Application Louisiana Endowment for the Humanities Louisiana Culture Care Fund 2021 Louisiana Endowment for the Humanities Organization Information In an effort to help ensure the survival of Louisiana’s critical cultural institutions and assist in their recovery from the economic impacts of the COVID-19 pandemic, the Louisiana Endowment for the Humanities (LEH) has relaunched the Louisiana Culture Care Fund, a grant program providing funding to humanities organizations and other cultural entities. With funding provided by the National Endowment for the Humanities (NEH), awards will range between $3,000 and $20,000, and applications will open Friday, May 21. The LEH especially encourages applications from minority-serving institutions and organizations as well as from rural and underserved areas of the state, but applications are welcome regardless of an organization’s size, audience, and location. No cost share is required for grants offered through the Louisiana Culture Care Fund. Project Name* Please use this format: Name of Organization, LCCF 2021 Character Limit: 100 Type of Organization* Select the description that best fits your organization. Choices Archive Art Museum Community Cultural Heritage Organization Festival Film or Media Organization Historic House Museum Historical Museum Historical Society Publisher Other If other, please explain. Character Limit: 250 Printed On: 6 May 2021 Louisiana Culture Care Fund 2021 1 Application Louisiana Endowment for the Humanities Organization Summary* Please describe the humanities-based work done by your organization. For a list of humanities disciplines, click here. Specifically, please highlight any public (in-person or virtual) humanities programming facilitated by your organization. Character Limit: 1000 Audience* On average, how many people does your organization serve yearly? Character Limit: 250 Primary Contact* This individual will be considered the primary contact for all grant communications and is responsible for completing all required materials, including a final report. Character Limit: 250 Primary Contact Email* Character Limit: 100 Primary Contact Phone Number* Character Limit: 100 Authorizing Official* In the event that your proposal is awarded, please provide the name of the authorizing official at your organization who will sign off on grant paperwork. Character Limit: 100 Authorizing Official Email* Character Limit: 250 Parish* Please enter the parish where your organization is located. Choices Acadia Allen Ascension Assumption Avoyelles Beauregard Bienville Bossier Caddo Calcasieu Caldwell Cameron Catahoula Printed On: 6 May 2021 Louisiana Culture Care Fund 2021 2 Application Louisiana Endowment for the Humanities Claiborne Concordia DeSoto East Baton Rouge East Carroll East Feliciana Evangeline Franklin Grant Iberia Iberville Jackson Jefferson Jefferson Davis Lafayette Lafourche LaSalle Lincoln Livingston Madison Morehouse Natchitoches Orleans Ouachita Plaquemines Pointe Coupee Rapides Red River Richland Sabine St. Bernard St. Charles St. Helena St. James St. John St. Landry St. Martin St. Mary St. Tammany Tangipahoa Tensas Terrebonne Union Vermilion Vernon Washington Webster West Baton Rogue West Carroll Printed On: 6 May 2021 Louisiana Culture Care Fund 2021 3 Application Louisiana Endowment for the Humanities West Feliciana Winn Region* Choices NE NW Central SE SW LA House District* Visit the website of the Louisiana Legislature to identify the appropriate state representative for your organization's physical address. Choices 1 Danny McCormick 2 Samuel Jenkins Jr. 3 Tammy Phillips 4 Cedric Glover 5 Alan Seabaugh 6 Thomas Pressly 7 Larry Bagley 8 Raymond Crews 9 Dodie Horton 10 Wayne McMahen 11 Patrick O. Jefferson 12 Christopher Turner 13 Jack McFarland 14 Michael Echols 15 Foy Gadberry 16 Frederick D. Jones 17 Pat Moore 18 Jeremy LaCombe 19 Francis C. Thompson 20 Neil Riser 21 C. Travis Johnson 22 Michael Gabe Firment 23 Kenny Ray Cox 24 Rodney Schamerhorn 25 Lance Harris 26 Ed Larvadain 27 Michael T. Johnson 28 Daryl Deshotel 29 Edmond Jordan 30 Chuck Owen 31 Jonathan Goudeau 32 R. Dewith Carrier Printed On: 6 May 2021 Louisiana Culture Care Fund 2021 4 Application Louisiana Endowment for the Humanities 33 Les Farnum 34 Wilford Dan Carter Sr. 35 Brett Geymann 36 Phillip Tarver 37 Troy Romero 38 Rhonda Butler 39 Julie Emerson 40 Dustin Miller 41 Phillip DeVillie 42 John Stefanski 43 Stuart Bishop 44 Vincent Pierre 45 Jean-Paul Coussan 46 Mike "Pete" Huval 47 Ryan Bourriaque 48 Beau Beaullieu 49 Blake Miguez 50 Vincent St. Blanc III 51 Beryl Amedee 52 Jerome Zeringue 53 Tanner Magee 54 Joseph Orgeron 55 Bryant Fontenot 56 Gregory A. Miller 57 Randal Gaines 58 Ken Brass 59 Tony Bacala 60 Chad M. Brown 61 C. Denise Marcelle 62 Roy Adams 63 Barbara Carpenter 64 Valarie Hodges 65 Barry Ivey 66 Rick Edmonds 67 Larry Selders 68 Steven McKnight 69 Paula Davis 70 Barbara Freiberg 71 Buddy Mincey Jr. 72 Robby Carter 73 William Wheat Jr. 74 Larry Frieman 