HomeMy WebLinkAboutExhibit ACity of Miami
Anti -Poverty Initiative Program
Funding Request Form
CONTACT INFORMATION:
Contact Person: Olden Reese
Title: President
Phone number: 786-357-0600
Email Address: srpastorreese@gmail.com
Name of Person completing this form:
Olden Reese
Legal Name of Organization: Men Of Impact Development Center, Inc.
Address (Street, City, State, Zip Code):
17610 NW 41stAvenue, Miami Gardens, FL 33055
Executive Director of Organization: Olden Reese
Executive Director email: srpastorreese@gmeil.com
Executive Director Contact Phone Number: 786-357-0600
The organization is a registered and active State of Florida Corporation (select one):
❑ For-profit organization
Not -for profit organization {501(3)(c))
❑ Local governmental unit
❑ State governmental unit
❑ Educational and academic institution
❑ City of Miami department, agency and board
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Last revised June 6, 2019
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
ORGANIZA T10Af AND PRi7GRA.M/PMECT NPf ORMAT101Y
Organization History and I&ackgr ound Information:
This is a re-eroy mrugrarn enm wit larger oiiern5 who nave seen swwa d m pilon and are arneraiy m
prohaGun wnh rtve hepes ur the prwrar'n srapplrx} a�fiJitrral mimes andlnr �rie¢erser hom these iMividrare
The program alA mek to- eliminate the risk of these eihxens being rearrested, hemming drug abusers
ar spmsat ahumis wdm r bem g psi' m mrz pttalis char wevid rerreve m&r cnee age n rem seeierg.
IS yourprogr^am/project providing direct servkesto residents of the City of7Yes +ON00
(lumber at residents your entity will serve: 30
frequency of Service: up to 3llmes+'A�o
AgeGraupServed: Men 18 & up
Is your programfproject impxting one of Miami's disadvantaged commu nities3 Yes i✓INoF—]
Geographic Area Served [specific to this projectJprogramf
District Served (t, 2, 3,. d, 5, Citywide)
Neighhorhood/Community being served: 01ert0n' berty Cry
Program/Project priority area (Select one):
0 Educational Programs tar 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
F] Job development, retention and training programs
L1 Nameless Services
Improving housing opportunities and complete minor housing repairs and ADA
upgrades for low income elderly and veterans
Return this form to, mtrevina@d rniamigay.com
Last reveled June B, 21119
City of Miami
Ant[ -Poverty Initiative Program Funding Request Form
Program)Project Title: Men of ln,tpact Developrnen Centel
Proje€tfProgram Description: This rehatHimato n program *hula be tpving crtmene who have
reCerdly been placed on protmism an opporhrvty oa close hie reydvm doors of itrprislanment and
s7opq;gl repealed CYT.— die b Ret inabiry In and eft*h nlnl Md s 6" . Tr+a4' win aim gain s�.iluhl.
esmdiMN mid W gue.ner In-pparl. Leer uarsa7on ane el�gmiw bm*M W- rrr' Iie3 xnc nrgi'sun =rWds.
Program Start Date: September 2019 Program End Bate: Tga
Please describe how this prngram1projeLt and hu>,dirxg will alleviate poverty within the City of
Miami?
Pi A .:1'e ye -1 WL- kart 1'.xrm nulnnraf 1. r erila. r u:nJ 11w _rr.crt:r_ri -! fulura �rierrx: w: irrx
Reduce recidivism ty Increasing or Improving economic acli 4 wnn WstsiAabae employment
and contribution to state taxing system. Assist with "nsportaWn to and from work.
11APACFA1YD AER€ORA"Aiff,
Describe overall expected outcomes and performance measures for this prpjer*rWram:.
Ptie .. P and sell xutto<iencY tfr aNiit, lm runner .. ...a Tt- d be mrramied
quareelfirey 01a1e Vthemrmsel—, Pruhar�. uH"kerx ernpmyraxa'a Kraxrs. Pl%. r rdl he
wGrvvaeE trs aee salt kn 1.0 araoe or W [ewe d deEe _ a ale P-7— ba.T a pcesoe rrru[[ - axr -N menu
Pfeese attach raddet onlef pejzer ro fhe hawk a] dus paeAW, efthe spare ulnen n net saffiviemL
Rerum tfus form to' entmAr oLbO m iam Ignv.com.
Last revised Jv.ne B, 21119
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
FUNDING REQUEST INFORMATIDN:
Amount Requested: $10,000
Explain how the City of Miami Anti -Poverty funding will be utilized:
As each of the citizens are court appointed to the program, F.L.E. will be the headquarters
for the counseling, mentoring, training/job preparation Gasses, church services, bible study, etc.
Counselors and clergy will mentor individually and in small intimate private groups.
Itemize API funding related to expenditures below:
Personnel Salaries & Wages: $1 ,000
Personnel Benefits
$
Space:
$1.000
Utilities (Electricity, Phone, Internet):
$
Supplies:
$1,400
Marketing:
$
Transportation (Participants):
$
Meals (Participants):
$600
Professional Services (List each):
Other (please describe):
$6,000
Other (please describe):
Gass materials. counseling
Other (please describe):
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Last revised June 6, 2019
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): C e
Date: �=%�/ ZI :2 L) / V
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:
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Last revised lune 6, 2019