HomeMy WebLinkAboutBackup Documents SUBTHIS DOCUMENT IS A SUBSTITUTION TO
ORIGINAL. BACKUP ORIGINAL CAN BE
SEEN AT THE END OF THIS DOCUMENT.
CONTACT INFORMATION:
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
Contact Person: Elaine H. Black
Title: President/CEO
Phone number: (305) 329-4707
Email Address: eblack@miamigov.com
Name of Person completing this form: Iris Hudson
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 H. Black
Executive Director email: eblack@miamigov.com
Executive Director Contact Phone Number: (305) 329-4707
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
nState governmental unit
Educational and academic institution
riCity of Miami department, office of elected official, agency or board
Page 1 of 5
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
FILE NO. 11978 Backup SUB
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
ORGANIZATION AND PROGRAM/PROJECT INFORMATION
Organization History and Background Information:
THIS DOCUMENT IS A SUBSTITUTION TO
ORIGINAL. BACKUP ORIGINAL CAN BE
SEEN AT THE END OF THIS DOCUMENT.
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 affordable
housing improvements. Since 2015, the Liberty City Trust has provided over 300 youth with summer job experience and
has leveraged relationships within the community to provide essential services and support to local businesses and residents.
Is your program/project providing direct services to residents of the City of Miami? Yes❑✓ No❑
Number of residents your entity will serve: 150
ongoing
Frequency of Service:
Age Group Served:
14to25
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
Neighborhood/Community being served: Liberty City
Program/Project Priority area (Select one):
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
Transportation 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
Page 2 of 5
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(Last Revised May 15, 2020)
THIS DOCUMENT IS A SUBSTITUTION TO
ORIGINAL. BACKUP ORIGINAL CAN BE
SEEN AT THE END OF THIS DOCUMENT.
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
Program/Project Title: 2022 Youth Employment Program (YEP) and other support services.
Project/Program Description: The youth employment program will employ youth between
the ages of 14 to 18 from District 5 and surrounding community.
Program Start Date: May 2022 Program End Date: December 2022
Please describe how this program/project and funding will alleviate poverty within the City of
Miami?
This program will aid and provide: (1) Income to low-income based families;
(2) Job experience; (3) youth an outlet to keep out of trouble while school is in recess
during the summer; and (4) social services support and other assistance needed.
IMPACT AND PERFORMANCE:
Describe overall expected outcomes and performance measures for this project/program:
Performance will be measured by attendance and evaluation of delivery of services.
The results will enhance skills, work performance, and experience needed.
There will be periodic evaluations of the delivery of services within the community.
Please attach additional pages to the back of this packet, if the space above is not sufficient.
Page 3of5
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
THIS DOCUMENT IS A SUBSTITUTION TO
ORIGINAL. BACKUP ORIGINAL CAN BE
SEEN AT THE END OF THIS DOCUMENT.
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
FUNDING REQUEST INFORMATION:
Amount Requested: $ 50,000.00
Explain how the City of Miami Anti -Poverty funding will be utilized:
Funds received from the Anti -Poverty Program will support the cost of
additional personnel, i.e. Project Manager for the Youth Employment Program
and other community services
Itemize API funding related to expenditures below:
Personnel Salaries & Wages: $50,000.00
Personnel Benefits $
Space Rental: $
Utilities (Electricity, Phone, Internet): $
Supplies: $
Marketing: $
Transportation (Participants): $
Meals (Participants): $
Professional Services (List each):
Other (please describe):
Other (please describe):
Other (please describe):
Page 4 of 5
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
THIS DOCUMENT IS A SUBSTITUTION TO
ORIGINAL. BACKUP ORIGINAL CAN BE
SEEN AT THE END OF THIS DOCUMENT.
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): Elaine H. Black
Date: May 27, 2022
Additional Comments:
A Project Manager will enhance delivery of services to youth.
To be completed by District Commissioner/Mayor's Office
Recommended for funding: Yes No❑
Funding Recommendation:
Commission Meeting Date:
Additional Comments:
Completed by (Print & Sign):
Date:
To be completed by the Department
Received by (Print & Sign): ELAINE H. BLACK
Date: -.� l.G-
Additional Comments:
f
Page 5 of 5
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
SUBSTITUTED
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
CONTACT INFORMATION:
Contact Person: Elaine H. Black
Title: Prsesident/CEO
Phone number: 305-3294707
Email Address: eblack rx miamigov.eom
Name of Person completing this form: Iris Hudson
Legal Name of Organization: Liberty City Community Revitvali ation Trust
Address (Street, City, State, Zip Code):
4800 NW 12th Avenue; Miami, FL 33127
Executive Director of Organization: Elaine H. Blae
Executive Director email: eblack@miamigov,c
Executive Director Contact Phone Number: 3
m
329-4707
The organization is a registered and act' e State of Florida Corporation (select one):
nFor -profit organization
n Not -for profit orga ation {501(3)(c)}
lid Local governor- tal unit
❑ State gover mental unit
❑ Educat'•nal and academic institution
❑ Ci of Miami department, office of elected official, agency or board
Retu this form to: mtrevino@miamigov.com
st Revised May 15, 2020)
Page 1of5
SUBSTITUTED
City_ of Miami
Anti -Poverty Initiative Program
Funding Request Form
ORGANIZATION AND PROGRAM/PROJECT INFORMATION
Organization History and Background Information:
The Liberty City Community Revitialization Trust (Liberty City Trust) was created pursuant to Ordiance No
2859.
