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7/9/08 <br /> COUNTY OF HAWAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Department of Research and Development DATE: November 28, 2017 <br /> Department <br /> FROM: Jen Ruggles District 5 PHONE/FAX: 961-8263 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $1,000 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): Resource Center, Misc. Contract <br /> 4. PURPOSE(S)OF TRANSFER: To defray expenses incurred during their annual spay-neuter clinics. <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 <br /> Hui Pono Holoholona Nonprofit Conflict Disclosure Form must be attached to this <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 /> Hawaii Island communities through community-based collaboration and capacity building services. <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 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 priorites. <br /> TielaA,, AnyglIV <br /> DATE: /1/c9-9//7 <br /> Depar ent Hd <br /> C. MAYOR'S ACTION <br /> VAPPROVED ['DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: <br /> u'/N / 1/ <br /> Managing Director <br /> 111-5 <br />