HomeMy WebLinkAboutBack-Up DocumentsCity of Miami
Funding Request Form
COWACT INFORMAT101Y.,
Contad: Person: ELAINE H, BLACK
Title., P,RE SIDENT/CEO
p[jone number, (305) 329-4707
Emall Address-, eb1ack@nij.amigo'v,eom
Name of Personcompletj ngthis form IRIS HUDSON
Legal Nacne of Organization, LIBERTY CITY COMMUNITY REVITALIZATION TRUST
Address (Street, City, State, Zip Code), 4900 NW' 1.2TH AVENUE
TMIAMI, ITORID A 33127
Executive Director of organi2ation- ELAINE, 1-1. BLACK
Executive Director main, eblack&iiarifigov,com
Executive Director contact Phone Number, (305) 329-4707
Ths organization is a registered and active State of Florida Corporation (select one),
1-1 For -profit organization
El. Not -for profit organizalion (501(3)(C)l
21 Local governmental unit
0 State governmental unit
ElEducational and academic institution
11 City of M !am i department, office of elected official, agency or board
Return this form to, rntrev1no@mjamjgov,cotn
(Last Revised May 15, 2020)
Cityof Miami
Anti -Poverty Initiative Program.
Funding Request Form
11
1 11 11151F�'1111 I Fill III '' 11117111 111111111i'll rj!'1111P I I � I � I I I I I! � I I I I I
Organization History and Background Information:
The Liberty City Community Revitalization Trust (Liborty City Trust) was created pursuant to
Ordinance No, 1,2939, The Trust is respons . iblo for the oversight and facilitation of the City's
revitalization and redevelnl)inent activities, as well as affordable housing improvellients,
-Since 201,51 the Liberty City Trust has provided over 300 Youth with summer job eaxon enices,
iq�11@1111
Number of residents your entity will serve. W 0 90
Frequency of Service, 8 weeks
Age Group Served, 14 to 18
IS your program/project impacting one of Miami's disadvantaged communities? yes [21.No E]
Geographic Area Served (specific to this project/program)
District Wved (1, 2, 3, 4, 5, Citywide)
Neigh borhood/Communitybeingserved: Liberty City
ElEducational Programs for children, youth and adults
Ulme Prevention
Elderly meals, transportation, recreational and health/wellness related activities
ZAt -risk youth or youth summer job programs
Transportation services and programs
Job development, retention and training prograrns
Homeless Services
Food D18tribution
ElEssential supplies, during a State of Emergency, natural disaster, or economic crisis
Return this form to: mtrevino@rniatiilgov.corn 2 45
)Lust Revised Mays 15, 2020)
City of Miami
Anti -Poverty Initiative Program -
Funding,
Form-
Program/Project Titles 2022 SwTnnor Youth Employment Program (YEP)
Project/Program Descriptiow Additional Fund Request
That, swi timer youth employment program will employ additi : al youth between
t itgres of 14 to 18 from istricst 5 and surrowiding coininunity. Youth aregiven the
OPPOitunity to work 20 to 5 hoLirs per week for 8 weeks at the rate o 10. 00 per ho-ur.
Pr rare Start Date; 6/131/2022 Program End Date: 8/5/2022
P[eaw describe how this, program/project and funding will alleviate poverty within the City of
Miami?
This progmin will aid and provide: (1) income to low-income basodfamilies; (2)job xperie ce;.
an,d 3) youth an O tiet to keep out of t Uble while school is in recess daring the summer,
Describe overall expected outcomes and performance measures for this project/program.,
Perfiortnatices will be r a red by tteclanee acid val atica� o ezz�. n arzc a `he
outcome is to decreasethe tuber ofrisky behaviors tb t encj-°agar them' safe ° and
health; inerease pos1t,.jv.e peer, relationships, financial literacy and work experience,
Please aafttac h addifionalpages to the back Of thispacketA if the space ce above is not sufficient..
Return this fortes to: mtrevino@ iar igov,conj Page 3 or 5
LW Revised May 15, 2020)
City of Miami
Anti -Poverty initiative Program - Funding Request Forrr.
FUNDING REQUEST INFORMATION,-
Aniount Requested; $ 150,000M
ExpWn how the City of Miami Anti -Poverty funding will be utilized:
Funds le-ceived ftom the Anti -Poverty Program W1,11 provide the itemized
exPendiftwes listed bflow
fterni7e API funding related to expenditures below.,
Personnel Salaries & Wages:
Personnel Benefits
Space Rentah
�Alffles (Electricity, Phone, lnternet):
5upplie's.
1,0arketing.-
Transportation (Participants):
teas Warticlpants);
Professional Services (List eacl)),
$122,0W00
$9,33.3,00
I
$3000.00 mmm
Counselor: 4000.00
Other (please describe)-, Uniforms: 3372.00
Other (Please describe):
Other (please describe)., tayroll Fees. 3200.00
Return this forrn to: mtrevhiu@m.iamigov.com
(Last Revised May 15, 2020)
Page 4 of 5
City of Miami
Funding Request Form
To be Completed by the Enthy
By,signing below you agree to the guidefines and stipulate that tho Information provided on this form is
accurate and complete.
Ufnpieted by (Print & Signi: Elaine H. Black
Dated Mai 17, 2022
Additional Comments�
To be completed by District Commissioner/Mayor's office
Recommended for funding: Yes[] No.0
R10.6719. Recommendatiow. ---
Cornrhisiion Meeting Maw
Additlonal Comments°
Complete by( rint&Sign).
Date -
Elaine Black
RpceNed byjPrint & Sign).
r1ts.
Additional I Co m ts: n' )
Return this form w mtreviiiu@ll)iarolgov.com
(Last RLuvised May 15, 2020)
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