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7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Department of Liquor Control DATE: February 8, 2021 <br /> Department <br /> FROM: Ashley L. Kierkiewicz PHONE/FAX: _(808) 961-8536 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $1,500 2. To ACCOUNT#(i.e., 010.500.5503.02): 010.251.5251.39.115 <br /> 3. To ACCOUNT NAME (i.e.,P&R Admin. OCE): Liquor Control-Publ Programs, Misc Contract Svcs <br /> 4. PURPOSE(S)OF TRANSFER: To help.fund a supply of age appropriate resources to distribute to <br /> teachers upon request, and.for supplies.for children's activities at events. <br /> 5. IF THE MONEY is DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. IS IT A 501(c)(3)? EYES F-1 No <br /> *If YES,the IRS determination letter and the Nonprofit Conflict <br /> Hawaii Island LGBTQ Pride Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Community Engagement <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: To support drug.free and alcoholfi ree <br /> community events <br /> 9. FUNDING To BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFITV, EYES F-1 No <br /> 10. IS THE PROGRAM OR ACTIVITY FUNDED ESTABLISHED BY CHARTER,ORDINANCE,TO_ R WECTMN <br /> OF THE MAYOR? FlYES No <br /> B. DEPARTMENT'S RECOMMENDATION: > <br /> E APPROVE F1 DENY F-1 DEFER: <br /> RATIONALE: The Department of Liquor Control supports organizations that supply resources and <br /> materials to our public schools and provide activities for children at alcohol-free and dryg.free-events. <br /> DATE: FEB 0 9 2021 <br /> Department Head <br /> C. MAYOR'S ACTION <br /> [.APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> 1 4 <br /> DATE: 0ia <br /> &.1ina Mayor. <br />