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7!9108 <br /> COUNTY OF HA AI'I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Parks and Recreation ATE: 0912312022 <br /> Department <br /> FROM: Herbert M "Tim"Richards, III PHONE/FAX: 808-887-2069 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $5,400.00 2. To ACCOUNT#(i.e., 010.500.5503.02): 010.500.5503.02 <br /> 3. TO ACCOUNT NAME (Le.,P&R Admin. OCE): P&R Admin OCE, Misc. Contract Services <br /> 4. PURPOSE(S)OF TRANSFER: Provide funding.for purchase of new sports equipment and supplies for <br /> the Kohala Chargers Pop Warner Football program. <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 /> .North Kohala Community Resource Center Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Support Kohala Chargers Pop <br /> Warner Football program with new sports equipment and supplies. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Provide facilitate an array of services <br /> and opportunities that is responsive to the communities needs and interests. <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? MYES ❑ 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 /> =sem DATE: rr <br /> t <br /> 3Peiartment Head <br /> C. MAYOR'S ACTION <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: <br /> �WMayor <br />