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COUNTY OF AAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Liquor Control ATE: July 6, 2022 <br /> Department <br /> FROM: Dr. Holeka Goro Inaba, Council District 8 PHONE/FAX: 8081323-4279 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $3,000 2. To ACCOUNT#(i.e., 010.500.5503.02): 010.251.5251.39.115 <br /> 3. TO ACCOUNT NAME (i.e., P&R Admin. Liquor Control Public Programs—Misc. Contract Services <br /> 4. PURPOSE(S)OF TRANSFER: To assist with expenses related to Humanity Hale's life enhancing programs <br /> for at-risk youth. <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 /> Humanity Hale Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: To support public and youth <br /> programs through activities which promote a drug and alcohol free environment during. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Implement educational, alcohol-free <br /> And drug-free activities that preserve and perpetuate the 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: The Department of Liguor Control supports programs that lead our youth to live a <br /> healthy, alcohol free, and drug free lifestyle. <br /> DATE: J U L 0 7 2022 <br /> DepateNflead <br /> C. MAYOR'S ACTION <br /> C�kAPPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: AJ- <br /> anaging irector WMayor <br /> hs: <br />