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i <br /> 7!9108 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> i <br /> i <br /> T : Parks and Recs ATE: 411212022 <br /> i <br /> Department <br /> FROM: Matt Kaneali`i-Kleinfelder PHONE/FAX: 961-8674 <br /> Council Member <br /> I <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: .1500.00 2. To ACCOUNT#(i.e., 010.500.5503.02): 010.500.5503.02 <br /> 3. To ACCOUNT NAME (i.e.,P&R Admin. OCE): P&R Admin OCE, Misc. Contract Services <br /> 4. PURPOSE(S)OF TRANSFER: Hawaii Care Choices annual "Celebration o Life" event. <br /> 5. IF THE MONEY is DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. IS IT A 501(c)(3)? M YES ❑ No <br /> *If YES,the IRS determination letter and the Nonprofit Conflict <br /> Hospice of Hilo DBA Hawaii Care Choices Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Community event held at a County <br /> Park for community to remember those who have passed. <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 /> �a F DATE: <br /> Aepartment Head <br /> C. MAYOR'S ACTION <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: 1 <br /> anaging Director �,Mayor <br />