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°~r.: °'r h~Lt . <br /> Stephen K Yamashiro ~ ~ ~ 1 Duue Kaetsu <br /> Mayor ~ Drrecror <br /> .rire <br /> Frank Manalr6 <br /> Deputy <br /> COUNTY Of I~1~li4I`I <br /> DEPARTMENT OF FINANCE <br /> 25 Aupum Street, Room 1 I B Hdo, Hswui %720-4232 <br /> (808) %I.8234 Fax (SOS) %1-8248 <br /> HAWAII COUNTY NONPROFIT GRANTS (FY 2000-01) <br /> FINANCIAL QUESTIONNAIRE <br /> Please include as en attachment en explanation for all "Ti0" answers to questions #1 thrv #11 below. <br /> Yes No <br /> X ? 1 Has the agency operated continuously for the past three (3) years? <br /> X ? 2. Has the agency operated with a positive cash flow for the past three (3) years? <br /> ? X 3. Does your Hoard of Directors approve a detailed cash flow budget before the beginning of <br /> each fiscal year? <br /> ? X 4 Do your Board meeting minutes show that quarterly financ[e] sffitements ere approved? <br /> X ? 5 Is your equity balance at least 20% of your ToffiI Liability balance? <br /> X ? 6 Is your ToffiI Current Asset balance larger then your Total Current Liability balance? <br /> X ? 7 Are bank reconctllations and accounting performed by someone other than the check signatory? <br /> X ? 8 Are you fully insured for the agency's vehicle(s) and building(s)? <br /> X ? 9. Is your Workers' Compensation at least 2% of payroll? <br /> X ? ]0 Are you current (non-delinquent) on all payroll and payroll tax payments? <br /> X ? 11. Is the agency free of any pending littgatton, liens or~udgments? <br /> ? X 12. Within the past 12 months, has the agency applied for vendor or bank credo and was dented <br /> credit? If yes, please explain. <br /> <br /> As the grant applicant, J cert~ that the agency has satisfactorily responded ra each ojthe above gttestionr and ezplained as <br /> needed I hereby certify thin this information u true and correct to the best of my knowledge <br /> Agency: Boys and Girls Club of Hawaii P o 8 8 949420 <br /> Prepared by Lei Mahce- Grant Admirustrator <br /> Pnnl Namdl'iae Sign°twe Dale <br /> <br /> Certified by. Davtd Nakada ~_~pt;Lr/I.~rCci B3 -iJ -p i <br /> Pnnt Name of Executive Dnetxor Signetwe Dale <br /> <br />