HomeMy WebLinkAboutExhibit ACity of Miami
Anti -Poverty Initiative Program
Funding Request Form
CONTACT INFORMATION:
Contact Person: Olden Reese
Title: President
Phone number: 786-357-0600
Email Address: srpastorreese@gmail.com
Name of Person completing this form: Olden Reese
Legal Name of Organization: Men of Impact Development Center, Inc.
Address (Street, City, State, Zip Code): 17610 NW 41st Avenue, Miami Gardens, FL 33055
Executive Director of Organization: Olden Reese
Executive Director email: srpastorreese@gmeil.com
Executive Director Contact Phone Number: 786-357-0600
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, agency and board
Page 1 of 5
Return this form to: mtrevino@miamigov.com
Last revised June 6, 2019
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
O RGANIZATION AND PROGRAM/PROJECT INFORMATION
Organization History and Background Information:
This in a re -envy .ruepern nnm wit !Seger oiieena Mho na a been somermed he pines and are ourreaty al
probation well ihre hopes or the en:gram stepping ae libt eel eddies &Melt !riteeree horn these ilvJividt&rn
The program mi seek to eliminate the risk of these eihzens being rearrested, becoming drug abusers
ar spnnatarils &ML Jr beeernmlg pry DJ direr petens rear would remove Mier once again hcbm edeiety.
is yourpragr^am/project providing direct services to residents crf the city of Miami? +�Nt3❑
Number at residents your entity will serve: 3°
frequency at Service:
Age Group Served:
up to 3 iImes'we a
Men 18 & up
Is your program/project impacting one of Miami's disadvaniaged communities? Yes i,✓�PJo�
Geographic Area Served (specific to this project/prngramj
District Served [f, 2, 3,. d, 5, Citywide) 3
ONeighborhood/Community tieing served: 1 ° ' twirlLtCrty
Program/Project Priority area (Select sine):
11 Educational Programs tar children, youth and adults
El Crime Prevention
Elderly meals, transportation, recreational and health/wellness related activities
L_I At -risk youth ar youth Summer job programs
Transportation services and programs
Jab development, retention and training programs
Homeless Services
Improving housing opportunities and complete minor housing repairs and ADA
upgrades for low income elderly and veterans
Return rhos form to: mtrevIna@1rniarnlgov.com
Last revised June B. 2019
City of Miami
Anti•Poverty Initiative Program • Funding Request Form
Program/Project roe: Meal of Impact Developmem Center
Project/Program Description: This reraiiii t. 5 program would oe giving gene who nave
recently been placed on probabota an opportunity od close hie rewiring doors of irrpnsionment and
s7opq;gl reptaded niferaes die to tree inmiry In rind ceitcloyeratot and a Willi debate. They win aim gain spritsail.
esrrwinnai andgLa.vfce In sambas! offer arse inegenlinl beds Id then Farr lies anc negrcun=aaxxss.
Program Start Date: September 2019 Program End Cate: Tga
Please describe how this program/project and lundirxg will alleviate poverty within the City of
Miami?
Pi 2n i Ts yene'al pubis lain harm ruinnral. el 111,11nerli .ri1 IIae _re.crr.._ri _:! Saint Lrlrre::verra
Reduce recidivism ty Increessg Of Improving economic ant won austairaoie employment
and contribution to state taxing system. Assist with transportation to and from work.
IMPACT AND PERFORMANCE
Describe overall expected outcomes and pertormance measures for this projertjprogram:
Stir woe and sen surrl<mncy mr alaaln i runner .. ...s Thy err, be measured
quartrfirmyrlfaatnsy the Sounsebrs, flobaro.. siTkers ernye-asa'a sresi Progress regainwl he
%sta med to tee sate stomey's orrice i sr seas m rletemnr>t rl the program tee a pcser.e mbar, on. Ina eetreveg reams.
Pleesr Winch afd Pienrelperfer rrr flu, bail of this pellet, if the spare abate is eats{ sa errsa_
Return tints form tot intreeinnttu m lam igov.com.
Last revised Jvne B, 2019
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
FUNDING REQUEST INFORMATION:
Amount Requested: $10,000
Explain how the City of Miami Anti -Poverty funding will be utilized:
As each of the citizens are court appointed to the program, F.L.E. will be the headquarters
for the counseling, mentoring, training/job preparation classes, church services, bible study, etc.
Counselors and clergy will mentor individually and in small intimate private groups.
Itemize API funding related to expenditures below:
Personnel Salaries & Wages: $1 ,000
Personnel Benefits
Space: $1.000
Utilities (Electricity, Phone, Internet): $
Supplies: $1,400
Marketing:
Transportation (Participants): $
Meals (Participants): $600
Professional Services (List each):
Other (please describe): $6,000
Other (please describe): Gass mateyais. counseling
Other (please describe):
Return this form to: mtrevino@miamigov.com
Page 4 of 5
Last revised June 6, 2019
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 by (Print & Sign): Old e,`/ i2 C-�'
Date:07// 7�/' 2/
Additional Comments:
To be completed by District Commissioner/Mayor's Office
Recommended for funding: Yes❑ No❑
Funding Recommendation:
Commission Meeting Date:
Additional Comments:
Completed by (Print & Sign):
Date:
To be completed by the Department
Received by (Print & Sign):
Date:
Additional Comments:
Page 5of5
Return this form to: mtrevino@miamigov.com
Last revised June 6, 2019