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7/9/08 <br /> COUNTY OF HAWAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Liquor Control DATE: January 12, 2017 <br /> Department <br /> FROM: Maile David PHONE/FAX: 323-4277 <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 Sery <br /> 4. PURPOSE(S) OF TRANSFER: To contribute funds for supplies, material and other related expenses <br /> in sypport of Hawai`i Island United Way <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> Hawai`i Island United Way Inc *6. Is IT A 501(C)(3)? ®YES I=1 No <br /> If YES,the IRS determination letter and the Nonprofit Conflict <br /> Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: To support local community <br /> programs and organizations conducted in a healthy and safe environment. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: Provide funds to help with expenses <br /> focusing on health and wellness efforts related to substance use and abuse prevention. <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 programs that educate our communities <br /> on alcohol and other substance abuse prevention. <br /> 4-4.---, DATE: JAN 1 3 2017 <br /> Department Head <br /> C. MAYOR'S ACTION <br /> APPROVED ❑ DENIED ❑ DEFERRED: <br /> COMMENTS: <br /> JAN 19 2017 <br /> k-v7DATE: <br /> Mayor <br />