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COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Parks and Recreation DATE: October 3, 2019 <br /> Department <br /> FROM: Karen Eoff, Council District 8 PHONE/FAX: 808/323-4279 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $400 2. To ACCOUNT#(i.e.,010.500.5503.02): 010.500.5503.02.115 <br /> 3. TO ACCOUNT NAME (i.e., P&R Admin. P&R Admin OCE,Misc. Contract Services <br /> 4. PURPOSE(S)OF TRANSFER: To assist with expenses for awards,refreshments and t-shirts for the <br /> 11th Annual Surfers Healing surf camp for children with disabilities on November 30, 2019. <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 /> The Autism Society of Hawaii Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Recreation <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: To develop partnerships with other <br /> recreation providers and community organizations to maximize service and activities to public. <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: U ® — <br /> — I <br /> Departm ead <br /> C. MAYOR'S ACTION <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> i <br /> DATE: <br /> Managing Director Mayor <br />