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7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Department of Liquor Control DATE: 5/10/19 resubmitted 5/16/19 <br /> Department <br /> FROM: Ashley L. Kierkiewicz PHONE/FAX: 961-8536/f.•961-8912 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $1,000 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/Misc Cont Svcs/Public Programs <br /> 4. PURPOSE(S) OF TRANSFER: Assist in restoring approximately 100 acres of native lowland wet forest in Kean`ohana Forest <br /> Reserve by engaging the community and students through education and field work. <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORG IZATION: <br /> 6. Is ITA 501(c)(3)? YES ❑ NO <br /> *If YES,the IRS determinatio letter and the Nonprofit Conflict <br /> Hawai`i Environmental Restoration Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Funds to be used toward expenses related <br /> to the education and restoration of the native lowland wet forest in Keaau`ohana Forest Reserve. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Drug-and alcohol free programs that lead our <br /> community/students to healthier lifestyles through examples of caring for our precious native land. <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? ®YES ❑ 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 programs that lead our.students and <br /> community members to attain healthy, alcohol free and drug-free lives through community involvement. <br /> (,-/c-(_,44 6/14A-,____ <br /> DATE: MAY 16 2019 <br /> Department Head <br /> C. MAYOR'S ACTION <br /> XAPPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> All.? /‹....._______ s <br /> DATE: G <br /> Managing Director Mayor / <br />