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5 <br /> 7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> i <br /> TO: Department ofLiquid Control DATE: 0311012023 <br /> Department <br /> FROM: Ashley Kierkiewicz PHONE/FAX: (808) 961-8265 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $4000 2. To ACCOUNT#(i.e., 010.500.5503.02): 010.251.5251.39.115 <br /> 3. To ACCOUNT NAME (i.e.,P&R Admin. OCE): Liquor Control-Public Programs, Misc Contract Svcs <br /> 4. PURPOSE(S)OF TRANSFER: Funding the Island of Hawai`i YMCA's Family Visitation Center <br /> to supplement salaries & wages. <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 /> Island O,fHawai`i YMCA Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Family Visitation Center <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Providing youth a safe, supervised <br /> visitation space to engage with all parents who were involved with domestic violence. <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 ofLiquor Control supports organizations that provide a safe, alcohol- <br /> free and drug-free environment for our families to gather. <br /> DATE: MAR 2 1 2023 <br /> Depar en e cl <br /> C. MAYOR'S ACTION <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> LK-1 DATE: (d3 I a3 <br /> Mayor <br /> � k <br />