Laserfiche WebLink
7/9/08 <br /> COUNTY OF HA AI`I <br /> CONTINGENCY LIEF FUNDS REQUEST <br /> TO: Department of Public Works ATE: March 23, 2022 <br /> Department <br /> FROM: Rebecca Villegas PHONE/FAX: 808-323-4269 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $1,000.00 2. To ACCOUNT#(i.e., 014.500.5503.02): 010.173.5173.02.115 <br /> . To ACCOUNT NAME (i.e.,P&R Admin. OCE): Public Works, Admin OCE, Misc. Contract Charges <br /> . PURPOSE(S)OF TRANSFER: To provide a grant to WeGo Foundation for the rental of a <br /> portable bathroom for Banyan Beach in Kona. <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. IS IT A 501(c)(3)? EYES [-] No <br /> *If YES,the IRS determination letter and the Nonprofit Conflict <br /> WeGo Foundation Inc Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: To improve the quality of <br /> service for the health and safety of communities. <br /> S. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: To protect health, safety, and <br /> environment. <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: <br /> VAR 3 <br /> xz'� ; �— <br /> DATE: <br /> 'DepaAtment Head <br /> C. MAYOR'S ACTION <br /> APPROVED ❑ DENIED ❑ DEFERRED: <br /> COMMENTS: <br /> DATE: <br /> Mayor <br />