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7/9/08 <br /> COUNTY OF HAWAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> • <br /> TO: Parks & Recreation DATE: . 4/25/2014 <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: $12,426 2. To ACCOUNT#(i.e., 010.500.5503.02): 110.588.5589.05 <br /> 3. To ACCOUNT NAME (i.e., P&R Admin. OCE): council district 5 contingency projects <br /> 4. PURPOSE(S)OF TRANSFER: to provide funding assistance for expenses associated with improvements <br /> for Herbert Shipman Park in Kea`au. <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. Is IT A 501(C)(3)? ❑YES ® 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: N/A <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: provide for safe facilities and <br /> grounds <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE (AS OPPOSED TO PRIVATE BENEFIT)? EYES ❑ 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: <br /> DATE: <br /> p <br /> De artment Head 0-Vt.,/ <br /> • <br /> C. MAYOR'S ACTION <br /> APPROVED ❑ DENIED ❑DEFERRED: <br /> VVVVVV COONINIENTS: <br /> DATE: APR 2 9 2014 <br /> Mayor <br />