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7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Department of Liquor DATE: 4/15/19 <br /> Department <br /> FROM: Ashley L. Kierkiewicz PHONE/FAX: 961-8536 <br /> Council Member <br /> t <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $1,000.00 2. To ACCOUNT#(Le., 010.500.5503.02): 010.251.5251.39.115 <br /> 3. To ACCOUNT NAME (i.e., P&R Admin. OCE): Liquor Control, Public Programs, Misc Contract Svcs <br /> 4. PURPOSE(S)OF TRANSFER: To pay for food for Adventure Weekend—an annual project of Boys to <br /> Men Mentoring Hawai`i, group mentoring program that provides positivity, guidance, support, safety <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 /> Boys to Men Mentoring Network of Hawai`i, Inc. Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Adventure Weekend, where boys <br /> aged 14-17 are empowered via community built on acceptance and love versus fear and judgement <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: Support a positive and empowering <br /> drug and alcohol free event for boys aged 14-17 at vulnerable time in their lives to avoid high-risk behaviors. <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? EYES ❑ No <br /> r <br /> 10. IS THE PROGRAM OR ACTIVITY FUNDED ESTABLISHED BY CHARTER,ORDINANCE,OR DIRECTION <br /> OF THE MAYOR? ❑YES ®No ' ; a <br /> o -n -t1 <br /> c c3 .1 <br /> B. DEPARTMENT'S RECOMMENDATION: Q <br /> - m <br /> -< q � c, <br /> 0 <br /> —{ m®APPROVE I=1 DENY ❑DEFER: rn __cl "` <br /> :3 rs <br /> RATIONALE: The Department of Liquor Control supports activities for our youth that are drug fregand-' <br /> alcohol free to keep them busy and away from underage drinking. Co <br /> 4 .)1.1(-14-----' <br /> 't 1(14 DATE: APR 16 2019 <br /> Department Head <br /> C. MAYOR'S ACTION <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> _44-' 1 DATE: <br />