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HomeMy WebLinkAboutExhibit ACity of Miami Anti -Poverty Initiative Program Funding Request Form CONTACT INFORMATION: Contact Person: Guido Conill Title: Director Phone number: 305-972-8268 Email Address: albarical@yahoo.com Name of Person completing this form: Guido Conill Pigs Museum & Library of the 2506 Brigade Inc. Legal Name of Organization: Bay of Address (Street, City, State, Zip Code): 1821 SW 9 Street, Miami, FL 33135 Executive Director of Organization: JR Lopes de la Cruz Executive Director email: JR@lopezdelacruz.com Executive Director Contact Phone Number: 305-989-5721 The organization is a registered and active State of Florida Corporation (select one): EI z EI EI For -profit organization Not -for profit organization {501(3)(c)} Local governmental unit State governmental unit nEducational and academic institution nCity 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 ORGANIZATION AND PROGRAM/PROJECT INFORMATION Organization History and Background Information: The Museum of Brigade 2506 was founded in 1986 for the purpose of disseminating the story of the 2506 Brigade and the struggle of the Cuban people to bring freedom and the return to a democratic way of life, rule of law and respect for human rights. 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 5 days a week all ages 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) Citywide Neighborhood/Community being served: Little Havana and Greater Miami area 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 nImproving housing opportunities and complete minor housing repairs and ADA nu• pgrades for low income elderly and veterans Page 2 of 5 Return this form to: mtrevino@miamigov.com Last revised June 6, 2019 City of Miami Anti -Poverty Initiative Program - Funding Request Form Program/Project Title: Brigada 2506 Historic Education Plan Project/Program Description: Disseminate historical information related to the Bay of Pigs invasion of Cuba in 1961 and historic events that affected Miami, the State of Florida, and the Untied States. The program attracts local residents as well as many tourists to the area. Program Start Date: Current Program End Date. Inflnite Please describe how this program/project and funding will alleviate poverty within the City of Miami? The educational component of the program will assist the residents of the City of Miami and museum visitors to better understand the historic events that took place. Through this process, the needy people of the City of Miami will be educated on the importance of democracy and free enterprise. This education wi11 help empower poverty-stricken individuals within our community and assist in allowing them to leam from the historical experiences. IMPACT AND PERFORMANCE: Describe overall expected outcomes and performance measures for this project/program: We measure the success by the increase in the number of visitors to the Museum. The method used to track this is through a guest sign in book. 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 June 6, 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 reason the funding is being used for the restoration program of existing facilities and audiovisuals is that these two components are part of the educational programming's success. Without these mechanisms in place the program will not be possible. Itemize API funding related to expenditures below: Personnel Salaries & Wages: $ Personnel Benefits $ Space: $ Utilities (Electricity, Phone, Internet): $ Supplies: $ Marketing: $ Transportation (Participants): $ Meals (Participants): $ Professional Services (List each): Other (please describe): $10,000 (see above) Other (please describe): Other (please describe): Return this form to: mtrevino@miamigov.com Last revised June 6, 2019 accurate and complete. Completed by (Print & Sign): Date: 11/27/2019 City of Miami Anti -Poverty Initiative Program Funding Request Form To be completed by the Entity/Recipient By signing below you agree to the guideli tipulate that the information provided on this form is Z:64 21.-de- /.t OW Additional Comments: Thank you for your great assistance. To be completed by District Commissioner/Mayor's Office Recommended for funding Funding Recommendation: Commission Meeting Date: Additional Comments: Non 1.1_//a/ /et Completed b Print &Sin p Y( 9: ) Date: r 27// a % / `/ To be completed by the Department Received by (Print & "-ref i=14 Date: /, , Additional Comments: Page 5 of 5 Return this form to: mtrevino@miamigov.com Last revised June 6, 2019