HomeMy WebLinkAboutBack-Up DocumentsCity of Miami
Anti -Poverty Initiative Program
Funding Request Form
CONTACT INFORMATION:
Contact Person: Yesenia A. Collazo
Title: Attorney
Phone number: 305-477-6401
Email Address: collazo@collazolawfirm.com
Name of Person completing this form: Yesenia A. Collazo
Legal Name of Organization: LEGAL FOUNDATION INC
Address (Street, City, State, Zip Code): 10200 NW 25 STREET #201
Miami Florida 33172
Executive Director of Organization: Yesenia A. Collazo
Executive Director email: collazo@collazolawflrm.com
Executive Director Contact Phone Number: 305-4776401
The organization is a registered and active State of Florida Corporation (select one):
EI
❑✓
EI
EI
EI
EI
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)
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
ORGANIZATION AND PROGRAM/PROJECT INFORMATION
Organization History and Background Information:
We provided these services via the Legal Clinic of the PRBA which had offices in
South Florida and Orlando. The Legal Foundation is a new 501 (c) (3)
focusing on the needs of the underserved and lower income individuals
in Miami and South Florida.
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:
80
Daily
18 years and older
Is your program/project impacting one of Miami's disadvantaged communities? Yes QNo ❑
Geographic Area Served (specific to this project/program)
District Served (1, 2, 3, 4, 5, Citywide) 1
Neighborhood/Community being served: Allapattah, North Little Havana
Program/Project Priority area (Select one):
El
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
rage 2 of 5
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
Program/Project Title: Legal Foundation, Inc.
Project/Program Description: Legal Foundation will provide free consultation,
guidance and representation to low income and underserved individuals and their
families, providing them the same legal recourse and accessibility to our
justice system as any other Floridian
Program Start Date: 03/01/2023 Program End Date: 03/01/2024
Please describe how this program/project and funding will alleviate poverty within the City of
Miami?
Legal assistance remains out of reach for the majority of Americans. We will bridge the justice gap by providing
legal consultations, guidance and representation in a culturally sensitive manner
that allows the clients to feel dignity and respect while receiving the assistance.
IMPACT AND PERFORMANCE:
Describe overall expected outcomes and performance measures for this project/program:
The outcome will be measured by the number of clients we serve, which will be
documented by intake forms, logs, files and case management software.
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)
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
FUNDING REQUEST INFORMATION:
Amount Requested: $175,000.00
Explain how the City of Miami Anti -Poverty funding will be utilized:
The funds will be used to locate, educate, consult and represent disadvantaged City of Miami
residents with their legal needs.
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):
Other (please describe):
Other (please describe): Insurance $5000.00
Other (please describe):
$17500.00
$24,000.00
$10,000.00
$17,000.00
$10,000.00
$71,500.00 CPA, AUDITOR,CONTRACT ATTORNEYS
Court Fees, filing fees, $20,000.00
Return this form to: mtrevino@miamigov.com
(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): YESENIA COLLAZO u.^�`�'
Date: 2-15-2023
Additional Comments:
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):
Date:
Additional Comments:
Page 5 of 5
Return this form to: mtrevino@miamigov.com
(Last Revised May 15, 2020)
City of Miami
Office of the City Attorney
Legal Services Request
To: Office of the City Attorney
From: Malissa T. Sutherland
Contact Person
Date: 2/17/23
Office of Grants Administration
Requesting Client
Administrative Assistant II Legal Foundation will provi
Title
Telephone
Legal Service Requested:
API Legislation Review - The attached legislation is being sent for review/signature. District 1 has
approved an API allocation to Legal Foundaiton, Inc. in the amount of $175,000 pending approval at
the 3/9/23 Commission meeting.
Complete form and forward to the Office of the City Attorney or e-mail to Legal
Services.
Do not assume that the Office of the City Attorney knows the background of the
question and/or issue, such as opinions on the same or similar issues, the existence of
relevant memos, correspondence, etc. Please attach to this form and/or e-mail all
pertinent information relating to the subject.
Once your request has been assigned, an e-mail will be sent to you with the
Assigned Attorney's name and the issued matter identification number.
All attorneys in the Office of the City Attorney shall fully comply with the Rules
Regulating The Florida Bar.
Supplemental page attached.
Authorized by:
Date response requested by: 2/17/23
BELOW PORTION TO BE COMPLETED BY THE OFFICE OF THE CITY ATTORNEY
Assigned Attorney: Date: File No.
Approved by: Ultimate Client:
Comments: D / R Date:
Type:
Matrix:
Category:
ri Copy returned to Requesting Client El Copy to Ultimate Client
rev. 06/17/2011