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7/9/08 <br /> COUNTY OF HAWAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Department of Parks and Recreation DATE: 2/21/2019 <br /> Department <br /> FROM: Ashley Kierkiewicz PHONE/FAX: P: 961-8265/F: 961-8912 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $1,500.00 2. To ACCOUNT#(Le., 010.500.5503.02): 010.500.5503.02 <br /> 3. To ACCOUNT NAME (i.e.,P&R Admin. OCE): P&R Admin Oce, Misc Contract Services <br /> 4. PURPOSE(S)OF TRANSFER: Assist Pahoa High School with funding for 2"d Annual Pahoa Complex <br /> Health and Wellness Fair <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 Nonprofit Conflict <br /> The Pahoa Schools Support Foundation Disclosure Form must be attached to this request forni. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Activities for Puna residents <br /> and community at-large, aimed at encouraging health and wellness <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Promote/teach health and wellness to the <br /> community by empowering attendees to integrate more physical activities and healthy eating options into their lifestyles <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 laNo <br /> B. DEPARTMENT'S RECOMMENDATION: <br /> ®APPROVE ❑DENY ❑DEFER: <br /> RATIONALE: <br /> 2 <br /> DATE: v�I /17 <br /> Dep(t.----artment Hea <br /> C. MAYOR'S ACTION <br /> APPROVED EI DENIED EI DEFERRED: <br /> /COMMENTS: <br /> DATE: 2 /7 <br /> Ma ging Director , Mayor <br />