HomeMy WebLinkAboutExhibit ACity of Miami
Anti -Poverty Initiative Program
Funding Request Form
CONTACT INFORMATION:
Contact Person; Amino M. McNeil
Title: President/CEO
Phone number: 305.757.7652
Email Address: ameneil@mlkmiami.Com
Name of Person completing this form; Amina M. McNeil
Legs! Name of Organization: Martin Luther King Economic Development Corp.
Address (Street, City, State, Zip Code): 6114 NW 7th Ave Miami FL 33127
Executive Director of Organization; Amina M. McNeil
Executive Director email: amcneil@mlkmiami.com
Executive Director Contact Phone Number: 305.757.7652/ 561.648.9812 (c)
The organization is a registered and active State of Florida Corporation (select one):
C
For -profit organization
Not -for profit organization C501(3)(c))
Local governmental unit
EjState governmental unit
Educational and academic institution
ElCity of Miami department, office of elected official, agency or board
Return this form to: mtrevino@miamigov.com
(Last Revised June 6, 2023)
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City of Miami
Anti -Poverty initiative Program
Funding Request Form
ORGANIZATION AND PROGRAM/PROJECT INFORMATION
Organization History and Background Information:
MLKEDC is a not for profit organization that has provided programs and services to low
income and underserved residents living in Liberty City and Model City communities
within the City of Miami since 1975.
Is your program/project providing direct services to residents of the City of Miami? YesE✓ No❑
Number of residents your entity will serve: up to 10
Frequency of Service:
Age Group Served:
year round
Adult (18+)
Is your program/project impacting one of Miami's disadvantaged communities? Yes QNoEl
Geographic Area Served (specific to this project/program)
District Served (1, 2, 3, 4, 5, Citywide) 5
Neighborhood/Community being served: Liberty City, Model City, etc.
Program/Project Priority area (Select one):
n
E
LI
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
EHomeless Services
El Food Distribution
Essential supplies, during a State of Emergency, natural disaster, or economic crisis
Return this form to: rntrevino@miamigov.com
(Last Revised June 6, 2023)
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
Program/Project Title: MLK Wheels to Work Program
Project/Program Description: MLKWheels to work program provides reliable
transportation to low income families who live or work in District 5.
Program Start Date: January 2024 Program End Date: January 2027
Please describe how this program/project and funding will alleviate poverty within the City of
Miami?
See attached
IMPACT AND PERFORMANCE:
Describe the overall expected outcomes and performance measures for this project/program.
And, list the supporting documentation that will be submitted with the Close Out Report:
Successful completion of a 3 year program that includes life skills as well as
communitiy service workshops.
Supporting documents: Annual report filed with State of Florida, Wheels to work
program explaination, Certificate of Insurance.
Return this form to: mtrevino@miamigov.com
(Last Revised June 6, 2023)
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City of Miami
Anti -Poverty initiative Program - Funding Request Form
FUNDING REQUEST INFORMATION:
Amount Requested: $300,000
Explain how the City of Miami Anti -Poverty funding will be utilized:
The funds will be used to obtain 10 vehicles as well as 1 year of car
insurance for the selected particpants. The funds will also cover any costs
(i.e. title registration) for the vehicles and particpants,
Itemize API funding related to expenditures below:
Personnel Salaries & Wages: $
Personnel Benefits $
Space Rental: $
Utilities (Electricity, Phone, Internet): $
Supplies:
Marketing: $
Transportation (Participants): $230,000
Meals (Participants): $
Professional Services (List each):
Other (please describe): Insurance: $45,000
Other (please describe): Operating expense $25,000
Other (please describe):.
Return this form to: mtrevino@miamigov.com
(Last Revised June 6, 2023)
Page 4 of .5
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): Amina M. McNeil
Date: 12/11/2023
Additional Comments:
njy,„ mrNej
To be completed by District Commissioner/Mayor's Office
Recommended for funding: Ye
Funding Recommendation:
Commission Meeting Date:
Additional Comments:
-No❑
SOU, O0D
Completed
Date:
To be completed by the Department
/
Received by (Print & Sign): ,
Date: 12/14/23
Additional Comments:
This request has been reviewed and is approved to process for the next Commission meeting.
Return this form to: mtrevino@miamigov.com
(Last Revised June 6, 2023)
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