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719/08 <br /> COUNTY OF HAWAI`, <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Office of the Prosecuting Attorney DATE: March 8, 2017 <br /> Department <br /> FROM: Maile David—District 6 PHONE/FAX: 323-4277 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: 1,000 2. TO ACCOUNT#(Le., 010.500.5503.02): 010.271.5271.02.115 <br /> 3. To ACCOUNT NAME (Le., P&R Admin. OCE): Pros Attorney OCE, Misc. Contract Services <br /> 4. PURPOSE(S)OF TRANSFER: Provide a grant to Camp Agape Hawaii Big Island to assist with expenses. <br /> A four day camp supports youth overcoming hardships and emotional distress affected by parental incarceration <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 /> Camp Agape Hawai'i Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Community initiatives <br /> to promote juvenile delinquency prevention and intervention and other efforts. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Provide youth with hope, to empower <br /> them to create their own paths in life and to grow into healthy, happy members of the community. <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 /> DATE: 31 / ph7 <br /> Depar went Head <br /> C. MAYOR'S{ ACTION <br /> LJ APPROVED ❑ DENIED ❑ DEFERRED: <br /> COMMENTS: <br /> fell DATE: MAR 1 3 2017 <br /> M1tmnr <br />