HomeMy WebLinkAboutSelf IdentificationThis form must be
turned in as a part of
the approval process.
Data Collected for August 2009 Reporting
Sey'Idendfication
Please fill in the information requested below and return this form to your
program representative. The SFSP fax number is (850) 245-9276.
Shaded areas are text boxes
Sponsor # 04-0899
Sponsor Full Legal Name* City of Miami Department of parks and
Recreation
Sponsor City Miami ,Florida 33130
* Provide the full legal name. Do not use abbreviations or acronyms.
O r,yanizational Type (check one below)
❑ SEC- Non -Profit Organization (Secular)
❑ FBO- Non -Profit Organization (Faith -Based)
❑ EDU- Educational Institution
x❑ GOV- State or Local Government
❑ O`_rH- Other
Program Representative (check one below)
❑ Donna Salyers Region 1
❑ Wendy Rude Region 2
❑ Lisbeth Rytlewski Region 3
❑ Lori Ciszak Region 4
❑ Awilda Font Region 5
❑m
Craig Clemer Region 6
❑ Lisa Rodriguez Region 7
0 Brenda Dekle Region 8