Laserfiche WebLink
7/9/08 <br /> COUNTY OF HAWAI`I <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Parks and Recreation DATE: 10/28/2019 <br /> Department <br /> FROM: Herbert M "Tim"Richards, III PHONE/FAX: 961-8564 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $800.00 2. To ACCOUNT#(i.e., 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: Assist with travel expenses relating to the Surfer's Healing event at <br /> Richardson Ocean Park on November 30, 2019. <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> 6. Is ITA 501(c)(3)? ®YES ❑ No <br /> *If YES,the IRS determination letter and the Nonprofit Conflict <br /> 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: A free Surfers Healing 1-day <br /> Camp for keiki with autism and other disabilities to share the joy of surfing with supervised instructors. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: Provide/facilitate an array of services <br /> and opportunities that is responsive to the communities needs and interests. <br /> 9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? EYES ❑ 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: c o , <br /> -40 --' 0 <br /> ®APPROVE ❑DENY ❑DEFER: w <br /> Q --I O <br /> RATIONALE: g <br /> /�. r. , DATE: <br /> fG19AesI <br /> D'.ar entHead <br /> C. MAli R'S ACTION <br /> 0. APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> `f D / e 36 <br /> ATE: 0 <br /> Managing Directorayor <br />