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7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Office of Aging DATE: 08121119 <br /> Department <br /> FROM: Valerie Poindexter PHONE/FAX: 961-8538 <br /> Council Member RECEIVED <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) AUU I f ZU1 I N <br /> avnD <br /> 1. AMOUNT: $2,000 2. To ACCOUNT#(Le., 010.500.5503.02):` M YJ)f fl'J�92.115 <br /> 3. To ACCOUNT NAME (i.e., PSR Admin. OCE): Office ofAging- OCE, Misc. Contract Services <br /> 4. PURPOSE(S)OF TRANSFER: To provide,funds to support North Hawai'i Hospice's <br /> Music and Memory Care Program. <br /> 5. IF THE MONEY is DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> North Hawai'i Hospice, Inc, 6. IS IT A 501(0)(3)? 2 YES F-1 No <br /> *If YES,IRS determination letter must be attached to this form <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: Office of 4ging Area Plan goal#4 <br /> Addresses providing long term services and supports for the frail and those in need of end of life care. <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 E No <br /> B. DEPARTMENT'S RECOMMENDATION: <br /> E APPROVE ❑DENY ❑DEFER: <br /> RATIONALE: This program shares in our mission of providing supports to the elderly,persons with <br /> disabilities and earegivers. <br /> DATE: <br /> Department Head <br /> C. MA OR'S ACTION <br /> APPROVED ❑DENIED Fj DEFERRED: <br /> COMMENTS: <br /> DATE: <br /> Managing Direcm A#,Mayor z <br /> T <br />