Louisiana Press Association Foundation. Application. Please complete application and return to: 404 Europe St. Baton Rouge, LA 70802

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Everett Lynch
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1 Print Form Submit by Louisiana Press Association Foundation Application Please complete application and return to: Louisiana Press Association Foundation 404 Europe St. Baton Rouge, LA Date Received:

2 INFORMATION REGARDING LOUSIANA PRESS ASSOCIATION FOUNDATION APPLICATIONS Who may apply for a Louisiana Press Association Foundation Fund grant? To be eligible to receive a grant, the applicant must be an owner or publisher in a LPA member newspaper. Any affected newspaper owner or publisher in a parish that has been designated as a primary disaster relief area by the federal government (the IRS or FEMA) is eligible to apply for a grant. The newspaper must have suffered substantial losses or the potential of long-term newspaper interruption or hindrance as a direct result of Hurricanes Katrina or Rita. This grant is designed to provide gap funding for elements that insurance will not cover to assist newspapers' re-entry into the economy. It is not for newspaper owners who are permanently going out of business. Where should you send the completed application? Applications should be completed and mailed to: Louisiana Press Association Foundation 404 Europe St. Baton Rouge, LA Application Processing Applications will be reviewed by an independent committee of newspaper volunteers. Newspaper owners and publishers are asked to verify their application information by supplying an affidavit of authenticity of information. The foundation reserves the right to ask for subsequent verification of information. Notification Applicants will be notified that their applications have been received. There is no need to call LPA regarding that information. Applicants who are under consideration for the awarding of a grant may be contacted for more specific information regarding their application. If that is the case, please respond promptly. LPA will not be able to respond to inquiries about the status of any particular applications during the screening process. Answering Questions on the Application Answer the questions to the best of your ability providing as much factual detail as you think would be helpful to the committee. There will likely be a dollar limitation placed on the amount of grants awarded.

3 Louisiana Press Association Foundation APPLICATION 1. Name of newspaper (as registered with the state and D/B/A if applicable). 2. Name and title of newspaper owner or principal. 3. Physical street address of newspaper (prior to Hurricanes Katrina or Rita and current operating address if operational). 4. Mailing address of newspaper prior to Hurricanes Katrina or Rita. What is your current mailing address? 5. Phone number of newspaper prior to Hurricanes Katrina or Rita. 6. At what number can you currently be reached? 7. Current address of newspaper publisher or owner if available 8. Is your newspaper located in an area that has been designated as a disaster area by the federal government (the IRS or FEMA)? This may be found at or Yes No If YES, in what parish was your newspaper located? 9. Newspaper Specifications: Frequency: Paid or Free: Total Circulation: Independent or Corporate owned: 10. What was the total number of employees on your newspaper's payroll prior to the Hurricane? A. How many were part-time? B. How many were full-time? 11. What is the current number of employees on your newspaper's payroll? How many were employed on August 29, 2005 (Katrina-related) or September 24, 2005 (Rita-related)?

4 12. Is your newspaper covered by any of the following forms of insurance? (check all that apply) A. Property and Casualty Insurance B. Flood Insurance C. Business Interruption Insurance D. Are you partially self-insured (if so what amount of deductible do you cover on your own)? $ 13. What is the estimate of your newspaper's losses? $ Is this a self-assessment or is it from an insurance adjuster? Please describe the damage (Please categorize by: Building/Equipment, Furniture and Fixtures, etc.). 14. Please list any specific equipment needs. 15. How much of your newspaper's losses are covered by insurance? 16. Do you plan to reopen or have you reopened your newspaper? If so, do you plan to move or continue to operate in your current location? 17. What are the critical needs that must be met to reopen or keep your newspaper operating and how much do you estimate it will cost to meet those needs? 18. Have you applied for disaster relief? If so, what type? Yes No

5 19. Have you been granted any form of disaster relief? If so, what type? Yes No If you receive a grant from the Louisiana Press Association Foundation, how will you use it to resume operations if you are not currently operating? How long will it take for your newspaper to become fully functional? If you are currently operating, how will you use grant funds to support the quick and full restoration (bring back up to prior levels of activity) of your newspaper? 20. How many jobs will be created or restored once your newspaper has returned to its pre-hurricane operational level? 21. What grant amount are you applying for? (Note: There will likely be a dollar limitation placed on the amount of grants awarded.) 22. Attach an affidavit of authenticity of information to the application. Other Comments: Signature Date

BUSINESS RECOVERY ASSISTANCE OFFERED

Contact: June Johns 504-833-1881 FOR IMMEDIATE RELEASE October 12, 2005 BUSINESS RECOVERY ASSISTANCE OFFERED Metairie, LA In an effort to aid area businesses with recovery efforts in the aftermath of Hurricanes