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7/9/08 <br />COUNTY OF HAWAI'I <br />CONTINGENCY RELIEF FUNDS REQUEST <br />TO: Department of Liquor Control DATE: 09-12-2024 <br />Department <br />FROM: Michelle M. Galimba-District 6 PHONE/FAX: 80 8-323-4277 <br />Council Member <br />A. REQUEST (ATTACH BACKUP INFORMATION, IF AVAILABLE) <br />1. AMOUNT: $5500.00 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-PublicPrqgrams"'Misc Contract Svcs <br />4. PURPOSE(S) OF TRANSFER: To assist with costs related to Friends qfthe Children's Justice Center of <br />East .Hawai'i to assist with it's Emergency Closet Program and Community Outreach <br />5. IF THE MONEY is DESIGNATED FOR A NONPROFIT ORGANIZATION, NAME OF ORGANIZATION: <br />6. IS IT A 501(c)(3)? Z YES Fj No <br />*If YES, the IRS determination letter and the Nonprofit Conflict <br />Friends of the Children's Justice Center of'East .Hi Inc Disclosure Form must be attached to this request form. <br />7. COUNTY -RELATED PROGRAM(S) OR ACTIVITY(IES) TO BE FUNDED: <br />8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: Support youth programs and activites <br />that provide education and promote a healthy, alcohol -free and drug -free lifestyle for our residents <br />9. FUNDING To BENEFIT THE PUBLIC -AT -LARGE (AS OPPOSED TO PRIVATE BENEFIT)? ®YES F-1 No <br />10. IS THE PROGRAM OR ACTIVITY FUNDED ESTABLISHED BY CHARTER, ORDINANCE, OR DIRECTION <br />OF THE MAYOR? El YES E No <br />1041040 07,119 103 <br />Z APPROVE [-] DENY F-1 DEFER: <br />RATIONALE: The Department of Liquor Control supports organizations that help guide our youth and <br />and their families to live a healthy, alcohol -free and drug free lifestyle. <br />E? 2 3 2 0 2 4 <br />DATE: <br />Department Head <br />C. MAYOR'S ACTION <br />N(APPROVED [—] DENIED F-1 DEFERRED: <br />COMMENTS: <br />DATE: <br />4C.g-%,Mqyor <br />A I <br />