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APPLICATION FOR NONPROFIT FUNDS <br /> CiVEP gar 1A <br /> Fiscal Year July 1, 1996 - June 30, 1997 <br /> COUNTY OF HAWAII <br /> NARRATIVE REPORTING FORMS (Pages 1 - 8) <br /> ORGANIZATION SUMMARY: <br /> ORGANIZATION NAME: Kona Adult Day Center, Inc. <br /> NAME OF PROGRAM: Adult Day Care <br /> Mailing Address: P_n Rox 36n <br /> City, State, Zip: Kealakekua, HI 96750 <br /> Telephone: ( 808) 32?-7g77 FAX: (808) 322-0614 <br /> Attach current Internal Revenue tax-exemption certificate 501 (c) 3 <br /> Amount allocated by the Hawaii County in 1995: $ 10.000.00 3.31 % of Budget <br /> Agency Total Budget in 1995 $301,289.00 <br /> Amount requested of Hawaii County in 1996: $ 15,000.00 5,.66 % of Budget <br /> Agency Total Budget in 1996: $264,597.00 <br /> This application for County of Hawaii non-profit grant funding in 1996 was considered and <br /> approved for submission at the Council meeting held on February 1996. <br /> BY: <br /> (Signature) (Print) <br /> Council Chairperson <br /> Agency's Fiscal Year: June 1 t o Tidy 31 <br /> History of funding with the County of Hawaii: <br /> New Applicant <br /> xx Participating agency since 1995 <br /> Firm conducting and date of agency's last financial review or audit: <br /> NAME: Javier i Islay, CPA, Personal & Rusinesc Managpmwmt,,Inc_ <br /> DATE: September 1995 <br />