HomeMy WebLinkAboutBack-Up DocumentsCity of Miami
Anti -Poverty Initiative Program
Funding Request Form
CONTACT INFORMATION:
ELAINE
Contact Person: H, BLACK
Tice: PRESIDENT/CEO
Phone number:
305) 329-4707
EmAddress: eblack@miatnigov,com
ail
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 12T1-1 AVENUE
MIAMI, FLORIDA 33.127
Executive Director of Organization: ELAINE II BLACK
Executive Director email: ebtaek@miamigov,com
Executive Director Contact Phone Number: (305) 329-4707
The organization is a registered and active Stte of Florida Corporation (select one):
For -profit organization
Not -for profit organization (501(3)(c)}
Local governmentai unit
State govern entalunt
Educational and academic institution
riCity of Miami department, office of elected official, agency or board
Return this form to: mtrevirio@miamigov.com
(1_st Revised May 15, 2020)
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 (Liborty City Trust) was created pursuant to
Ordinance .No, 1.2839, The Trust is responsible for the oversight and facilitation of the City's
revitalization and redevelopment acivities as -wen as affordable housing improvements.
Since 201,5, the Liberty City -Trusthas provided over 300 youth with summer job experiences.
Is your program/project providing direct services to residents of the City of Miami? YesiDNoE:
Number of residents your entity will serve: UP to 90
Frequency of Service: 8 Weeks
Age Group Served
14 to 18
ls your program/project impacting one 0 Miamrs disadvantaged communities? Yes [ZING fl
Geographk 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)
Educational Programs for children, youth and adults
Crime Prevention
riElderly meals, transportation, recreational and h eliness related activities
If At -risk youth or youth summer job programs
Transportation services and programs
Job development, retention and training programs
[1] Homeless Services
[-I Food Distribution
Essential supplies, during a State of Emergency, natural disaster, or economic crisis
Return this form to: rntrevinc@rniamigov.corn
{Last Revised May 15, 2020)
City of Miami
Anti -Poverty initiative Program a Funding Request Form
Program/Project Title: 2022 Summer Youth Employment.Pr°ogram (YEP)
Project/Program t escrtptionA Additional Fund Request
I"he suxnm.er .youth employment program will employ additional youth between
the ages of 14 to 18 from District 5 and surrounding community Youth are .given the
opportunity- to work 20 to 25 hours per week for .8 weeks at the rate of $10.00 per hour,
Program Start mate; 6/13/2°22 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 mad provide: (1
inc.cxrnc to low-income based
and (3) youth an outi,e't to keep out of trouble while school is in recess d:urin
1 M PAC" AND PERFORMANCE:
e summer,
Describe overall expected outcomes- and performance rneas:ures for this project/program:
Per brrrrances will be measured by attendance and evaluation of perfonrnance, The
outcome', is to decrease the number ofrisky behaviors that endanger their safety and
..
health; increase positive peer relationships, financial literacy and work experience...
Please attach additional pages to the back of this packet; if the space above is wt sufficient
.
Return this form to: mtreviaigov,coni
(Last Revised May 15, 2020)
5
City of Miami
Anti -Poverty initiative Program - Funding Request Form
FUNDING REQUEST INFORMATION:
AMOUnt Requested; $ 150,00(100
Explain how the City of Miami Anti -Poverty funding will be utilized:
Funds rcceived from the .Anti -Poverty Program will provide the iteniized
expenditures listed below
Itenvze API funding related to expenditures below:
Personnel Salaries & Wages:
Personnel Benefits
Space Rental:
utilities (Electricity, Phone, Internet):
Supplies:
arketing
Transportation (Participants):
Meals (Participants):
$122,000,00
$9,333,00
$1000.00
$
$3000.00
Professional Services (List each); Counselor: 4000.00
Other (please describe): Uniforms: 3372,00
Other (please.describe): Back
Other (please describe)',
Return this form to: mtmvin ig
(Last Revised May15, 2020}
4095.00
roll Fees: 3200,00
1744. 4 of 5
City of Miami
Anti -Poverty initiative Program
Funding Request Form
Ti be completed by t lent
By signing below you agree to the guidelines nd stpuIte that h nformaton provided on this form is
accurate and complete.
Elai
Completed by (Print & Sign): ne H. Black
Date: May 1 7, 2022
Additional Comments:
To be completed by District Cornmssion
Recommended for funding:: Yes No E
Funding Recommendation°,
Commission Meeting Date:
Additional Comments:
Ci)mple te by ( rin:t & Sign):
Date: to I 0 tO Me
1
p' 0 "c
To b iompieted by the Department
./
ReCeived by.,(Print & SElaine Blackign):
Dte: 4,°41 ,r1i)
Additional Com n
Return this form to; rntrevino@i»i4migov,corn
(Laq Revised May 15, 2020)
5