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7/9/08 <br /> COUNTY OF HAWAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Department of Liquor Control DATE: 1-4-17 <br /> Department <br /> FROM: Sue Lee Loy PHONE/FAX: 961-8396 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $2,000 2. To ACCOUNT#(i.e., 010.500.5503.02): 010.251.5251.39.115 <br /> 3. To ACCOUNT NAME (i.e., P&R Admin. OCE): Liquor Control-Public Programs-Misc Contract Svcs <br /> 4. PURPOSE(S)OF TRANSFER: To provide funds for supplies, materials and other related expenses <br /> in support of Hawai'i Island United Way <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,the IRS determination letter and the Nonprofit Conflict <br /> Hawai'i Island United Way Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: To support our local community <br /> organizations with an interest in health/wellness efforts relating to substance use/abuse prevention. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: To conduct and/or support public <br /> programs through education, enforcement or activities which promote compliance with liquor laws. <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: The Department of Liquor Control supports educational and enforcement activities that <br /> promote the rules and regulations and liquor laws of the County of Hawai`i. <br /> (?9(.440, --- <br /> DATE: JAN 1 0 2017 <br /> Department Head 334-4—< <br /> C. MAYOR'S ACTION <br /> [APPROVED 0 DENIED ❑DEFERRED: <br /> COMMENTS: <br /> / <br /> e <br /> filk./-----7 DATE: JAN 13 2017 <br /> M or <br />