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v9/08 <br />COUNTY OF HAWAI`I <br />CONTINGENCY RELIEF FUNDS REQUEST <br />TO: Hawaii County Office ofAging DATE: <br />Department <br />FROM: Michelle M. Galimba-District 6 <br />Council Member <br />A. REQUEST (ATTACH BACKUP INFORMATION, IF AVAILABLE) <br />02-26-2025 <br />PHONE/FAX: 808-323-4277 <br />1. AMOUNT: $1000.00 2. To ACCOUNT 4 (i.e., 010.500.5503.02): 010. 411.5411- 02 <br />3. To ACCOUNT NAME (i.e., P&R Adnzin. OCE): Office of Aging OCE <br />4. PURPOSE(S) of TRANSFER: To assist with expenses related to the Older American Luncheon to be <br />held on Mav 9, 2025 <br />5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION, NAME Oh ORGANIZATION: <br />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: Older American Luncheon <br />8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED To provide opportunities for older <br />adults to age with dignity, remain active and independent, increase uq ality of lie and continue to <br />enwze in their communities <br />9. FUNDING TO BENEFIT THE PUBLIC -AT -LARGE (AS OPPOSED TO PRIVATE BENEFIT)? ®YES ❑ 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: This Contingency Relief Fund will assist the Of ice ofAging in t seltin�the cos? for the <br />Older American's Luncheon <br />DATE: MAR 0 5 2025 <br />Department Head <br />C. MAYOR'S ACTION <br />APPROVED ❑ DENIED ❑ DEFERRED: <br />COMMENTS: <br />vJ A� <br />DATE: fvJ^ y l/S <br />Mayor <br />