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7/9/08 <br /> COUNTY OF HAWAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Office of Housing and Community Development DATE: 05/09/17 <br /> Department <br /> FROM: Jennifer Ruggles PHONE/FAX: 808-961-8263 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $3000 2. To ACCOUNT#(Le., 010.500.5503.02): 010.801.5801.32 <br /> 3. To ACCOUNT NAME (Le.,P&R Admin. OCE): Trans to Housing Fund, Misc Charges <br /> 4. PURPOSE(S)OF TRANSFER: To provide funds to Malama o'Puna to build bus stops for the <br /> community in the Fern Acres Subdivision <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 /> *If YES,the IRS determination letter and the Nonprofit Conflict <br /> Malama o'Puna Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Community Development <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: To facilitate the development <br /> of a Community Bus Stop for the Fern Acres Subdivision <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? EYES ❑ 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: <br /> !� l MAY 1,® 2017 <br /> D par t Head <br /> C. MAYOR'S ACTION <br /> APPROVED ❑ DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: S7/ /9 <br /> Managing Director KMayor <br />