Okaloosa County BOCC — November 5, 2013 — Agenda — reading text

crime, low income neighborhoods. This investment supports: enrollment process for the Little and Big, orientation processes, all the necessary background screening of mentors, assessments, matching, case management support of the match once it's made, volunteer recruitment, activities for matches, and whatever else is needed to help the match succeed. We ask for your investment to partner with us to help achieve our goal to serve more children with a gift of $1000. Your generous support will allow us to help the lives of our community’s most vulnerable children beat the odds. How would the funds benefit the organization? (Please be specific) The ultimate goal of the program is to empower youth to become productive employed community citizens, thereby breaking the cycle of poverty and crime. These youth are exposed to many job possibilities and given the knowledge of what opportunities await them as they grow to become young adults. On average it costs around $60,000 + per year for a child who is committed to a Juvenile Justice System program as compared to $1,000 per year to support a one-on-one mentoring relationship. Mentors encourage them to complete their high school education and expose them to cultural and career exploration opportunities. What segment of our community would benefit from this funding? Children and youth enter the program between the ages of six and 8” grade and can stay matched until their 18th birthday. The total number eligible for the program is the total number of youth ages 6-8" grade primarily from single parent families not to exclude grandparents raising their grandchildren, military families, foster families and other special needs, no major behavioral issues can be present in youth that a volunteer could not handle. While there is no income requirement, youth typically served are from low income neighborhoods and high juvenile crime zip codes. Disabled youth who possess the ability to function on a cognitive level conducive to understanding and reciprocity in a one-to-one relationship are served through our program. Our policy is to serve youth from all ethic backgrounds. As of this application in Okaloosa/Walton Counties we are currently supporting 47 active matches and their are 21 children on our waiting list. Last year in 2012 we serviced 35 children through one-to-one mentoring. PROJECT BUDGET: Total Project Cost: $5,000 Funds requested will be used to cover the costs of our mentoring services for 15 people or 5 matches . This projects number one focus is on education, academic achievement and the development of youth. Service Unit Cost per Service Orientation $51 Screening $187 Assessment $140 Matching $80 Case Management $115 Travel $217 Activities $210 Investment (Ready to be Served) Orientation Screening Assessment = Total Cost of Investment $566 Matching Travel Product (Recurring Cost) Case Management = Total Cost of Product $434 Activities Travel Cost Per Match = $1,000 Community Based Match UA) LANL Lriernal Kovenue Service LGek P.O. Box 2508 Cincinnati OH 45201 BIG BROTHERS BIG SISTERS OF NORTHWEST FLORIDA INC 1149 CREIGHTON RD STE 1 PENSACOLA FL 32504-7071 Employer T i Free BS Qo Dear Taxpayer: This is in response to your Jan. regarding your tax-exempt Identification Number: Person to Contact: Telephone Number: status. In reply refer to: 02498164828 Jan. -24, 2013 LTR 4168C £0 59-2996B93 000000 00 00015548 BODC: TE 59-2996893 Tonya Morris 1-877-829-5500 14, 2013, reguest for information Our records indicate that you were recognized as exempt under section 501¢c)(3) letter issued in June 1990. Our records also indicate that you of the Code because you are described in and 170(b) C1) CAD (vad. the meaning of section 509(a) section(s) 509(a)(1) Donors may deduct contributions to you as devises, Federal estate and gift tax purposes legacies, the Code, Bequests, for for your use are deductible if they meet 2522 of the Code. the applicable provisions of the Internal Revenue Code in a determination are not a private foundation within provided in section 170 of transfers, or gifts to you or 2106, and of sections 2055, Please refer to our website www.irs.gov/eo for information regarding filing requirements. Specifically, section 6033(j) of the Code provides that failure to file an annual information return for three consecutive years results in revocation of tax-exempt status as of the filing due date of the third return for organizations required to file. We will publish a list of organizations whose tax-exempt status was revoked under section beginning in early 2011. any questions, have the heading of If you shown in please call us this letter. 