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7!9/08 <br /> COUNTY OF HAwAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> T : Department of Liquor Control DATE: 2123122 <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: $2,500 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 operational expenses for the 2022-2023 school year for <br /> Kalamapi`i Plcty School <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 /> Hawai'i Island YMCA Disclosure Fonn must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: community based program <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: community based programs <br /> that promote education, health, safety and well-being in drug-free, and alcohol-free venues <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: The Department of Liquor Control supports organziations that provide alcohol- ree and <br /> drugfree learning environments.for our communities children. <br /> 11 AL_� DATE: FEB 2 4 2022 <br /> Department Head <br /> C. MAYOR'S ACTION <br /> EZ(APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> T__ 4 DATE: 4 <br /> Managing director wL, Mctvor <br />