HomeMy WebLinkAboutBack-Up DocumentsCity of Miami
Anti -Poverty Initiative Program
Funding Request Form
CONTACT INFORMATION:
Contact Person; RAFAEL IGLESIAS
Title: PRESIDENT & CEO
Phone number: 305-753-1630
Email Address: RAFAELIGLESIAS@LHANC.ORG
Name of Person completing this form: MANNY FERNANDEZ
Legal Name of Organization; LITTLE HAVANA ACTIVITIES & NUTRITION CENTERS OF DADE COUNTY, INC.
Address (Street, City, State, zip Code): 700 SW 8TH STREET MIAMI, FL 33130
FEIN: 237378008
Executive Director of organization: RAFAEL IGLES i\S
Executive Director email: RAFAEL.IGLESIAS@LHANC.ORG
Executive Director Contact Phone Number: 305-753-1630
The organization is a registered and active State of Florida Corporation (select one):
nFor -profit organization
V Not -for profit organization {501(3)(c)}
Local governmental unit
State governmental unit
I I Educational and academic institution
nCity of Miami department, office of elected official, agency or board
Return this form to; mtrevino@miamigov con
(Last Revised November 26, 2024)
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City of Miami
Anti -Poverty initiative Program
Funding Request Form
ORGANIZATIONANO PROGRAM/PROJECT INFORMATION
Organization History and Background Information;
Little Havana Activities & Nutrition Centers of Dade County, Inc. ("LHANC") is a
private, non. -profit agency serving the elderly of the City of Miami since 1972, providing
center and home -based services to older adults, 60 years of age or older, who reside
in Miami -Dade- County.
Is your program/project providing direct services to residents of the City of Miami? Yes 1:1 No El
Number of residents your entity will serve: 75
Frequency of Service: meal daily, Monday - Friday
Age Croup Served: 60+
is your program)/project impacting one of Miami's disadvantaged communities? Yes[1INo ® Geographic Area
Served (specific to this project/program)
District Served (1, 2, 3, 4, 5, Citywide) 1
Neighborhood/Community being. served. AniGnio-Maceo Park
Program/Project Priority area (select one):
0
0
n
Educational Programs for children, youthand 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
City Department(s) for :
Paget of
Return this form to: mtrevino@mlamigov.cdm
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
Program/Project Title: Antonio Maceo Park Congregate Meals Program
Project/Program Description: LHANC will service one (1) nutritionally balanced meal per person daily,
Monday through Friday, to eligible participants at the Antonio Macao Park located at 5135 NW 7th Street, Miami, FL 33126.
LHANC will provide an estimated 18,525 Congregate Meals to an estimated 75 clients daily.
The center is located in District 1, but service is available to all City of Miami residents.
Program start Date: 12/01 /2025 Program End Date: 11/30/2026
Please describe how this program/project and funding will alleviate poverty within the City of Miami?
LHANC will provide a nutritious meal to older adults, 60 years or age or older. This meal will assist these older adults who may not
have money and access to a full nutritious meal, free of charge, Sy participating in this program, clients also have access to
additional meals offered to those clients who are at the highest risk for malnutrition through other funding sources.
IMPACT AND PERFORMANCE:
Describe the overall expected outcomes and performance measures for this project/program. And, Ilst
the supporting documentation that will be submitted with the Close Out Report:
66% of the seniors who receive a meal will maintain or improve their nutrition status.
This is measured by comparing the client's nutrition score on their initial assessment
to the nutrition score on their annual reassessment. LHANC uses the form established
by the Florida Department of Eider Affairs ("DOEA"), At the close of the program year, LHANC
will provide documentation of all clients who received meals, the total number of meals
served and billed, the payments to the caterer for the meals ordered and any other
documents requested by the City of Miami.
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City of Miami
Anti -Poverty Initiative Program - Funding Request Form
FUNDING REQUEST INFORMATION:
Amount Requested: $100,000
Explain how the City of Miami Anti -Poverty funding will be utilized:
LHANC will serve one (1) hot congregate meal daily, Monday - Friday, to 75 adults,
60 years of age or older, who reside in the City of Miami, for approximately 247 calendar
days for a total of 18,525 meals for the period of December 1, 2025 through November 30, 2026,
Itemize API funding related to expenditures below:
Personnel Salaries & Wages:
Personnel Benefits
Space Rental:
Utilities (Electricity, Phone, Internet):
Supplies:
Marketing:
$ 28,678.00
$0
$0
$°
$0
$0
Transportation (Participants): $ 0
Meals (Participants): $ 71,322.00
Professional Services (List each): 0
Other (please describe):
Other (please describe):
Other (please describe):
Return this form to: mtrevino(miamIRov.com
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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);
Date: 10/15/2025
RAFAEL IGL`IAS
Additional Comments:
To be completed by District Commissioner/Mayor's Office
Recommended for funding: YesUrNo®
Funding Recommendation:
Commission Meeting Date:
Additional Comments:
Completed by (Print &Sign): —r`$ N X (?if ` 1 'tieb
Date:
To be completed by the Department
Received by (Print & Sign):
Date:
Additional Comments:
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