HomeMy WebLinkAboutBack-Up DocumentsCity of Miami
Anti -Poverty initiative Program
Funding Request Form
CONTACT INFORMATION:
Contact Person: Iris Hudson
Trtle: Finance Manager
Phone number: (305) 329-4707
Email Address: ihudson ca miarnigov.com
Name of Person completing this form: Iris udson
Legal Name of Organization: Liberty City Community Revitalization Trust
Address (Street, City, State, Zip Code): 4800 NW 12th .Avenue, Miami, Florida 33127
Executive Director of Organization; Elaine Mack
Executive Director email: eblack@rniaznigov.corn
Executive Director Contact Phone Number;5) 3294707
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, office of elected official, agency or board
Return' this form to: mtrevino@miamigov,com
(Last Revised May 15, 2020)
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City of Miami
Anti -Poverty Initiative Program
Funding Request Form
ORGANIZATION AND PROGRAM/PROJECT INFORMATION
Organization History and Background Information:
The Liberty City Community Revitalization Trust (Liberty City Trust) was created pursuant to Ordinance No, 12859.
The Trust is responsible for the oversight and facilitation of the City's revitalization and redevelopment
activities, as well as affordable housing improvements. Since 2015, the Liberty City Trust has
provided over 300 youth with summer job experiences,
Is your program/project providing direct services to residents of the City of Miami? YesEDNo❑
Number of residents your entity will serve: up to 60
Frequency of Service:
Age Group Served:
8 weeks
14 - 18
Is your program/project impacting one of Miami's disadvantaged communities? Yes ENoE
Geographic Area Served (specific to this project/program)
District Served (1, 2, 3, 4, 5, Citywide)
Neighborhood/Community being served: Liberty City
Program/Project Priority area (Select one):
r
Educational Programs for children, youth and adults
Crime Prevention
Elderly meals, transportation, recreational and health/wellness related activities
At -risk youth or youth summer job programs
riTransportation services and programs
Job development, retention and training programs
Homeless Services
Food Distribution
Essential supplies, during a State of Emergency, natural disaster, or economic crisis
Return this form to: mtrevino@miamigov,com
(Last Revised May 15, 2020)
Page 2 of 5
City of Miami
Anti -Poverty Initiative Program M Funding Request Form
Program/ProjectTille: 2022 Summer Youth Employment Program. (YEP)
Project/Program Description: The Summer Youth Employment Program, will employ up to 60
youth between the ages of 14 and 18 from the District 5 surrounding commtnun.ity.
Youth are given the opportunity to work 25 hours per week for 8 weeks at the rate of $ 10.00
per hour.
Program Start Date: 6/13/2022 Program End Date: 8/5/2022
Please describe how this program/project and funding will alleviate poverty within the City of
Miami?
This program will aid and provide (I) income to low-income based families; (2) job experience;
and (3) youth an outlet to keep out of trouble while school is out for the summer.
IMPACT AND PERFORMANCE:
Describe overall expected outcomes and performance measures for this project/program':
Performance will be measured by attendance and evaluation.
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 May 15, 2020)
Page 3 of 5
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
FUNDING REQUEST INFORMATION:
Amount Requested: $150,000.00
Explain how the City of Miami Anti -Poverty funding will be utilized:
Funds received from the Anti -Poverty Program will provide the itemized
expenditures listed below:
itemize API funding related to expenditures below:
Personnel Salaries & Wages:
Personnel Benefits
Space Rental:
Utilities (Electricity, Phone, Internet):
Supplies:
Marketing;
Transportation (Participants):
Meals (Participants):
Professional Services (List each):
$120,500.00
$9200.00
$
$2500.00
$
$
$
Accounting: $3000,00; Inauranao: $5200.00
Other (please describe): Backgrounds: $3400.00
Other (please describe): Payroll Fees: $3080.00
Other (please describe): Uniforms: $3120.00
Return this form to: rntrevine@miamigov.com
(Last Revised May 15, 2020)
Page 4of5
City of Miami
Antipoverty Initiative Program
Funding Request Foram
To be cornpleted 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); ELAINE BLACK
Date: DECEMBER 15, 2021
Additional Comments.;
To be completed by District Commissioner/Mayor's Office
Recommended for funding: Yes ivo[
Funding Recommendation: hh
Commission Meeting Date: /V Jt2/) o _O ZA
Additional Comments:
•
Completed by (Print & Sign); Aiis ft Kit-2
1/
Date: AD trailtrail=LI
To be completed by the Department
Received by (Print & Sign):
Date: 12/22/21
Additional Comments:
This item has been reviewed by the Commissioner's Office and Grants Administration.
It is ready to proceed to Commission for approval.
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
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