HomeMy WebLinkAboutExhibit ACONTACT INFORMA TION:
Contact Person: Ana Sexton
Title: Controller
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
Phone number: 305-529-5400
Email Address: asexton@thecuban.org
Name of Person completing this form: Ana Sexton
Legal Name of Organization: Cuban Museum, Inc.
Address (Street, City, State, Zip Code): 1200Coral Way
Miami, Florida 33145
Executive Director of Organization: Carmen Valdivia
Executive Director email: cvaldivia@thecuban.org
Executive Director Contact Phone Number: 305-529-5400
The organization is a registered and active State of Florida Corporation (select one):
For -profit organization
ri Not -for profit organization {501(3)(c))
LILocal governmental unit
LJState governmental unit
7 Educational and academic institution
City of Miami department, agency and board
Return this form to: mtrevino@miamigov.com
Last revised June 5, 2019
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City of Miami
Anti -Poverty Initiative Program
Funding Request Form
ORGANIZATION AND PROGRAM/PROJECT INFORMATION
Organization History and Background Information:
American Museum of the Cuban Diaspora was founded to promote and preserve the history, culture and art
of the Cuban Diaspora. The museum offers guided tours to students from kindergarten to university level, art and
cultural exhibitions, cultural conversations and hosting of international groups interested in exile culture.
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:
250
1 day per week
5 to 95
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/Miami Roads
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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Return this form to: mtrevino@miamigov.com
Last revised: September 16, 2019
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
Program/Project Title: Cuban Museum Cultural Programs.
Project/Program Description: Cuban Museum Cultural Programs to Include: Sunday Senior Matinees,
Weekday Children Guided Tours, Thursday Cuban Literature Appreciation, Saturdays at the museum.
Auditorium will host film presentations, artists, cultural directors, book presentations, etc., while
educational tours will take place at the gallery.
Program Start Date: January 2020 Program End Date: On -going
Please describe how this program/project and funding will alleviate poverty within the City of
Miami?
The program will provide access to cultural and educational programs to anyone with or
without resources thus enhancing the cultural fabric of the City including its underprivileged residents.
IMPACT AND PERFORMANCE:
Describe overall expected outcomes and performance measures for this project/program:
There will be a sign -in log at the registration desk to document City of Miami residency.
Photographs of the events will be taken by museum staff.
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
Page 3 of 5
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 funds will be utilized for the Cuban Museum's Weekly Cultural Programs: Sunday Senior Matinees, Weekday Children Guided Tours,
Thursday Cuban Literature Appreciation, Saturdays at the museum and to underwrite some of the costs associated with the program
which include professional services, such as lecturers, artists etc., as well as marketing, supplies and snacks for seniors' and children's tours.
Itemize API funding related to expenditures below:
Personnel Salaries & Wages: $
Personnel Benefits $
Space: $
Utilities (Electricity, Phone, Internet): $
Supplies: $1920
Marketing: $2000
Transportation (Participants): $
Meals (Participants): $2080
Professional Services (List each): 4000
Other (please describe):
Other (please describe):
Other (please describe):
Return this form to: mtrevino@miamigov.com
Last revised June 6, 2019
Page 4of5
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): Carmen Valdivia
Date: 12/17/2019 Revised 12/30/2O19
Additional Comments:
To be completed by District Commissioner/Mayor's Office
Recommended for funding: Yes it'NoD
Funding Recommendation:
Commission Meeting Date:
Additional Comments: -tf �Q
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Completed b (Prints Sign): 7
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To be completed by the Department
Received by (Print & Sign): ///
Date:
Additional Comments:
Return this form to: mtrevino@miamigov.com
Last revised June 6, 2019
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