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County of Hawaii Nonprofit Grant Application FY2019-20 <br /> Agency Name: Aloha Ilio Rescue <br /> Program Name: Ilio Mobile <br /> Agency Director: Daylynn Kyles Phone No.: (808) 936 — 7955 <br /> Contact Person: Michelle Lee Phone No.: (808) 345 — 3263 <br /> Mailing Address: Address: P.O. Box 4923649 <br /> Address: <br /> City,ST,Zip Keaau, Hawaii 96749 <br /> Facility Address: Address: none <br /> Address: <br /> City,ST,Zip <br /> Email Address: dogs@alohailiorescue.com Fax No.: ( ) — <br /> Accountant/CPA: Daylynn Kyles, Director Phone No.: (808) 936 — 7955 <br /> Firm (if applicable): <br /> Mailing Address: Address: P.O. Box 4923649 <br /> Address: <br /> City,ST,Zip Keaau, Hawaii 96749 <br /> YOU ARE RESPONSIBLE TO KEEP THE ABOVE INFORMATION CURRENT AND TO <br /> PROMPTLY NOTIFY THE FINANCE DEPARTMENT AND COUNCIL OF ANY CHANGES <br /> Amount of Request for County Nonprofit Grant Program Funds: $40000 (I,'l 5 <br /> Geographical Areas To Be Served: (One or more can be checked) <br /> Q Puna ❑✓ Hamakua ❑✓ North Kona <br /> Q South Hilo 0 North Kohala Q South Kona <br /> ✓❑ North Hilo 0 South Kohala ❑✓ Ka`u <br /> Services or Activities To Be Provided: (One or more can be checked) <br /> ❑ Educational concerns. ❑Youth ❑Victims of Crimes <br /> ❑Culture and the arts 0 Aged ❑✓ Victims of Health or Social Crises <br /> ❑Needs of the poor ❑Physical/Emotional Disabilities <br /> ❑✓ Public Health and Welfare of the People and the Environment <br /> EXHIBIT A <br /> NONPROFIT GRANT APPLICATION FY 2019-2020 Page 1 of 8 <br />