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719/08 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Liquor Control DATE: 1111119 <br /> Department <br /> FROM: Ashley Kierkiewicz PHONE/FAX: 961-85361f 961-8912 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $2,500 2. To ACCOUNT#(i.e., 010.500.5503.02): 010.251.5251.39.115 <br /> 3. TO ACCOUNT NAME (i.e.,F&R Admin. OCE): Liquor Control-Public Programs, Misc Contract Svcs <br /> 4. PURPOSE(S)OF TRANSFER: Funds to support Girls to Women Mentoring Hawai`i program <br /> with insurance renewal,promotional materials/merchandising, website development <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 /> Girls to Women Mentoring Hawaii Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Funding for adolescent <br /> mentoring program and expansion to serve other areas, as well as adults, o,f Hawai`i Island. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: GTW Mentoring improves the lives <br /> of Hawai`i Island residents with drug free and alcohol free connection and skills building 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 /> ®APPROVE ❑DENY ❑DEFER: <br /> RATIONALE: The Department ofLiquor Control supports organizations that help our youth build <br /> confidence and character while learning and growing in a drug-and alcohol free e iNmn=t. <br /> DATE: NOV PH 2019 <br /> Departmen ead 6 f TU <br /> C. MAYOR'S ACTIONW ; <br /> u' <br /> APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: /V <br /> 711 <br /> ---M—anaglingerec e or <br />