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COUNTY OF HAWAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Liquor Control DATE: April 4, 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) <br /> 1. AMOUNT: $4,990 2. To ACCOUNT#(Le., 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 D.A.R.E. for student activity,prize and food expenses <br /> related to the 2024 D.A.R.E. Day in West Hawai`i on May 10, 2024. <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. Is IT A 501(C)(3)? ®YES LI No <br /> DARE HAWAII *If YES,the IRS determination letter and the Nonprofit Conflict <br /> Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Supporting community <br /> organizations with wellness efforts relating to the prevention of substance use and abuse. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: To support public and youth <br /> programs through education which promote a drug and alcohol free 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 alcohol free and drug free programs that <br /> Educate our students on the compliance of our County's liquor laws. <br /> 3 7v 4,. DATE: APR - 5 2024 <br /> . Department Head <br /> C. MAYOR'S ACTION <br /> APPROVED 111 DENIED ❑DEFERRED: <br /> COMMENTS: <br /> (5-. '1--1.....-""-- DATE: liriV2-0- l <br /> Mayor <br />