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719108 <br /> COUNTY OF AAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> I <br /> TO: Department of Liquor Control ATE: 411812022 <br /> Department - <br /> I <br /> FROM: Ashley L. Kierkiewicz PHONE/FAX: 961-8536 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $1,000 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: Funds will be used for school supplies packs for students that enhance <br /> learning and promote retention at Pdhoa Public Schools and hygiene kits for homeless individuals <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 /> `0 Maku`u ke Kahua Community Center Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: to support drug and alcohol free <br /> youth opportunities for enhanced learning <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: Improving the education for <br /> students in Pdhoa with improved access to educational opportunities that are drug- and alcohol-free <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 ofLiquor Control supports students that strive to improve community <br /> living with alcohol-free and drugreeprojects. <br /> �� --• DATE: APR 18 2022 <br /> i Department Head <br /> C. MAYOR'S ACTION <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: <br /> Managing Director �ayor <br />