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7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Parks and Recreation DATE: March 2, 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#(Le., 010.500.5503.02): 010.500.5509.25 <br /> 3. To ACCOUNT NAME (i.e., P&R Admin. OCE): Summer/Intersession OCE, Misc. Charges <br /> 4. PURPOSE(S)OF TRANSFER: To assist with the funding for youth of Pahala to participate in the 2017 <br /> Summer Fun Program at Pahala Community Center <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. Is IT A 501(C)(3)9 ❑YES Z 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: Yes <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: To provide youth with safe and <br /> enjoyable activities <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? ZYES ❑ No <br /> 10. IS THE PROGRAM OR ACTIVITY FUNDED ESTABLISHED BY CHARTER,ORDINANCE,OR DIRECTION <br /> OF THE MAYOR? Z YES ❑No <br /> B. DEPARTMENT'S RECOMMENDATION: <br /> 0 APPROVE ❑ DENY ❑DEFER: <br /> RATIONALE: <br /> ,_(iiG4-.31),_06C r --�t'/,,%Q_ DATE: (73 2C7/7 <br /> bepartment Head <br /> C. MAYOR'S,�( ACTION <br /> IJ APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> 0---- 1 • <br /> DATE: MAR 0 7 7017 <br /> // Mayor <br />