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COUNTY OF HAWAI'I <br />CONTINGENCY RELIEF FUNDS REQUEST <br />7/9/08 <br />TO: Department of Research & Development DATE: <br />Department <br />FROM: Ashlev Kierkiewicz <br />Council Member <br />A. REQUEST (ATTACH BACKUP INFORMATION, IF AVAILABLE) <br />1013012024 <br />PHONE/FAX: (808) 961-8265 <br />1. AMOUNT: $10,000 2. To ACCOUNT #(i.e., 010.5110.5503.02): 010.161.5161.22 <br />3. To ACCOUNT NAME (i.e., P&R Admin. OCE): 11 1615 A Pic. Contract Services <br />. . . . . . ... ................. ..... . <br />4. PURPOSE(S) OF TRANSFER: To support the Keik-i Resilience Project in the Black Sands <br />Beach Community Garden <br />5. IF THE MONEY is DESIGNATED FOR A NONPROFIT ORGANIZATION, NAME OF ORGANIZATION: <br />6. IS IT A 501(c)(3)? E YES R No <br />*If YES, the IRS determination letter and the Nonprofit Conflict <br />Malama 0 Puna Disclosure Form must be attached to this request form. <br />7. COUNTY -RELATED PROGRAM(S) OR ACTIVITY(IES) TO BE FUNDED: - To support the Keiki Resilience <br />Project in the Black Sands Beach Communitv Garden <br />8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: Supporting sustainable agricultural <br />practices by promoting educational opportunities designed to build skills and capacity in the farm community. <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 />*F THE MAYOR? R YES 0 N8 <br />B. DEPARTMENT'S RECOMMENDATION: <br />10 APPROVE ❑ DENY ❑ DEFER: <br />]RATIONALE: <br />DATE' <br />Department Head <br />C. MAYOR'S ACTION <br />YAPPROVED R DENIED R DEFERRED: <br />eo DATE: OPY <br />Mayor <br />