The Trust is responsible for the oversight and facilitiation of the City's revitalization and redev opment activities,
as well as affordable housing improvements. Since 2015, the Liberty City Trust has provided over 300 youth wi . suuuner job experience dnd
have leverage relationships within the community to provide essential scr ces and support to locbusinesses and residents.
Is your program/project providing direct services to residents of e City of Miami? YesINo❑
Number of residents your entity will serve: 300
Frequency of Service:
Age Group Served:
on go
14 to 8 years
Is your program/project impacting one of Miami' disadvantaged communities? Yes 1—_—_INorj
Geographic Area Served (specific to this pr• ject/program)
District Served (1, 2, 3, 4, 5, City de) 5
Neighborhood/Community being s
ed: Liberty City
Program/Project Priority area (Sele one):
n
LI
Elderly meals ransportation, recreational and health/wellness related activities
nAt -risky❑ or youth summer job programs
nTransp• ation services and programs
I✓� Job evelopment, retention and training programs
meless Services
Food Distribution
Essential supplies, during a State of Emergency, natural disaster, or economic crisis
Educational Progra
Crime Preventio
for children, youth and adults
R• turn this form to: mtrevino@a miamigov,com
(Last Revised May 15, 2020)
Page 2 of 5
SUBSTITUTED
City of Miami
Anti -Poverty Initiative Program Funding Request Form
2022 Youth Employment Program (YEP) and other support services for seniors and families.
Program/Project Title:
Project/Program Description: The youth employment program will employ youth be
een
the ages of 14 to 18 from District 5 and surrounding community. In addition, s: ices
for seniors and families will be provided.
Program Start Date: May 2022
Program End Date: Decembe
022
Please describe how this program/project and funding will alleviate pa erty within the City of
Miami?
This program will aid and provide: (1) Income to low-income based families; (2) Job experienc; (3) Youth an outlet
to keep out of trouble while school is in recess during the +comer; and (4) Seniors and
families will receive housing, social services support = d other assistance needed.
IMPACT AND PERFORMANCE:
Describe overall expected outcomes and performce measures for this project/program:
Performance will be measured by attenda e and evaluation of delivery of services.
The results will enhance skills, work p rformance, and experience needed.
There will be periodic evaluations o the delivery of services within the community.
Please attach a, l itional pages to the back of this packet, if the space above is not sufficient.
e rn this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
Page 3 of 5
SUBSTITUTED
City of Miami
Anti -Poverty initiative Program - Funding Request Form
FUNDING REQUEST INFORMATION:
Amount Requested: $50,000.00
Explain how the City of Miami Anti -Poverty funding will be utilized:
Funds received from the Anti-Povery Program will support the cost . ' additional
personnel, i.e. Project Manger for the youth erpIoymentprofram and other community activi es.
Itemize API funding related to expenditures below:
Personnel Salaries & Wages: $50,000.00
Personnel Benefits
Space Rental: $
Utilities (Electricity, Phone, Internet):
Supplies:
Marketing:
Transportation (Participants): $
Meals (Participants): $
Professional Services (List eac
Other (please describe):
Other (please describe):
Other (please describ
e rn this form to: mtrevino@miamigov.com
Last Revised May 15, 2020)
Page 4 of 5
SUBSTITUTED
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 t 's form is
accurate and complete.
Completed by (Print & Sign): Elaine H. Black
Date: May 27, 2022
Additional Comments:
A project Manager will enhance delivery of services to youth, seniors an - families.
To be completed by District Commissioner/Mayor's Office
Recommended for funding: Y U✓ N/o❑ o
Funding Recommendation: S `-' OC)
Commission Meeting Date: t ill Q 9, Z b2
Additional Comments:
Completed by (Print & Sign): (/1'11(
'
Date: /Y/`/l-76026-99
To be completed by the Depart ent
Received by (Print & Sign):
5/31/22
Date
Additional Comm
r % c ALP %rr ci2 461 t �
ts: This API Funding Request has been reviewed and approved to be placed on the 6/9/22
Commission Agenda.
Page 5of5
e rn this form to: mtrevino@miamigov.com
Last Revised May 15, 2020)