affordable housing for our clients. Many of our clients must relocate to another parish in their efforts to flee abuse. Those who flee domestic violence often leave with little more than the clothes they are wearing. Many arrive at our shelter without adequate clothing, hygiene items, financial resources, or transportation. Beyond immediate physical needs, survivors frequently face significant barriers such as trauma and other mental health issues, lack of living skills such as money management, and skills needed to obtain gainful employment.

Our target population are adults and children who are victims of domestic violence who reside in the river parishes (St. Charles, St. John the Baptist, and St. James Parishes).

Our current priority funding needs are housing, professional services (therapist/counselor) and housing manager for our shelter.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $40,000
          Professional Services. . . $60,000
          Contracts . . . . . . . . . . . $0
          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?
          Not Applicable

What is the entity's public purpose, sought to be achieved through the use of state monies?
          To provide a network of services for victims of domestic and intimate partner violence to live free from violence.

What are the goals and objectives for achieving such purpose?
          The overarching goal is to provide comprehensive services that promote safety, stability, and self-sufficiency. This is achieved through
1. Meeting Immediate Basic Needs: providing clothing and personal items necessary for daily living and workforce participation and ensuring access to food, hygiene products, and other essentials; and 2. Promoting Long-Term Stability: providing counseling services to address trauma and build confidence, and connecting participants to community resources, including workforce development programs and employment opportunities.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           This program address an ongoing need in our community which is not time-limited.

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:
                 0

     (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?  not applicable

(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:  Eliza Eugene 
                                       address:  Physical: 171 Keller Street, Hahnville, LA 70057

Mailing: P.O. Box 232, Destrehan, LA 70047
                                       phone:  504-451-4712
                                       fax: 
                                       e-mail:  Dr.Elizas_SafeSpace@outlook.com
                                       relationship to entity:  Executive Director