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COUNTY OF HAW'API <br />CONTINGENCY RELIEF FUNDS REQUEST <br />TO: Research and Development DATE: October 11. 2023 <br />Deparnnent <br />FROM: Rebecca Villegas, District 7 PHONE/FAX: 808 323-4269 <br />Council Member <br />A. REQUEST (ATTACH BACKUP INFORMATION, IF AVAILABLE) <br />1. AMOUNT: $5 000 2. To ACCOUNT # (i.e., 010.500.5503.02): 010.161.5162.98.115 <br />3. To ACCOUNT NAME (i.e., P&R Admin. HI Cty. Resource Center, Misc. Contract Svs. <br />4. PURPOSE(S) OF TRANSFER: To provide a grant of$5, 000 to Kumukahi Health & Wellness <br />for expenses related to health education, testing, and community outreach. <br />5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION, NAME OF ORGANIZATION: <br />Havrai `i Island HIV/AIDS Foundation, 6. IS IT A 501(C)(3)? ® YES ❑ NO <br />dba Kumukahi Health and Wellness -IfYES, IRS determination letter must be attached to this form <br />7. COUNTY -RELATED PROGRAM(S) OR ACTIVITY(IES) TO BE FUNDED: Resource Center <br />S. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Support public and private sector initiative <br />that examine innovative ways m approach issues that aJfec( quallN ofGfe econom(c. socml, and environmental— on Ilawai'i Wand <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 project aligns with R&D goals/objectives as it addresses HIV, STI and overdose issues <br />C. MAYOR'S ACTION <br />APPROVED ❑ DENIED ❑ DEFERRED: <br />COMMENTS: <br />to/�/ -2- 3 <br />DATE: OCT 2 6 2023 <br />