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7wrUS <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Liquor Control DATE: 4/23/17 <br /> Department <br /> FROM: Susan Lee Loy PHONE/FAX: 961-8571 <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: Provide f ending for educational projects and events to raise awareness <br /> on the effects of alcohol and substance abuse in family violence. <br /> 5. IF TILE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION.NAME OF ORGANIZATION: <br /> 6. Is ITA 501(c)(3)? ®YES ❑ No <br /> •If YES,the IRS determination letter and the Nonprofit Conflict <br /> Big Island Lions Foundation Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Drug, smoke, and alcohol-free <br /> programs/activities conducted in healthy/safe environments beneficial to the participants and public. <br /> S. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: To conduct and/or support public and <br /> youth programs via education, enforcement, & activities which promote compliance w/liquor lams. <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? ZEES ❑ No <br /> 10. Is THE PROGRAM OR ACTIVITY FUNDED ESTABLISHED BY CHARTER,ORDINANCE,OR DIRECTION <br /> OF THE MAYOR? ❑ YES Z No <br /> B. DEPARTMENT'S RECOMMENDATION: <br /> ®APPROVE ❑ DENY ❑ DEFER: <br /> RATIONALE: The Department of Liquor Control supports organizations that provide educational <br /> programs to raise awareness <br /> on the effects of alcohol abuse and promote compliance of our liquor laws. <br /> DATE: MAR 2 E 7017 <br /> Department Head <br /> C. MAYOR'S ACTION <br /> Er APPROVED ❑ DENIED ❑DEFERRED: <br /> COMMENTS: �j/7/,{- <br /> DATE: " //7 <br /> .friyMayoi <br />