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3 <br /> COUNTY OF HAWAII <br /> CONTINGENCY RELIEF FUNDS REQUEST <br /> i <br /> TO: Office of the Prosecuting Attorney DATE: 02106120 <br /> Department <br /> FROM: Matt Kaneali'i-Kleinfelder i.,s i PHONE/FAX: 808-961-8263 <br /> Council Member <br /> A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE) <br /> 1. AMOUNT: $1000 2. TO ACCOUNT#(Le., 010.500.5503.02): 010.271.5271.02.115 <br /> 3. TO ACCOUNT NAME (i.e.,P&R Admin. OCE): Prosecuting Atty.00E, Misc. Contracts <br /> 4. PURPOSE(S)OF TRANSFER: Provide a grant_for expenses relating to the Island o f Hawai`i YMCA <br /> Family Visitation Center. <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 /> Island of Hawai`i YMCA Disclosure Form must be attached to this request form. <br /> 7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: To provide support and <br /> services to families in need of a safe and secure place for child visits. <br /> 8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED: Encourage initiatives that improve <br /> quality of life for island residents. <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 /> I <br /> DATE: _11 <br /> art nt H a <br /> j <br /> I <br /> C. MAYOR'S ACTION <br /> Fj APPROVED ❑DENIED ❑DEFERRED: <br /> COMMENTS: <br /> DATE: ° s <br /> Managing Dit or WvMayor <br />