HomeMy WebLinkAboutExhibit ACity of Miami
Anti -Poverty Initiative Program
Funding Request Form
CONTACT INFORMATION:
Contact Person: Craig E. McQueen
Title: Chairman/ President
Phone number: 305-986-8910
Email Address: cemcqueen@bellsouth.net
r. L' Ad n,,��.,
Name of Person completing this form: `1ra 9 • 1`1`'`1u��1`
Legal Name of Organization: Greater Miami & South Florida Youth and Community Inc.
Address (Street, City, State, Zip Code): 3581 S.W. 68th Terr.
Miramar, F1. 33023
Executive Director of Organization:
Executive Director email:
Executive Director Contact Phone Number:
The organization is a registered and active State of Florida Corporation (select one):
❑ For-profit organization
rn
J✓ J Not -for profit organization 1501(3)(c))
❑ Local governmental unit
❑ State governmental unit
r__1
Educational and academic institution
❑ City of Miami department, agency and board
Page 1 of 5
Return this form to: mtrevino@miamigov.com
Last revised: September 16, 2019
City of Miami
Anti -Poverty Initiative Program
Funding Request Form
ORGANIZATION AND PROGRAM/PROJECT INFORMATION
Organization History and Background Information:
Greater Miami & South Florida Youth & Community Inc. (GMSFYC) was founded by three City of Miami Police Officers on April 01, 2013.
GMSFYC was created and designed to be a crime free, crime prevention, safe enviroment organization using
academics and sports programs to serve the youth in the City of Miami and build a strong relationship
between the police and the community. GMSFYC mission statement is simple and pure "Officers Making a Difference"
Is your program/project providing direct services to residents of the City of Miami? YesONo❑
Number of residents your entity will serve: 260
Frequency of Service: annual -year round
Age Group Served: 5 to 15
Is your program/project impacting one of Miami's disadvantaged communities? Yes ❑✓ No
Geographic Area Served (specific to this project/program)
District Served (1, 2, 3, 4, S, Citywide) 5
Neighborhood/Community being served: Allapattah,wynwood,Overtown
Program/Project Priority area (Select one):
W✓ 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
Page 2 of S
Return this form to: mtrevino@miamigov.com
Last revised: September 16, 2019
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
Program/Project Title: GMSFYC- Miami Youth Academics and Sports programs
Project/Program Description: GMSFYC- Miami Youth Hurricanes Academics and
Sports programs includes; Youth Mentoring, Healthy Eating Camps, Flag &
Tackle Football, Cheerleading, Dance Troops, Track & Field, Drumline,
Self -Defense and Crime Prevention Martial Arts.
.?anuary 01, 2019 IJcce,ny_r3i.,nin =ncc
Program Start Date: Program End Date: -
Please describe how this program/project and funding will alleviate poverty within the City of
Miami?
By exposing the City of Miami youth to postive alternatives, instead of making bad choices that can lead to criminal
activity and school drop-out. GMSFYC currently partners with local businesses and educational enitites as resources
of opportunities for our particpants and their parents.
IMPACT AND PERFORMANCE:
Describe overall expected outcomes and performance measures for this project/program:
rr rr�rr 4_A 4�._.__� r ._ �..._ 4t a _ r . _ involved
IDMS r C - expectcu ouLCuiiic lu our programs is the reduction of youth involved
crimes, reduction of school drop -outs, increase college attendance for children
in our programs and better relationship between participants and the police department.
Please attach additional pages to the back of this packet, if the space above is not sufficient.
Page 3 of 5
Return this form to: mtrevino@miamigov.com
Last revised: September 16, 2019
City of Miami
Anti -Poverty Initiative Program - Funding Request Form
FUNDING REQUEST INFORMATION.-
Amount
NFORMATION.
Amount Requested: $ 10,000.00
Explain how the City of Miami Anti. -Poverty funding will be utilized:
Funding will be used to keep our program registration cost free or
low cost by covering registration fees, transportation cost equipment
purchases,
Itemize API funding related to expenditures below:
Personnel Salaries & Wages:
Personnel Benefits
Space Rental:
Utilities (Electricity, Phone, Internet):
Supplies:
Marketing:
Transportation (Participants):
Meals (Participants):
$ 0
$ 0
$ $1200
$ $600.
$ $3,000
Professional Services (List each):
Other (please describe): Pop Warner Insurance $3,OOC
Other (please describe): Pop Warner League Fee $1,20C
Other (please describe): Criminal History check $1,000
Page 4 of 5
Return this form to: mtrevino@miamigov.com
Last revised: September 16, 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 provid don this form is
accurate and complete.
. Craig E. McQueen j ,�,r�Q�, _
Completed by (Print &Sign).
Date:
10/22/2019
Additlonal Comments:
All fuud.ing received goes directly toward program needs. GMSFYI has no paid employees.
GMSFYC-volunteers give on an average of 1000 volunteer hours to our particpants.
To be completed by District Commissioner/ Mayor's Office
Recommended for funding: Yes�NofI
Funding Recommendation: 10&0Q
Commission Meeting Date: 1l Z1 !
Additional Comments:
Completed by (Print & Sign):'
Date: !!
io p301 t� ✓
To be completed by the Department
Received by (Print & Sign).r'4 /,4z --:5:5A4
Date: -
Additional Comments:
i
Return this form to: mtrevino@miamigov.com
Last revised: September 16, 2019
Page 5 of 5