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719/08 <br /> COUNTY OF HAwAI`I <br /> CONTINGENCY RELIEF FUNRLREQUEST <br /> TO: Research and Development ATE: 8/29/2022 <br /> Department <br /> FROM: Matt Kdneali`i-Kleinfelder NE/FAX: 961-8674 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $2,500.00 2. To ACCOUNT (i.e., 010.500.5503.02): 010.161.5163.20.115 <br /> . To ACCOUNT NAME (i.e., P&R Admin. CE): Business Development RD, Misc. Contract Svs <br /> . PURPOSE(S)OFT SFER: Puna community outreach program to provide constituents with HIV, <br /> epC, and STI testing as well as support with health insurance, case management serviceslsupport grp <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OFORGANIZATION: <br /> Hawai`i Island HIVIAIDS Foundation, 6. IS IT A 501(C)(3)? ®YES ❑ No <br /> dba Kumuhahi Health and Wellness *If YES,the IRS determination letter and the Nonprofit Conflict <br /> Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Community Well-beim <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: Develop and implement integrated <br /> holistic and sustainable community-based approaches to community well-being and social justice. <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 /> R APPROVE ❑DENY ❑DEFER: <br /> RATIONALE: This project fits within the department's mission as the proposed activities address <br /> healt dis arities and commiAnity well-being. <br /> DATE: <br /> Department Head <br /> C. MAYOR'S ACTION <br /> ?lj <br /> APPROVED F]DENIED F-1DEFERRED: <br /> COMMENTS: <br /> DATE: j <br /> Managing Director ,eMayor <br />