6033(5) of the Code on our website. at the telephone number Sincerely yours; iesenpl Pr tithe Richard Mckee, Department Manager Accounts Management Operations 11/26/2013 13:34 8582442573 MENTAL HEALTH ASSN | i REQU EST FOR FUNDING FROM OKALOOSA COUNTY LAW ENFORCEMENT (Note: This maine must meet the criteria of F.S. 932.7055, paras. (S){c) 1. through 3 educatian, crime prevention, or safe neighborhoods, or other law enforcement purposes.) ( . Le, drug ty PAGE @2/@2 (TRUST FUND eatment, drug abuse Copy attached) 850-244-1040 fofit N@4000003588 Organization Mental Health Aasoniation of Okaloosa / Walton Countice Contact Person Virginia Glynn Barr Title Executive Director Phone Contact Email_| Mhaowfi@mhaaw.org Ifa Non-Profit, Type and No. Fl Charitable, non-p Street Address| 571 Mooney Ra., NE City/State/Zip Ft. Walton Beach FL 32547 Amount Reque! Crime Preventi Certification: ted; $ 5,000.00 pn, Safe Neighborhoods, or Other Law Enforcement Purposes that these funds will [You may attach additional correspondence you deem appropriate if more space re The requested funding is for Mental Health Crisis Prevention List the specific expenses in the areas af Drug Treatment, Drug Abuse Education, he used and sign the uired) The Merital Health Association's Emergency Psychiatric Medication Pragram assists our community residents by quickly purchasing emergenty Psychatropic medicine for persons in financial need. Qur Program insures that individuals with a meni tal health diagnosis can remain psychiatrically stable, continue employment, and lower Jail and hospital recidivism ratas while Feducing the nu m ber af Law Enforcement involved crises résponges. The shut down of critical emergency psychiatric sarvices for the uninsured, places Okaloosa county in a vulnerable position a6 @ prime target for a mental health fragady waiting to happen. Stabilizing mental health medi igines ara frequently too expensive for persons why must choose between food, rent, or medication. In order to circumvent a mental health crisis the Medication Progam assumes the costs of psychiatric medicines, while allowing the individual to pay the basic essentials of food and shelter. The Assi clation directly purchases medication with a deeply discounted rate through Sam's Club in F ¢ Walten Beach, FL. Purchase invoice: s are billed to MHA ona monthly basis and costs can be verified by the Okaloosa County Sheriff} 6 Office aa needed, Please deaiat thé funding of this Program which keeps our communtiy and clizens safe, I certify that thé re Forfeitube Fun provide 4n acceunting for such moneys to the Okaloosa County Sheriffs Office for documentation copies of receigts as applicable), Virginia Glynn Barr Printed Nate ___ Title Executive Director quested Florida Contraband Forfeiture Funds Monies received from the Okaloos 4 will be used for the above purposes. | further acknowledge that within 60 days of ja County State funds receipt, I will purposes (to include ta aoc mM to: admristrativ Bureau Chief, Okalaosa County Sheriff, 1250 N; Eglin Pkwy, 5 850-609-2048, ATTN: Administrative Bureau Chief) Signature \e Date (YO). ay 2Ol% (Submitithis fo 1234 or FAX to alimar, FL 32579- 2 4.4 : For acso Use Only: Approved/Disapproved Bye LLL ER, Date_ len JO, 907 : . ; (Sheriff 6r Designee) ae Date to Board of County Commissioners Board Action: Approved/Disapproved Date: Amount: $ Date Follow-Up Accounting Due Date Received Date forwarded to County Finance o¢so/etc fork 01/2013 Received Time Now. 26, 2013 2:08PM No, £379 Bit 11/28/2013 13:34 Mental Health Association of Okaloosa/Walton 8582442573 MENTAL. HEALTH ASSN PAGE @1/82 County 1 S71 MOONEY RD, NE @ FORT WALTON BEACH, FLORIDA 32547 (850)244-1040 @ FAX (850) 244-2573 Tor! Administrative Bureau Chief From MHA Faxi 609-3048 Pagos: 2 (INCLUDING COVER) Phone: Date: —-- 11/26/43 | Re: | Reatlest for Funding co: Oo iuUrgent ; O For Review 0 Please Comment C1 Please Reply C] Please Recycle Please gee the Attached “Request for Funding” Received Time Now 26. 2013 2:08PM No, 1379