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7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Research and Development DATE: August 22, 2017 <br /> Department <br /> FROM: Jen Ruggles PHONE/FAX: 961-8263 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $6,000 2. To ACCOUNT#(Le., 010.500.5503.02): 010.161.5162.98.115 <br /> 3. To ACCOUNT NAME (Le.,P&R Admin. OCE): Research and Development <br /> 4. PURPOSE(S)OF TRANSFER: Financial assistance for Ku'ikahi Mediation Center Training and <br /> Mentoring Program for Puna Homeowners Associations. <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 /> Ku'kahi Mediation Center 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 partnerships for Hawaii <br /> Island residents to become healthier, more self-reliant and resilient <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: Project falls within the Department's goal to facilitate the sustainability of our island <br /> Communities through economic, social &community, health &environmental priorities. <br /> E7ttC( 01 DATE: 8/3//94/1 <br /> Departm:' , ead <br /> C. MAYOR'S ACTION <br /> APPROVED ❑DENIED El DEFERRED: <br /> COMMENTS: <br /> DATE: 3if/2 <br /> in' aging Dire. Mayor <br />