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7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Dept of Liquor Control DATE: July 27, 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. Contracts <br /> 4. PURPOSE(S)OF TRANSFER: to help fund Heart Ranch activities supporting mentorship programs and <br /> their E.A.P/E.A.L. (Equine Assisted Psychotherapy and Equine Assisted Learning)program <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. Is IT A 501(C)(3)? ®YES ❑ No <br /> *If YES,the IRS determination letter and the Nonprofit Conflict <br /> Heart Ranch Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Mental and Physical Health <br /> Development/Therapy <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: to support drug-free and alcohol-free <br /> community events/programs <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 focus on the health and <br /> wellness of our youth and community through alcohol free and drug-free programs and activities. <br /> DATE: JUL 2 9,aU21 <br /> Department Head -ri = <br /> rnm <br /> C. MAYOR'S ACTION ° 6 0 <br /> t]APPROVED ❑DENIED ❑DEFERRED: <br /> > D <br /> COMMENTS: <br /> r <br /> QS11.— C Str\L DATE: (1), (S. <br /> (cal <br /> Mayor <br />