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7/9/08 <br /> COUNTY OF HAWAPI <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> Lli%ov- <br /> TO: Department of*z4 Control DATE: 1011512025 <br /> Department <br /> FROM: Ashley Kierkiewicz PHONE/FAX: (808) 961-8265 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $2,500 2. To ACCOUNT#(Le., 010.500.5503.02): 1010-21-25139-530115 <br /> 3. To ACCOUNT NAME (i.e.,P&R Admin. OCE): Liquor Control-Public Programs, Misc Contract Svcs <br /> 4. PURPOSE(S)OF TRANSFER: Community-driven beautification efforts for the Pahoa Roundabout <br /> Community Garden <br /> 5. IF THE MONEY is DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6.'IS IT A 501(c)(3)? Z YES ❑ 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: . Community-driven <br /> beautification efforts,for the Pahoa Roundabout Community Garden <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: Supporting community-based <br /> programs that promote education, health, and well-being in drug-free, and alcohol-free venues <br /> 9. FUNDING To BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? ®YES F1 No <br /> 10. IS THE PROGRAM OR ACTIVITY FUNDED ESTABLISHED BY CHARTER,ORDINANCE,OR DIRECTION <br /> OF THE MAYOR? F1 YES Z No <br /> B. DEPARTMENT'S RECOMMENDATION: <br /> Z APPROVE R DENY F-1 DEFER: <br /> RATIONALE: The Department of Liquor Control supports organizations that enrich the lives of <br /> community members through alcohol free a+ ugAee projects and events. <br /> Nix DATE: <br /> Department Head <br /> C. MAYOR'S ACTION <br /> YAPPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> Managing Director Wlayor <br />