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719/OS <br /> COUNTY OF HAW AFI <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Prosecuting Attorney DATE: March 8 2017 <br /> Department <br /> FROM: Made David—District 6 PHONE/FAX: 323-4277 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMA)ION,IF AVAILABLE) <br /> 1. AMOUNT: $1,657 2. ToACCOUNT#(Le., 010.500.5503.02): pI . 211.&111. oz. ns <br /> • <br /> 3. To ACCOUNT NAME (i.e.,P&R Admin. OCE): <br /> 4. PURPOSE(S)OF TRANSFER: Provide a grant to Ka'u Rural Health Community Asc.,for "Tito the <br /> Turtle"Story/Activity book and DVD for educational purposes <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 /> Ka'u Rural Health Community Ase., Inc. Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: "Tito the Turtle"Story/Activity <br /> hook project was created to emphasize healthy relationships and model.successful behaviors among youth. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: To encourage and promote crime <br /> prevention and early intervention initiative to improve the quality of life on the Big Island <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: p Q <br /> I DATE: �l 0 1 <br /> Deportment ad <br /> C. MAYOR'S ACTION <br /> IA APPROVED ❑ DENIED ❑ DEFERRED: <br /> COMMENTS: <br /> DATE: MAR 1 3 2017 <br /> 41-7h gar <br />