HomeMy WebLinkAboutExhibit ACity of Miami
Anti -Poverty Initiative Program
Funding Request Form
CONTACT INFORMATION:
Contact Person: Sherria Ellitt
Title: VP
Phone number: 786-277-2693
Email Address: arkofthecity@gmail.com
Name of Person completing this form: Sherria Elliott
Legal Name of Organization: Ark of the City, Inc.
Address (Street, City, State, Zip Code): 6100 NW 2nd Ave.
Miami, Fl 33127
Executive Director of Organization: Terry Elliott, Sr.
Executive Director email: arkofthecity@gmaiLcom
Executive Director Contact Phone Number: 786-277-2687
The organization is a registered and active State of Florida Corporation (select one):
For -profit organization
VI Not -for profit organization {501(3)(c)}
Local governmental unit
State governmental unit
Educational and academic institution
City of Miami department, agency and board
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Return this form to: mtrevino@miamigov.com
Last revised: September 16, 2019
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
ORGANIZATION AND PROGRAM/PROJECT INFORMATION
Organization History and Background Information:
Christmas on 15th was established in 2007 by Sherria & Terry Elliott, Sr. and whose
vision is to give back to underprivileged inner-city youth who would not have an opportunity
to enjoy a joyful Christmas.
Is your program/project providing direct services to residents of the City of Miami? Yes❑✓ No❑
Number of residents your entity will serve:
Frequency of Service:
Age Group Served:
500 children and families
once a year
1-17 years old
Is your program/project impacting one of Miami's disadvantaged communities? Yes ✓❑No n
Geographic Area Served (specific to this project/program)
District Served (1, 2, 3, 4, 5, Citywide) 2
Neighborhood/Community being served: Liberty City
Program/Project Priority area (Select one):
nE• ducational Programs for children, youth and adults
nC• rime Prevention
nE• lderly meals, transportation, recreational and health/wellness related activities
nA• t -risk youth or youth summer job programs
nT• ransportation services and programs
nJob development, retention and training programs
nH• omeless Services
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Last revised: September 16, 2019
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
Program/Project Title: Christmas on 15th Avenue
Project/Program Description: To create an area in Liberty City that encompasses hope, inspiration, and
greatness during the Christmas holiday. Toys and food will be given to 500 children and families
in an economically disadvantaged area, Liberty City. Other services will be provided such as: dental care check up,
high blood pressure check, farm share, and cancer awareness information from Univ. of Miami.
Program Start Date: 12/21/19 Program End Date: 12/21/19
Please describe how this program/project and funding will alleviate poverty within the City of
Miami?
The toys, food, and medical services will aid families living in an economically disadvantaged area. These under-priviledged
children and families will have the core purpose of Christmas restored and be provided with health awareness
information as well as the holiday spirit despite social and economic challenges that plague their community.
IMPACT AND PERFORMANCE:
Describe overall expected outcomes and performance measures for this project/program:
To bring the children of this community consistent joy and holiday spirit with the added
benefit of toys and food. This will be measured by address lists showing the
City of Miami residents and pictures.
Please attach additional pages to the back of this packet, if the space above is not sufficient.
Return this form to: mtrevino@miamigov.com
Last revised: September 16, 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:
The fund will be utilized for a kidzone to include attendees to keep them safe.
Meal preparation and distribution to all attendees, advertisements, and our
stapple stuffed animal
Itemize API funding related to expenditures below:
Personnel Salaries & Wages: $
Personnel Benefits $
Space Rental: $
Utilities (Electricity, Phone, Internet): $
Supplies: $
Marketing: $400
Transportation (Participants): $
Meals (Participants): $2,100
Professional Services (List each):
Other (please describe): Toys/stapple bears $1,500
Other (please describe): KIDZONE $6,000
Other (please describe):
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Return this form to: mtrevino@miamigov.com
Last revised: September 16, 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): Sherria Elliott
Date: 11/06/19
Additional Comments:
To be completed by District Commissioner/Mayor's Office
Recommended for funding: Yes Nop
Funding Recommendation: �' C`J 000
Commission Meeting Date;
Additional Comments:
Cam fe#edy(Pint&Sign): eA - Cctp_U r--
Date: (4 11
To be completed by the Department
Received by
Date:
Print & Sign):
/
Additional Comments:
c if
Return this form to: mtrevino@miarnigov.com
Last revised: September 16, 2019
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