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7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Research and Development DATE: April 10, 2014 <br /> Department <br /> FROM: Zendo Kern PHONE/FAX: 808-961-8263 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $5,000 2. To ACCOUNT#(Le., 010.500.5503.02): 010.161.5162.98.115 <br /> 3. To ACCOUNT NAME (i.e.,P&R Admin. OCE): HI Cty. Resource Center, Misc. Contract Svs. <br /> 4. PURPOSE(S)OF TRANSFER: To provide funds for the Puna Community Medical Center Building Fund for <br /> the Emergency Room. <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> Puna Community Medical Center 6. IS IT A 501(C)(3)? [DYES ❑ No <br /> *If YES,IRS determination letter must be attached to this form <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: <br /> S. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: To facilitate the sustainability ofHawai'i Island communities <br /> through community-based collaboration and capacity building services,and to balance economic,social and community,health and environmental practices. <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? ®YES ❑ NO <br /> 10. 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: This initiative will support the goals and objectives of the Community Building program <br /> through community-based collaboration and capacity building and health services. <br /> DATE: <br /> APP 1 0 2014 <br /> Department Head <br /> C. MAYOR'S ACTION <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: z11r1't-" <br /> Mayor <br />