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COUNTY OF HAWAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Liquor Control DATE: October 19, 2017 <br /> Department <br /> FROM: Karen Eoff, Council District 8 PHONE/FAX: 808/323-4279 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $2,000 2. TO ACCOUNT#(i.e., 010.500.5503.02): 010.251.5251.39.115 <br /> 3. To ACCOUNT NAME (i.e., P&R Admin. OCE): Liquor Control, Public Programs, Misc Contract Services <br /> 4. PURPOSE(S)OF TRANSFER: For Kealakehe Project Grad event, to pay for entertainment, <br /> transportation,food and other expenses associated with graduation night in May 2018. <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. Is ITA 501(C)(3)? E YES ❑ No <br /> *If YES,the IRS determination letter and the Nonprofit Conflict <br /> Kealakehe High School Grad Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Support for youth programs <br /> through activities that promote compliance to liquor laws. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: To provide for a safe, alcohol and <br /> drug free event by providing activities, transportation, and food on May 26 and 27, 2018. <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: The Department of Liquor Control supports programs and events that provide safe, <br /> alcohol free and drug-free activities for our graduating high school seniors. <br /> DATE: OCT 2 0 2017 <br /> Department Head <br /> C. MAYOR'S ACTION <br /> [APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: OCT 2 3 2017 <br /> or <br />