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7/9108 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Department of Parks and Recreation DATE: 912812021 <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: $500 2. To ACCOUNT#(i.e., 010.500.5503.02): 010.500.5503.02 <br /> 3. To ACCOUNT NAME (i.e.,PSR Admin. OCE): P&R Admin OCE, Misc. Contract Services <br /> 4. PURPOSE(S)OF TRANSFER: to provide.funds.far expenses related to EHCC's Forward Art Mentorshi- <br /> p 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 /> East Hawaii Cultural Center Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Art mentorship program <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: provide a diverszfied recreation <br /> program that addresses the needs and interests of the respective communities in a safe environment <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? ®YES ❑ NO <br /> 14. 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: <br /> DATE: <br /> partment Head ` <br /> C. MAYOR'S ACTION <br /> Q FPPROVED ❑DENIED ❑DEFERRED: <br /> ��-CO\\MMENTS: <br /> DATE: 30, a-I <br /> Managing DirectOr ,, Mayor <br />