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7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Prosecuting Attorney DATE: 12/12/18 <br /> Department <br /> FROM: Valerie Poindexter—District 1 PHONE/FAX: 961-8828 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $2,500 2. To ACCOUNT#(i.e., 010.500.5503.02): 010.271.5271.02.115 <br /> 3. To ACCOUNT NAME (i.e., P&R Admin. OCE): Pros AttyOCE, Misc. Contract Services <br /> 4. PURPOSE(S)OF TRANSFER: To assist Ka Hale 0 Na Keiki Inc.preschool program with educational supplies, classroom <br /> materials and playground/activity equipment. Increase social behavior and positive youth intervention. <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. is IT A 501(c)(3)? ►1 YES ❑ No <br /> "If YES,the IRS determination letter and the Nonprofit Conflict <br /> Ka Hale 0 Na Keiki Preschool Inc. Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: <br /> To increase positive youth development on the Hamakua Coast <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Community outreach as well as provide a <br /> healthy and safe environment for youth in the community. <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:EP <br /> 'TROVE ❑DENY ❑DEFER: <br /> RATIONALE: <br /> DATE: /2 /64--/() <br /> Department Head <br /> C. MAYOR'S ACTION <br /> [,APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> �.. /715' <br /> DATE: <br /> Managing Director Mayor WILFRED M.OKABE <br />