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7/9/08 <br />COUNTY OF HAWAI`I <br />CONTINGENCY RELIEF FUNDS REQUEST <br />TO: Department of Liquor Control DATE: 1111712025 <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: S1,000 2. To ACCOUNT # (Le., 010.500.5503.02): 1010-21-25139-530115 <br />3. TO ACCOUNT NAME (Le., P&R Admin. OCE): Liquor Control -Public Programs, Misc Contract Svcs <br />4. PURPOSE(S) OF TRANSFER: To provide support for the Kipuka Farmacy Project in Puna <br />5. IF THE MONEY Is DESIGNATED FOR A NONPROFIT ORGANIZATION, NAME OF ORGANIZATION: <br />6. IS IT A 501(C)(3)? OYES ❑ NO <br />*If YES, the IRS determination letter and the Nonprofit Conflict <br />Puna Communitv Medical Center Foundation Disclosure Form must be attached to this request forth. <br />7. COUNTY -RELATED PROGRAM(S) OR ACTIVITY(IES) TO BE FUNDED: To provide support for the <br />Kipuka Farmacy Project in Puna <br />8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: <br />that promote education, health, and well-being in drug free, and alcohol free venues. <br />Supporting community -based programs that <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 O NO <br />RECEIVED <br />B. DEPARTMENT'S RECOMMENDATION: <br />1) <br />O APPROVE ❑ DENY ❑ DEFER: MAYOR - HILO <br />RATIONALE: The Department ofLiquor Control supports organizations that enrich the lives of <br />community members though alcohol free and drug -free programs. <br />C. MAYOR'S ACTION <br />xAPPROVED <br />COMMENTS: <br />❑ DENIED ❑ DEFERRED: <br />DATE: DEC 17 2025 <br />DATE. DEC 19 2025 <br />Managing Director <br />-ttiwl <br />