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COUNTY OF HAWAII <br />CONTINGENCY RELIEF FUNDS REQUEST <br />TO: -Office A DATE: <br />.ff of Aging g <br />Department <br />FROM: Matt Kaneali `i-Kleinfelder (Attn: Donna) PHONE/FAX: <br />Council Member <br />A. REQUEST (ATTACH BACKUP INFORMATION, IF AVAILABLE) <br />1. AMOUNT: $1, 000 <br />September 21, 2020 <br />961-8672 <br />2. To ACCOUNT # (i.e., 010.500.5503.02): 010.411.5411.02.115 <br />3. To ACCOUNT NAME (i.e., P&R Admin. OCE): Office of Aging -OCE, Misc. Contract Services <br />4. PURPOSE(S) OF TRANSFER: <br />7/9/08 <br />To create a Pohai Mdlama Care Center Brochure to raise- awareness <br />and educate families about services for end of life choices provided by Hawai `i Care Choices. <br />5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION, NAME OF ORGANIZATION: <br />Hospice of Hilo, DBA Hawai `i Care Choices (HCC)cc 6. IS IT A 501(0)(3)? ® YES ❑ No <br />*If YES, IRS determination letter must be attached to this form <br />7. COUNTY -RELATED PROGRAM(S) OR ACTIVITY(IES) TO BE FUNDED: HCC is a nonprofit Hospice that <br />provides medical /social /spiritual services for terminally ill patients and their families at end of life. <br />8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: To support organizations that <br />provide services for the community and those in need of end of life care. <br />9. FUNDING TO BENEFIT THE PUBLIC -AT -LARGE (AS OPPOSED TO PRIVATE BENEFIT)? ®YES ❑ NO <br />10. IS THE PROGRAM OR ACTIVITY FUNDED ESTABLISHED BY CHARTER, ORDINANCE, OR DIRECTION <br />OF THE MAYOR? ❑ YES ® NO <br />B. DEPARTMENT'S RECOMMENDATION: <br />® APPROVE ❑ DENY ❑ DEFER: <br />RATIONALE: This program shares our mission of providing supports to the elderly, persons with <br />disabilities and caregivers. <br />Department Head <br />C. MAYOR'S ACTION <br />APPROVED El DENIED F-1 DEFERRED: <br />COMMENTS: <br />DATE: 0912312020 <br />DATE: <br />94,�RY K94 ay <br />