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7/9/08 <br /> COUNTY OF HAWAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Research and Development DATE: April 6, 2017 <br /> Department <br /> FROM: Aaron Chung PHONE/FAX: 8015 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $4,000 2. To ACCOUNT#(i.e., 010.500.5503.02): 010.161.5162.98.115 <br /> 3. To ACCOUNT NAME (i.e.,P&R Admin. OCE): HI Cty Resource Center, Misc. Contract Svs. <br /> 4. PURPOSE(S)OF TRANSFER: To provide funding to The Food Basket, Inc for expenses related to its <br /> Kupuna Pantry program. <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. Is IT A 501(C)(3)? ►1 YES ❑ No <br /> *If YES,the IRS determination letter and the Nonprofit Conflict <br /> The Food Basket, Inc. Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Community Building <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: To facilitate the sustainability of <br /> Hawai`i Island communities through community-based collaboration and capacity building services. <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? /1 YES El No <br /> 10. Is THE PROGRAM OR ACTIVITY FUNDED ESTABLISHED BY CHARTER,ORDINANCE,OR DIRECTION <br /> OF THE MAYOR? El YES ®No <br /> B. DEPARTMENT'S RECOMMENDATION: <br /> L APPROVE El DENY ❑DEFER: <br /> RATIONALE: The project as identified fits within the Community Building focus in collaborating with <br /> Community-based organizations to balance economic, social and community, health and environmental priorties. <br /> a <br /> " DATE: c//et/7 <br /> Departmen° ad <br /> C. MAYOR'S ACTION <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> '27/) <br /> .. t <br /> ' DATE: <br /> Mayor <br />