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7/9/08 <br />COUNTY OF HAWAII <br />CONTINGENCY RELIEF FUNDS REOUEST <br />TO: Hawai `i Fire Department DATE: September 17, 2008 <br />~~ Department <br />FROM: K Angel Pilago PHONE/FAX: 327-3642 / 329-4786 <br />Council Member <br />A. REQUEST (ATTACH BACKUP INFORMATION, [F AVAILABLE) <br />1. AMOUNT: $5;000 2. TO ACCOUNT # (i.e., 010.500.5503.02): 010.221.5224.02.341 <br />3. TO ACCOUNT NAME (i.e., P&R Admin. OCE): Fire Prevention-OCE, Misc. Charges <br />4. PURPOSE(S) OF TRANSFER: To provide funds to the Hawai `i Office of Social Ministry Mobile <br />Vancare Dental services in the district of West Hawaii. <br />S. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION, NAME OF ORGANIZATION: <br />Roman Catholic Church, Hawai `i Off ce of Social 6. IS IT A 501(0)(3)? ®YES ^ NO <br />Ministry *If YES, IRS determination letter must be <br />attached to this form <br />7. ROGRAM(S) OR ACTIVITY(IES) TO BE FUNDED: TO provide dental services <br />To the needv in the district of West Hawaii. <br />8. -~9~htr GOALS AND OBJECTIVES TO BE ADDRESSED: ImpYOVe dental health in <br />Underserved communities. <br />9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE (AS OPPOSED TO PRIVATE BENEFIT)? ®YES ^ NO <br />1 O. 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: <br />DATE: SEP 18 2008 <br />Department Head quest complies with Sec. 2-139, HCC, ~? <br />- wit the following exceptions, if any: <br />C. MAYO 'S ACTION ~ _ No exceptions, okay to approve. <br />~,y _ If app oved, change k10 to a "Yes". <br />APPROVED ` ^ DENIED EFERRED~ ~ n'~ I' t~ _ If a check "Yes" in 0. <br />Ag ,Signed:pDate: _~~j3d~ <br />COMMENTS: <br />DATE: SEP 2 4 2008 <br />~f92d3 <br />Mayor <br />