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HomeMy WebLinkAboutExhibit ACity of Miami Anti -Poverty initiative Program Funding Request Form CONTACT INFORMATION: Contact Person: Arnim M. McNeil, Esq. President/C.E.O. Phone number: 3°5.757.7652 Email Address: amcneil@mlimiami.com Name of Person completing this form: mina M. McNeil Legal Name of Organization: Martin Luther King Economic Development Corporation N.W. 7th Ave„, Miami FL 33127 Address (Street, aty, State, Zip Code): 6114 W Executive. Director of Organization: Arnim. M McNeil a Executive Director ernail: mcneil@mlleaniami.com Executive Director Contact Phone Number: 3°5.757.7652 The organization is a registered and active State of Florida Corporation (select one): For -profit organization 1;1'. 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: mtrevirta@miamigovzom (Last Revised November 26, 2024) Page 1 of 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 undeserved residents living in the Liberty City, Model City, Little Haiti and Edison communities located with. the City of Miami since 1975. The organization focuses on the economic development andrevitalization of these cointnunities. is your program/project providing direct services to residents of the City of Miami? YesENo� Number of residents your entity will serve: 10 Frequency of Service: Age Group Served: year round 18+ Is your program/project impacting one of Miami's disadvantaged communities? Yes E Geographic Area Served (specific to this project/program) District Served (1, 2, 3, 4, 5, Citywide) 5 No Pi Neighborhood/Community being served: District 5 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 r— Job development, retention and training programs [1 Homeless Services Food Distribution Essential supplies, during a State of Emergency, natural disaster, or economic crisis Return this form to: mtrevino@miarnigov.com (Last Revised November 26, 2024) City of Miami Anti -Poverty Initiative Program - Funding Request Form MLK Wheels to Work Program Program/Project Title: Project/Program Description: The MLKEDC Wheels to Work program provides reliable ramsportation to low income families who live or work in City of Miami District 5. ebruary 2025 Program Start Date:, F Program End Date: February2O28 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: Participants are required to successfully complete a 3 year program that includes attendance at life skills workshops. Participants must also complete community services over the course of the three year program. Support documents: Annual report filed with the State of Ftorida, Wheels to Work program explanation and Certificate of Insurance, Return this form to:mtrevino@aniarnigov.com (Last Revised November 26, 2024) Page 3 City of Miami Anti -Poverty Initiative Program - Funding Request Form FUNDING REQUEST INFORMATION: Amount Requested: $ 22999,° Exp ain how the City of Miami Anti -Poverty funding will .be utilized: The fluids will be used to obtain at least six (6) vehicles for the participants as well as 1 year of full coverage car insurance for the selected participants, The funds will also cover the initial costs (i.e. tax, title and registration) for the vehicles and participants. 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): Insurance: $50,000 Other (please describe): Operating/ Administration expense: $20,000 Other (please describe} $ 150,000 111-rtemar., Return this form to: mtikevino@miarrtigov.com (Last Revised November 2642024) Page City of Miami Anti -Poverty Initiative Program Funding Request Form To be completed by the Entity/Redolent 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), Arnim, M. McNeil Date: 2/12/2025 Additional Comments. To be completed by District Commissioner/ a is office Recommended for fw din yes No D M. L , Funding Recommendation: l 000. Oc) Commission Meeting Date: oaf 01 ) GC(or CeAO son Go Additional Comments: Complete Date: To be completed by the Department Received by (Print & Sign): Malissa T. Sutherland 2/24/25 Date: Additional Comments: This request has been reviewed and is ready to move forward for placement on the Commission Agenda. Return this form to: mtrevino@miarnigov.com (Last Revised November 26, 2024) Page 5 of 5