HomeMy WebLinkAboutBack-Up DocumentsCity of Miami
Anti -Poverty Initiative Program
Funding Request Form
CONTACT INFORMATION:
Contact Person: Iani Carvalho
Title: Regional Director of Elderly Services
Phone number: 786-506-1775
Email Address: Carvalho@ccadm.org
Name of Person completing this form: Iani Carvalho
Legal Name of Organization:
Catholic Charities of the Archdiocese of Miami Inc
Address (Street, City, State, Zip Code):
Wilton Manors, FL 33305
1505 NE 26th St
Executive Director of Organization: Peter Routsis-Arroyo
Executive Director email: parroyo@ccadm.org
Executive Director Contact Phone Number: 954-315-2601
The organization is a registered and active State of Florida Corporation (select one):
❑ For -profit organization
❑✓ Not -for profit organization {501(3)(c))
❑ Local governmental unit
❑ State governmental unit
❑ Educational and academic institution
❑ City of Miami department, office of elected official, agency or board
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
ORGANIZATION AND PROGRAM/PROJECT INFORMATION
Organization History and Background Information:
Catholic Charities of the Archdiocese of Miami (CCADM) has been an advocate for social service issues that
impact the most vulnerable populations in South Florida for over 90 years. Since 1977, CCADM has operated
congregate meal sites in Miami Dade County with the purpose of improving the quality of life for the elderly.
CCADM currently operates 11 sites, 5 of which are within the City of Miami.
Is your program/project providing direct services to residents of the City of Miami? Yes ✓DNo❑
Number of residents your entity will serve:
Frequency of Service:
Age Group Served:
.E
Daily (Mon -Fri)
60+
Is your program/project impacting one of Miami's disadvantaged communities? Yes ❑✓ No ❑
Geographic Area Served (specific to this project/program)
District Served (1, 2, 3, 4, 5, Citywide)
Neighborhood/Community being served:
Program/Project Priority area (Select one):
3
Little Havana
❑ Educational Programs for children, youth and adults
❑ Crime Prevention
aElderly meals, transportation, recreational and health/wellness related activities
❑ At -risk youth or youth summer job programs
❑ Transportation services and programs
❑ Job development, retention and training programs
❑ Homeless Services
❑ Food Distribution
❑ Essential supplies, during a State of Emergency, natural disaster, or economic crisis
Page 2 of 5
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
Program/Project Title: Services for the Elderly
Project/Program Description:
The goal of the program is to provide the surrounding communities a place where
elderly can socialize with peers, receive nutritious meals, and have access to information to assist them to continue to live
independently in their homes. Breakfast and lunch will be provided daily, as well as recreational activities to foster
socialization with peers. Menus are developed by a licensed nutritionist to ensure that USDA Dietary requirements are met.
Program Start Date:
07/01/2021 Program End Date: 06/30/2022
Please describe how this program/project and funding will alleviate poverty within the City of
Miami?
The program will provide at least 2/3 of the daily USDA recommnded dietary intake for seniors over the age of 60 years, and the complete daily requirements
for those seniors most at risk of malnutrition. By greatly reducing or eliminating the need for purchasing lood, the program
allows low-income seniors to spend their limited income on other expenses such as; rent, medication, healthcare etc.
IMPACT AND PERFORMANCE. -
Describe overall expected outcomes and performance measures for this project/program
The expected outcomes of the program are for the seniors that we serve to continue living in their homes,
and to either maintain or improve their nutrition status. The number of seniors and
meals served will be reported monthly.
reported monthly.
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
FUNDING REQUEST INFORMATION:
Amount Requested: $199,000
Explain how the City of Miami Anti -Poverty funding will be utilized:
Funds will be used to cover the costs of; 25 breakfasts daily, 50 hot lunches daily,
recreation activities, staff, and other operating costs
Itemize API funding related to expenditures below:
Personnel Salaries & Wages:
$54,935
Personnel Benefits
$12,051
Space Rental:
$
Utilities (Electricity, Phone, Internet):
$1,800
Supplies:
$1,950
Marketing:
$
Transportation (Participants):
$
Meals (Participants):
$48,196
Professional Services (List each):
Other (please describe): waste/Janitorial/Landscape $23,203
Other (please describe): Indirect Costs $18,091
Other (please describe): Insurance/Other Misc $38,774
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
CATHOLIC CHARITIES Community Based
� �;i+: :`,�:;Ir.iir+ri•�=+! i°.`�.ia;�V. I'Myers Senior Center
Catholic Charities of the Archdiocese of Miami, Inc.
Budget Period:07/01/21 to 6/30/22
Budge[Recup
Grant Total
Myers
Revenue
Revenue from Grant
199,000
199,000
Total Revenue
199,000
199,000
Expenditures
Salaries
54,935
54,935
Related Taxes & Benefits
12,051
12,051
Specific Assistance
53,196
53,196
Conference, Mgts, & Events
650
650
Insurance
32,924
32,924
Professional Fees
-
Rent & Utilities
2,808
2,808
Repairs & Maintenance
20,395
20,395
Property, Plant & Equipment
-
Supplies, Printing & Postage
1,950
1,950
Telephone
1,800
1,800
Travel & Vehicle
200
200
Interest & Other Fees
-
-
Other
-
-
Admin Cost covered by grant
18,091
18,091
Admin Cost covered by other fund
-
-
Total Expenditures 199,000 199,000
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
To be completed by the Entity/Recipient
By signing below you agree to the guidelines and stipulate that the information provided on this form is
accurate and complete.
Completed b Print & Sin � '
p vl g: )
Date: 09.14.2021 Peter ltoutsis Arroyo
Additional Comments:
To be completed by District Commissioner/Mayor's Office
Recommended for funding: YesQ Nor-]
Funding Recommendation:
Commission Meeting Date: 1 l) / 2 c'J Z /
Additional Comments:
Completed by (Print & Sign): /01-C
Date: Cf �d zo Z
To be completed by the Department
Received by (Print & Sign):
Date: 9/27/21
Additional Comments:
This funding request is approved to move forward to Commission for approval.
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)