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7/9108 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Office of the Prosecuting Attorney DATE: August 22, 2019 <br /> Department <br /> , <br /> FROM: Herbert M "Tim"Richards, III—District 9 PHONE/FAX: 961-8564 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $1,000 2. TO ACCOUNT#(i.e., 010.500.5503.02): 010.2 71.52 71.02.115 <br /> 3. TO ACCOUNT NAME (i.e., P&R Admin. OCE): Pros. Atty OCE, Misc. Contract Services <br /> 4. PURPOSE(S)OF TRANSFER: Provide,financial assistance to the Girls Exploring Math &Science <br /> (GEMS) Program being held on December 10, 2019 <br /> S. 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 /> AA UW—Kona Educational Fund Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: 2019 Girls Exploring Math & <br /> Science (GEMS) Program being held on December 10, 2019 in Kailua-Kona, Hawai`i <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Promote community involvement that <br /> supports.juvenile delinquency prevention. <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: <br /> DATE: ��c�3 <br /> Department Hea <br /> C. M OR'S ACTION <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: <br /> f <br /> Managing Directors Mayor <br />