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7/9/08 <br /> COUNTY OF HAWAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: . Liquor Control DATE: • 04/24/2018 <br /> Department <br /> FROM: Herbert M "Tim"Richards, III PHONE/FAX: 961-8564 <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): Public Programs <br /> 4. PURPOSE(S) OF TRANSFER: A grant to Hamakua Health Center, Inc. dba Hamakua-Kohala Health <br /> towards their community outreach programs involving health and welfare needs of the community. <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 /> Hamakua Health Center, Inc., dba Hamakua-Kohala Health Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Public Programs <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: Supports organizations and programs <br /> that promote the healthy, safety, and welfare of the community. <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? ®YES ❑ 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 alcohol free and drug-free community <br /> programs that promote active and healthy lifestyles. <br /> DATE: y/20/i? <br /> Department Mad <br /> C. MAYOR'S ACTION <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> 1/4/ / <br /> DATE: <br /> i ciZno Mayor <br />