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7/9/08 <br />COUNTY OF HAWAI`IP <br />CONTINGENCY RELIEF FUNDS REQUEST <br />TO: Parks and Recreation <br />Department <br />FROM: Heather L. Kimball <br />Council Member <br />A. REQUEST (ATTACH BACKUP INFORMATION, IF AVAILABLE) <br />DATE: 0111512025 <br />1. AMOUNT: $2,250.00 2. To ACCOUNT # (i.e., 010.500.5503.02): 010.500.5503.02.115 <br />3. TO ACCOUNT NAME i.e., P&R Admin. OCE): P&R Admin OCE, Misc Contract Services <br />4. PURPOSE(S) OF TRANSFER: To support the A `ole Nape Teen Spring Dance in Honoka `a <br />5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION, NAME OF ORGANIZATION: <br />Hamakua Health Center, Inc. 6. IS IT A 501(c)(3)? ® YES ❑ No <br />*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: A `ole Vape Teen Spring Dance <br />8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Provide diversified programs to <br />address the needs and interests of the communities, in a safe environment. <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? [:]YES ® NO <br />B. DEPARTMENT'S RECOMMENDATION: <br />l. ,1.* 1 1 <br />DATE: h— C//� � <br />Department Head <br />C. MAYOR'S ACTION <br />COMMENTS: <br />MUM <br />Managing Director <br />