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7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Parks and Recreation DATE: March 6 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: <br /> $3,366 2. To AccouNT#(Le., 010.500.5503.02): 010.500.5507.06.480 <br /> 3. To ACCOUNT NAME (Le., P&R Admin. OCE): Recreation Div. Equip, Misc. Equipment <br /> 4. PURPOSE(S)OF TRANSFER: To provide financial assistance to purchase four mobile youth basketball <br /> hoops for Ka'u Gymnasium <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 /> 9f 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: Yes <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: To assist Parks and Recreation with <br /> equipment for activities held at Ka'u Gymnasium <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: <br /> ithfrLuCeDATE: 01pj/b 7/2o / 7 <br /> Department Hear/ / <br /> C. MAYOR'S ACTION <br /> g APPROVED ❑ DENIED ❑DEFERRED: <br /> COMMENTS: <br /> �^,y�%//// <br /> DATE: / / <br /> , Mayor <br />