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7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Liquor Control DATE: March 16, 2021 <br /> Department <br /> FROM: Sue Lee Loy PHONE/FAX: 961-8396 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) * <br /> 1. AMOUNT: $2,000 2. To ACCOUNT#(i.e., 010.500.5503.02): 0l0,2515251 39`11'5 <br /> 3. To ACCOUNT NAME (i.e., P&R Admin. OCE): Liquor Control Public Progran.; Misc Contrdct Svcs <br /> 4. PURPOSE(S)OF TRANSFER: Assist with expenses of printing and lamination of posters for education <br /> And awareness campaign on youth vaping <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. IS ITA 501(c)(3)? ®YES ❑ No <br /> *If YES,the IRS determination letter and the Nonprofit Conflict <br /> Hawai`i Public Health Institute Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Printing and laminating of <br /> Posters for community outreach (island-wide),for awareness and education on vaping <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Provide/facilitate a wide variety of services <br /> that maintain needs of community and promote healthy and safe habits. <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE (AS OPPOSED TO PRIVATE BENEFIT)? EYES ❑ 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: The Department of Liquor Control supports organizations that bring awareness and <br /> education to our youth and community to live a healthy, alcohol-free, and drug-free lifestyle. <br /> atk—e—v( DATE: MAR 2 3 2021 <br /> Department Head <br /> C. MAYOR'S ACTION <br /> ►i APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> 1 u DATE: �a <br /> Managing Director c pg_Mayor <br /> n97g <br />