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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) Page 0 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) Page