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7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Department of Liquor Control DATE: 3/15/19 <br /> Department <br /> FROM: Ashley Kierkiewicz PHONE/FAX: P: 961-8536/F: 961-8912 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $1,500.00 2. To ACCOUNT#(i.e., 010.500.5503.02): 010.251.5251.15.339 <br /> 3. To ACCOUNT NAME (i.e., P&R Admin. OCE): Liquor Control-Public Programs-Misc Contract Svcs <br /> 4. PURPOSE(S)OF TRANSFER: Funds to assist community members with recovery and resiliency with <br /> Cognitive Behavioral Therapy and the creative process. <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. IS ITA 501(c)(3)? ®YES ❑ No <br /> *If YES,the IRS determination letter and the Nonprofit Conflict <br /> Se fDiscovery Through Art Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Cognitive behavioral therapy <br /> through art modality to assist in recovery and build resilience among community members <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: Drug-free & alcohol free, trauma- <br /> informed programming aimed at educating, enriching, and enlightening community by addressing mental health needs. <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 Department of Liquor Control supports organizations that provide alcohol free and <br /> drug-free activities that focus on assisting community members move toward healthier lifestyles. <br /> LL <br /> MAR1 8 <br /> DATE: �D19 <br /> Department Head <br /> C. MAYOR'S ACTION <br /> / APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> / �� f\,,, ,.,.____, DATE: 5/O AManagi g Director Mayor <br /> r <br />