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s' ' COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Liquor Control DATE: March 15, 2023 <br /> Department <br /> FROM: Dr. Holeka Goro Inaba, Council District 8 PHONE/FAX: 808/323-4279 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $1,000 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: For a grant to Domestic Violence Hurts Animals and People for material and <br /> Supplies to construct dog houses at its Dog House Program at Kealakehe High School. <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. Is ITA 501(c)(3)? ®YES ❑ No <br /> *IfConflict <br /> YES the IRS determination letter and the Nonprofit Confl t <br /> Domestic Violence Hurts Animals and People 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)? EYES ❑ 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 build character in our <br /> youth and promote a healthy lifestyle in an alcohol free and drug-free environment. <br /> `cam MAR 2 0 2023 <br /> DATE: <br /> Department Head <br /> C. MAYOR'S ACTION <br /> *APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: 3 DO/ <br /> cMayor <br /> i <br />