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719108 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Department of Parks and Recreation DATE: 1013119 <br /> Department <br /> FROM: Ashley Kierkiewicz PHONE/FAX: 961-85961 f 8912 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $500.00 2. To ACCOUNT#(Le., 010.500.5503.02): 010.500.5503.02 <br /> 3. TO ACCOUNT NAME (i.e.,P&R Admin. OCE): P&R Admin OCE, Misc. Contract Services <br /> 4. PURPOSE(S)OF TRANSFER: Funds to support the IPh Annual Surfers Dealing event on 11130119 <br /> at Richardson's Beach Park for food, t-shirts, and medals. <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 ofHawaii Disclosure Form must be attached to this;request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: I Ph Annual Surfers Healing <br /> event on 11130 hosted by Autism Society of Hawai`i and Dept. of Parks and Rec. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Provide residents of Hawai`i Island <br /> opportunities.for inclusiveness to engage in water sports and recreational activities. <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 /> M APPROVE ❑DENY ❑DEFER: <br /> RATIONALE: <br /> DATE: <br /> Departmen !/ <br /> C. MAYOR'S ACTION <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: <br /> Managing Director Mayor <br />