Laserfiche WebLink
I <br /> 7(9108 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Department of Liquor Control ATE: December 26, 2022 <br /> Department <br /> i <br /> FROM: Sue Lee Loy PHONE/FAX: 961-8396 <br /> Council Member <br /> a <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $4,015 2. To ACCOUNT#(i.e., 010.500.5503.02): 010.251.5251.39.115 <br /> I <br /> 3. TO ACCOUNT NAME (i.e.,P&R Admin. OCE): Liquor Public Programs Misc. Contract Svcs <br /> 4. PURPOSE(S)OF TRANSFER: To assist with expenses related to the purchase chi installation of a water <br /> Bottle filler station <br /> I <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 detennination Ietter and the Nonprofit Conflict <br /> Island of Hawaii YMCA Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAMS OR ACTIVITY IES TO BE FUNDED: <br /> O ACTIVITY(IES) Supports resource conservation <br /> And increased educationlawareness for all participants on healthy lifestyle choices <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Awareness & education for youth to <br /> Live a healthy, alcohol-free & drug-free lifestyle <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 Liquor Control supports organizations that pave the way to living an <br /> alcohol,free and drttgfree lifestyle. <br /> DATE: DEC <br /> Department Head <br /> C. MAYOR'S ACTION <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: <br /> Mayor <br />