Laserfiche WebLink
7/4/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Parks and Recreation DATE: October 10, 2019 <br /> Department <br /> FROM: Rebecca Villegas PHONE/FAX: 323-4268 <br /> Council Member j <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $400.00 2. To ACCOUNT#(i.e., 010.500.5503.02): 010.500.5503.02.115 <br /> 3. To ACCOUNT NAME (i.e.,P&R Admin. OCE): 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 Hawai`i 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 <br /> Recreation providers and community organizations,for services and activities.for the 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 /> M APPROVE ❑DENY ❑DEFER: <br /> RATIONALE: <br /> oe DATE: <br /> ep rtment Head <br /> C. MAYOR'S ACTION <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: 0//",; <br /> Managing Director Mayor or <br />