SRTC Form - Children`s Coalition for Northeast Louisiana

School Readiness Tax Credits
Response Form
Fax number: 318-323-1150
Phone Number: 318-323-8775
Lynn Clark, PhD
Address: Attn: Lindsey Murry
Children’s Coalition for Northeast Louisiana
1363 Louisville Ave.
Monroe, LA 71201
Executive Director
Executive
Officers
Mary Kate Smith
President
Stalanda Butcher
Past President
Name of Business: _______________________________________________
Contact: _____________________________Phone No: _________________
_____ Yes, my ___________________contribution is enclosed.
Jody Stratton
President Elect
Dr. Gail Autrey
Secretary
_____ Yes, I am interested. My end of year date is _____________________.
I would like to be invoiced for the contribution to the
Mark Parrish
Treasurer
School Readiness Tax Credit Program thirty days before
Board Members
my end of year date. Please Contact Me.
Aimee Anthony
Anna Arnold
Darian Atkins
Janis Barraza
Mark Boyle
Margaret Brock
Adrian Fisher
Lois Jordan
Terry Levine
Lisa Longenbaugh
Jay Mitchell
Dr. Lynn Morris
Patti Nelson
Ellen Prather
Cynthia Rodriguez
Michelle Saucer
Carmen Sims
Flint Smith
Julie Weaver
_____ Yes, I am interested in hearing more about this. Please call me with
more information or to schedule a meeting.
Checks may be mailed to the above address.
All checks should be made payable to:
Children’s Coalition for Northeast Louisiana
Please reference “School Readiness Tax Credit” on the memo line.