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7/9/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Liquor Control DATE: August 29, 2019 <br /> Department <br /> FROM: Sue Lee Loy PHONE/FAX: 961-8396 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $5,000 2. To ACCOUNT#(i.e., 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 Services <br /> 4. PURPOSE(S)OF TRANSFER: Two water stations at Keaukaha Elementary School. Cost of purchase, <br /> shipping, installation, electrical work, and filters. <br /> 5. IF THE MONEY is DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. IS IT A 501(c)(3)? 0 YES El No <br /> *1f YES,the IRS determination letter and the Nonprofit Conflict <br /> Keaukaha School Foundation Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Promote healthy choices and <br /> use of refillable water containers; discourage dependence on unhealthy beverages. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: Support public and youth programs <br /> that promote compliance with liquor laws and responsible drinking. <br /> 9. FUNDING To BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? ®YES El No <br /> 10. IS THE PROGRAM OR ACTIVITY FUNDED ESTABLISHEDBY CHARTER,ORDINANCE,OR DIRECTION <br /> OF THE MAYOR? ❑YES No <br /> 'RECEIVED <br /> B. DEPARTMENT'S RECOMMENDATION: SEP 0 6 2019 <br /> N APPROVE ❑DENY F-1 DEFER: MAYOR - HILO <br /> RATIONALE: The Department of Liquor Control encourages the promotion of healthy choices and <br /> lifestyles for our students while learning and growing in a drug-free and alcohol free environment. <br /> DATE: SEP 0 3 2019 <br /> Department Head <br /> C. M YOR'S ACTION <br /> APPROVED El DENIED F-1 DEFERRED: <br /> COMMENTS: <br /> 10 <br /> /Pqlc 4 <br /> r DATE: <br /> Mayor <br /> Managing Director <br />