HomeMy WebLinkAboutBack-Up DocumentsCity of Miami
Anti -Poverty initiative Program
Funding Request Form
CONTACT INFORMATION:
contact Person: Samantha Quartennan
Title: Executive Director
Phone number; (786) 312-7102
Email Address; meygaceo@yahoo.com
Name of Person completing this form: Samantha Quarterman
Legal Name of Organization; Multi -Ethnic Youth Group Association, Inc.
Address (Street, City, State, Zip Code): 1466 NW 62 Street
Miami, FL 33147
Executive Director of Organization: Samantha Quarterman
Executive Director email; meygaceo@yahoo.com
Executive Director Contact Phone Number: (786) 312-7102
The organization is a registered and active State of Florida Corporation (select one):
nFor -profit organization
7 Not -for profit organization {501(3)(0}
u Local governmental unit
Li State governmental unit
EllEducational and academic institution
City of Miami department, office of elected official, agency or board
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(Last Revised May 15, 2020)
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
ORGANIZATION AND PROGRAM/PROJECT INFORMATION
Organization History and Background Information:
Since 2021, Multi -Ethnic Youth Group Association, Inc. (MEYGA) has been providing
a wide range of social services to the children, families, individuals, and senior
citizens in the City of Miami, with an emphasis on those residing in Liberty City,
Allapattah, and Little Haiti.
Is your program/project providing direct services to residents of the City of Miami? YesONo❑
Number of residents your entity will serve:
Frequency of Service:
Age Group Served:
75
Daily, Mon. -Fri.
Children, Youth, Adults, Seniors
Is your program/project impacting one of Miami's disadvantaged communities? Yes ❑✓ No ❑
Geographic Area Served (specific to this project/program)
District Served (1, 2, 3, 4, 5, Citywide) 5
LibartyCity,Ailapatali,audLittleHaiti
Neighborhood/Community being served:
Program/Project Priority area (Select one):
I� I Educational Programs for children, youth and adults
❑ Crirne Prevention
Elderly meals, transportation, recreational and health/wellness related activities At-
ririsk youth or youth summer job programs
riTransportation services and programs
P1Job development, retention and training programs
L. I Homeless Services
Food Distribution
P1Essential supplies, during a State of Emergency, natural disaster, or economic crisis
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City of Miami
Anti -Poverty Initiative Program - Funding Request Form
Program/Project Title: MEYGA's Emphasizing Year-round Growth and Achievement
Project/Program Description: MEYGA proposes to provide enhanced year-round social
services to children, families, individuals and senior citizens. These comprehensive,
holistic programs will provide participants with the tools needed to alleviate
poverty with the City of Miami.
Program Start Date: October 1, 2021
Program End Date: September 30, 2022
Please describe how this program/project and funding will alleviate poverty within the City of
Miami?
By providing participants with practical skills and tools, MEYGA will help ensure
participants of all ages are equipped to succeed in life and move out of poverty.
IMPACT AND PERFORMANCE:
Describe overall expected outcomes and performance measures for this project/program:
MEYGA's participants will show measurable increases in age -appropriate outcomes, such as academic achievement, health and nutrition,
job readiness and placement, transporlation access, and referral services. With the Close Our Report, MEYGA will supply an Excel spreadsheet which will
confirm 75 residents were aided. This excel spreadsheet will be supported by sign -in sheets. Each resident will also have a client file confirming their residency in the City of Miami.
Please attach additional pages to the back of this packet, if the space above is not sufficient.
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(Last Revised May 15, 2020)
City of Miami
Anti -Poverty initiative Program - Funding Request Form
FUNDING REQUEST INFORMATION:
Amount Requested: $ 50,000
Explain how the City of Miami Anti -Poverty funding will be utilized:
City of Miami Anti -Poverty funding will be utilized for Personnel Salaries &
Wages and Benefits, Utilities, Supplies, Transportation, Meals (Participants), and
Professional Services.
Itemize API funding related to expenditures below:
Personnel Salaries & Wages: $ 30,000
Personnel Benefits $ 4,000
Space Rental: $
Utilities (Electricity, Phone, Internet): $ 1,000
Supplies: $ 3,500
Marketing: $
Transportation (Participants): $ 5,000
Meals (Participants): $
Professional Services (List each): Acaounting/GrantCoinpliance 6,000
Other (please describe): Payroll Processing Fees 500
Other (please describe):
Other (please describe):
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(Last Revised May 15, 2020)
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): S amantha Quarterinan
Date: February 9, 2022
Additional Comments:
N/A
To be completed by District Coma issioner/Mayor's Office
Recommended for funding: Yes Vl No❑
Funding Recommendation: $50)600 •
Commission Meeting Date: g/ 24/20 VL
Additional Comments:
Completed by (Print & Sign): 1 �'�'S QRSC alts4- v
Date:
To be completed by the Department
_i1 TS�iTvicec,vu�
Received by (Print & Sign):
Date: 5/3/22
Additional Comments:
This item funding request is complete and approved to proceed to Commission for approval.
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(Last Revised May 15, 2020)