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<br /> <br /> DEPARTMENT OF FIiFVM9 E <br /> COUNTY OF HAWAII - - Arl AY-1" 5-ml- <br /> CONTINGENCY RELIEF FUNDS REQUEST RATE <br /> ROUT: <br /> TO: Darryl J. Oliveira, Fire Chief DATE: x%12%09 <br /> Department t,u~.:•~ <br /> PILE: <br /> FROM: Pete Hoffmann, District 9 PHONE/FAX: 217-2043 <br /> Council Member <br /> A. REQUEST (ATTACH BACKUP INFORMATION, IF AVAILABLE) <br /> <br /> 1. AMOUNT: $4,241.62 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 /> <br /> 4. PURPOSE(S) of TRANSFER: To provide financial support to Hilo Medical Center Foundation <br /> for "The Rural Family Practice Residency Program <br /> <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION, NAME OF ORGANIZATION: <br /> <br /> Hilo Medical Center Foundation 6. IS IT A 501(C)(3)? ® YES ? No <br /> *If YES, IRS determination letter must be <br /> attached to this form <br /> 7. COUNTY-RELATED PROGRAM(S) OR ACTIVITY(IES) TO BE FUNDED: N/A <br /> <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: <br /> <br /> <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE (AS OPPOSED TO PRIVATE BENEFIT)? ®YES ? NO <br /> <br /> <br /> <br /> 10. IS THE PROGRAM OR ACTIVITY FUNDED ESTABLISHED BY CHARTER, ORDINANCE, OR DIRECTION <br /> OF THE MAYOR? bf YES O <br /> <br /> B. DEPARTMENT'S RECOMMENDATION: <br /> <br /> APPROVE ? DENY ? DEFER: <br /> <br /> RATIONALE: <br /> <br /> /I -A <br /> <br /> Ak& - DATE: MAY 14 2009 <br /> Department Head <br /> C. MAYOR'S ACTION Request complies with Sec. 2-139.1-ICC. <br /> kith the following exceptions. Wally: <br /> N` APPROVED ? DENIED El DEFERRED: 1- No exceptions, okav to approve <br /> 7~ p _N/_ 1 I approecd. change _ <br /> COMMENTS: "'~•^+~"1 s An ,C.,,l l_ j~ IfaPpro check"Y Datees'oiot; <br /> ~J0 <br /> y'° 1 ~~L Signed _ <br /> DATE: MAY 1 2009 <br /> ~ <br /> or 02821 <br />