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i <br /> 7!9108 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> TO: Department of Liquor Control DATE: 0210412020 <br /> Department <br /> FROM: Ashley Kierkiewicz PHONE/FAX: P.-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.,P&R Admin. OCE): Liquor Control-Public Programs, Misc Contract Svcs <br /> 4. PURPOSE(S)OF TRANSFER: To assist community members with recovery and resiliency through a <br /> "Recovery, Resilience, ReCreation Model of Wellness"art program <br /> 5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION: <br /> Self Discovery Through Art(SDTA) 6. IS IT A 501(0)(3)? [ YES ❑ NO <br /> *If YES,the IRS determination letter and the Nonprofit Conflict <br /> Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Cognitive behavioral therapy <br /> through art modality to assist in recovery and build resilience among community members. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Drug-free and alcohol free, trauma- <br /> informed programming aimed at educating enriching and enlightening community by addressing mental health needs. <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 of Liquor Control supports organizations that provide alcohol free and <br /> drug-free activities that focus on assisting community members move toward healthier lifestyles. <br /> DATE: F EB 0 5 2020 <br /> Department Head <br /> C. MAYOR'S ACTION <br /> APPROVED DENIED DEFERRED: <br /> COMMENTS: <br /> DATE: FEB 1 .i NO <br /> Mayor <br /> or <br /> 9Dire for y <br /> a <br />