75 Malinda Brumfield White 76 Robert Owen 77 Mark Wright 78 John Illg Jr. 79 Debbie Villio 80 Polly Thomas 81 Clay Schexnayder Printed On: 6 May 2021 Louisiana Culture Care Fund 2021 5 Application Louisiana Endowment for the Humanities 82 Laurie Schlegel 83 Kyle Green Jr. 84 Timothy Kerner 85 Joseph Marino III 86 Nicholas Muscarello 87 Rodney Lyons 88 Kathy Edmonston 89 Richard Nelson 90 Mary DuBuisson 91 Mandie Landry 92 Joseph Stagni 93 Royce Duplessis 94 Stephanie Hilferty 95 Sherman Q. Mack 96 Marcus Bryant 97 Matthew Willard 98 Aimee Adatto Freeman 99 Candace Newell 100 Jason Hughes 101 Edward James 102 Gary Carter Jr. 103 Ray Garofalo 104 Paul Hollis 105 Mack Cormier LA Senate District* Visit the website of the Louisiana Legislature to identify the appropriate state representative for your organization's physical address. Choices 1 Sharon Hewitt 2 Ed Price 3 Joseph Bouie Jr. 4 Jimmy Harris 5 Karen Carter Peterson 6 Bodi White 7 Vacant 8 Patrick Connick 9 Cameron Henry 10 Kirk Talbot 11 Patrick McMath 12 Beth Mizell 13 J. Rogers Pope 14 Cleo Fields 15 Regina Barrow 16 Franklin Foil 17 Rick Ward III 18 Eddie J. Lambert 19 Gary Smith Jr. Printed On: 6 May 2021 Louisiana Culture Care Fund 2021 6 Application Louisiana Endowment for the Humanities 20 Mike Fesi 21 Bret Allain 22 Fred Mills 23 Page Cortez 24 Gerald Boudreaux 25 Mark Abraham 26 Bob Hensgens 27 Ronnie Johns 28 Heather Cloud 29 Jay Luneau 30 Mike Reese 31 Louie Bernard 32 Glen Womack 33 Stewart Cathey Jr. 34 Katrina Jackson 35 Jay Morris 36 Robert Mills 37 Barrow Peacock 38 Barry Milligan 39 Gregory Tarver U.S. Congressional District* Please list your organization's U.S. Congressional District. Choices District 1: Steve Scalise District 2: Vacant District 3: Clay Higgins District 4: Mike Johnson District 5: Julia Letlow District 6: Garret Graves Nonprofit Status* Does your organization have nonprofit status? 501(c)(3) tax-exempt status, accredited public and 501(c)(3) institutions of higher education, state and local governmental agencies, and federally recognized Native American tribal governments are eligible to receive NEH funds. Choices Yes No Proof of Status* Please upload your organization's IRS determination letter. File Size Limit: 2 MB Printed On: 6 May 2021 Louisiana Culture Care Fund 2021 7 Application Louisiana Endowment for the Humanities Tax ID Number* Please provide your organization's tax ID number. Character Limit: 250 DUNS Number* LEH is required to ensure that all grantees obtain and retain a Data Universal Numbering System (DUNS) number. This DUNS refers to the nine-digit number established and assigned by Dun and Bradstreet, Inc. (D&B) which uniquely identifies business entities. A DUNS number may be obtained from D&B by telephone at 866.705.5711 or click here to register online. Character Limit: 20 Annual Operating Budget* Please list your annual general operating budget as reflected in your most recent form 990. Character Limit: 20 Form 990 Upload* Please upload your most recently filed Form 990. We will use this form to gather information about your mission, core programs, and annual operating budget. If your organization is not a 501(c)(3), please submit your most recent annual IRS return. File Size Limit: 2 MB Emergency Funding Requested Amount* Please list the dollar amount you are requesting from LEH to support your organization. Awards range from $3,000 - $20,000 and are based on the annual operating budget of the applicant organization: Organizations with annual operating budgets of under $50,000 can request up to $3,000. Organizations with annual operating budgets between $50,000 – $99,999 can request up to $7,000. Organizations with annual operating budgets between $100,000 – $499,999 can request up to $10,000. Organizations with annual operating budgets of $500,000 to $999,999 can request up to $15,000. Organizations with annual operating budgets of $1 million or more can request up to $20,000. Character Limit: 20 Printed On: 6 May 2021 Louisiana Culture Care Fund 2021 8 Application Louisiana Endowment for the Humanities Use of Funds* If awarded, how will your organization utilize the Louisiana Culture Care Fund Grant? Please check all that apply. Choices Payroll Rent Mortgage Utilities Other If other, please explain. Character Limit: 5000 Financial Impact of COVID-19* In what ways has your organization been affected by the economic impacts of the coronavirus? Select all that apply Explanation of Conditions: Lost Revenue: Significant total projected 2020 revenue was lost because of canceled programs between March 1, 2020 and July 31, 2021. Lost Space: We are about to lose our space because we cannot make our monthly rent, mortgage, or utility payments through July 31, 2021. Staff Layoff: We were forced, or may be forced, to lay off one or more staff members because we cannot make payroll through July 31, 2021. Permanent Closure: We plan to permanently close our organization as a result of the financial impacts of COVID-19.