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COUNTY OF HAWAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Liquor Control DATE: January 17, 2024 <br /> Department <br /> FROM: Holeka Goro Inaba, Council District 8 PHONE/FAX: 808/323-4279 <br /> Council Member , <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) c `- 041 <br /> 1. AMOUNT: $7,700 2. To ACCOUNT#(i.e., 010.500.5503.02): 0i-D. ;S1.SZ51.39?115 <br /> 'a <br /> 3. To ACCOUNT NAME (i.e., P&R Admin. Liquor Control Public Programs' 1VIisc. Contr'aat Services <br /> 4. PURPOSE(S)OF TRANSFER: For a grant to to assist with expenses for nonprottxs `T1 <br /> F t <br /> "La Ehunui 2024" event on Marcher f5-/o, NJ <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 /> Ka La`i a Thu 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 education which promote a drug and alcohol free environment. <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 contribute to the growth <br /> and development of our community and keep them safe through alcohol free and drug free events. <br /> DATE: JAN 1 7 2024 <br /> Department Head <br /> C. MAYOR'S ACTION <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> / DATE: JAN 1 9 2024 <br /> Mayor <br /> litkee 6 <br />