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<br /> <br /> 7/9/08 <br /> <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> <br /> TO: Fire Department DATE: April 14, 2009 <br /> Department <br /> FROM: Brenda J. Ford PHONE/FAX: 326-5684 <br /> Council Member <br /> <br /> A. REQUEST (ATTACH BACKUP INFORMATION, IF AVAILABLE) <br /> <br /> 1. AMOUNT: 22,000 2. To ACCOUNT # (i.e., 010.500.5503.02): 010.221.5224.02 <br /> 3. To ACCOUNT NAME (i.e., P&R Admin. OCE): Fire Prevention OCE-Misc. Charges <br /> <br /> 4. PURPOSE(S) OF TRANSFER: to provide additional funds to the West Hawai `i Community Health <br /> Center Inc for the Keiki Health Center (Dental Clinic) <br /> <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION, NAME OF ORGANIZATION: <br /> West Hawai `i Community Health Center Inc. 6. IS IT A 501(0)(3)? (E YES ? NO <br /> *If YES, IRS determination letter mast be <br /> attached to this farm <br /> 7. COUNTY-RELATED PROGRAM(S) OR ACTIVITY(IES) TO BE FUNDED: Not Applicable <br /> <br /> <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: To defray operational expenses that <br /> <br /> are not covered b the federal government or insurance for children in low income families <br /> 9. FUNDING To BENEFIT THE PUBLIC-AT-LARGE (AS OPPOSED TO PRIVATE BENEFIT)? (EYES ? NO <br /> <br /> <br /> 10. IS THE PROGRAM OR ACTIVITY FUNDED ESTABLISHED BY CHARTER, ORDINANCE, OR DIRECTION <br /> <br /> OF THE MAYOR? ZYES NO <br /> <br /> B. DEPARTMENT'S RECOMMENDATION: <br /> <br /> D `APPROVE ? DENY ? DEFER: <br /> <br /> RATIONALE: <br /> <br /> <br /> DATE: APR 2 0 2009 <br /> Department Head <br /> <br /> C. MAYOR'S ACTION Rcyuest complies with Sec. 2-139.1ICC. <br /> with the Ibllowiag exceptions, if any: <br /> EZ(APPROVED ? DENIED ? DEFERRED: No xceptions. okay to approve <br /> approved. change 910 to a <br /> COMMENTS: _ l appro r chc k °Yes" in #10. <br /> Signed )ate <br /> <br /> DATE: APR 2 1 2 09 <br /> ayor <br /> ..r <br />