HomeMy WebLinkAboutCOM 0812.000 2012-2014 J Yoshimoto �Nt;4°i............... Telephone: (808)961-8272
Facsimile: (808)961-8912
Chair& Presiding Officer \� )
Council District 2 .�.,r.� '� Email:jyoshimoto @co.hawaii.hi.us
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HAWAPI COUNTY COUNCIL
Office of the County Clerk
County of Hawai`i n
25 Aupuni Street A Cep
Hilo, Hawaii 96720
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CO tiD
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April 8, 2014 >
To: Hawai`i County Council Members co —
From: J Yoshimoto, Council Chair
Re: Contingency Relief Funds (District 2) o e Used For A Grant To The Positive
Coaching Alliance PCA Big Island
Contingency Relief funds from Council District 2 will be appropriated to the Department of
Parks and Recreation for a grant to the Positive Coaching Alliance PCA Big Island.
Attached is a resolution authorizing the transfer of$2,000 from the Clerk-Council Services-
Contingency Relief account to the following account and project:
FUNDING AMOUNT FROM: TO:
$2,000 Clerk-Council SVC Department of Parks and Recreation
Contingency Relief Friends of the Park
010.101.5101.91 010.500.5503.39
341 Misc. Charges
(Positive Coaching Alliance PCA
Big Island)
Pursuant to Section 2(g) of Rule No. 4 of the Rules of Procedure and Organization of the Council
of the County of Hawai'i, I request that this resolution be waived from the Committee on
Finance.
JY:awm
Att.
Res. 2gl- -k)
Comm. NQ. gl
Ref. To: CULL( C F C)
Ref. Date A" 0 0 2014
Hawaii County Is An Equal Opportunity Provider And Employer
7/9/08
COUNTY OF HAWAII
CONTINGENCY RELIEF FUNDS REQUEST
TO: Department of Parks and Recreation DATE: 04/08/14
Department
FROM: Council Member J Yoshimoto PHONE/FAX: 961-8015
Council Member
A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE)
1. AMOUNT: 82,000 2. TO ACCOUNT#(i.e., 010.500.5503.02): 010.500.5503.39.341
3. To ACCOUNT NAME (i.e., P&R Admin. OCE): Friends of the Park, Misc. Charges
4. PURPOSE(S)OF TRANSFER: Certification training for Positive Coaching Alliance
5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION:
Positive Coaching Alliance PCA Big Island 6. Is IT A 501(C)(3)? ®YES No
*If YES. IRS determination letter must be attached to this form
7. COUNTY-RELATED PROGRAM(S)OR ACTIVITY(IES)TO BE FUNDED: Positive Coaching Alliance
8. DEPARTMENTAL GOALS AND OBJECTIVES To BE ADDRESSED: Educate players, coaches and staff,
parents and others regarding positive attitudes and actions
9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? XYES ❑ No
10. Is THE PROGRAM OR ACTIVITY FUNDED ESTABLISHED BY CHARTER,ORDINANCE,OR DIRECTION
OF THE MAYOR? YES No
B. DEPARTMENT'S RECOMMENDATION:
® APPROVE ❑ DENY ❑ DEFER:
RATIONALE:
DATE: -" }
-rb✓ Department Head
C. MAYOR'S ACTION
® APPROVED ❑ DENIED ❑ DEFERRED:
COMMENTS:
DATE: APR - 9 2014
Mayor
Non-Profit Name: Positive Coaching Alliance (PCA) Big Island
NON-PROFIT CONFLICT DISCLOSURE FORM
Please disclose any conflicts or potential conflicts of interest that any board member, officer, director,
or administrator of your organization may have with the County of Hawaii. Only those listed below
need to be disclosed. One form per conflict is needed. Please duplicate as needed to fully disclose. All
disclosure forms must be signed, regardless of whether a conflict exists.
NAME: Keith Morioka
POSITION: Chair
May have a conflict or potential conflict of interest, including any familial relationship, with any of the
following(check all that apply):
QNo conflicts exist (No further information required. Please sign form at the bottom.)
I-1 Member or members of the Council
Staff appointed by a member of the Council
The Mayor
The Managing Director
El The Director of Finance
flThe Corporation Counsel,the Assistant Corporation Counsel, or a Deputy Corporation
Counsel
Conflict of Interest is defined as:a substantial probability that action taken by an individual will result in measurable direct
benefits accruing to the individual as opposed to benefits accruing in general to an industry.
Please specify any and all mitigation measures to avoid, in fact or appearance, any conflicts or potential
conflicts of interest:
Other than the potential conflict of interest described by Director Mason Souza
whose sister is a member of the County Council, there is no other conflict of
interest.
sew-�-a r March 27, 2014
Signature of Autho led P- son (specify title) Date
For Use With Requests for Grants from County Council District Contingency Relief Funds. (Form Rev. 9-9-13)
Non-Profit Name: Positive Coaching Alliance Big Island
NON-PROFIT CONFLICT DISCLOSURE FORM
Please disclose any conflicts or potential conflicts of interest that any board member, officer, director,
or administrator of your organization may have with the County of Hawai'i. Only those listed below
need to be disclosed. One form per conflict is needed. Please duplicate as needed to fully disclose.All
disclosure forms must be signed, regardless of whether a conflict exists.
NAME:Mason A. Souza
POSITION: Board Member
May have a conflict or potential conflict of interest, including any familial relationship, with any of the
following (check all that apply):
nNo conflicts exist (No further information required. Please sign form at the bottom.)
Member or members of the Council
nStaff appointed by a member of the Council
The Mayor
The Managing Director
nThe Director of Finance
❑ The Corporation Counsel, the Assistant Corporation Counsel, or a Deputy Corporation
Counsel
Conflict of Interest is defined as:a substantial probability that action taken by an individual will result in measurable direct
benefits accruing to the individual as opposed to benefits accruing in general to an industry.
Please specify any and all mitigation measures to avoid, in fact or appearance, any conflicts or potential
conflicts of interest:
My sister is County Councilwoman Valerie Poindexter. I am also the Recreation Administrator
for the County of Hawaii P&R Recreation Division. Positive Coaching Alliance plays an important
role in our youth athletic activities giving our division a partner to work with in providing a safe
environment for all. Positive Coaching Alliance also teaches life lessons using sports activities.
■` /1
Signature of Authorized Person (specify title) Date
For Use With Requests for Grants from County Council District Contingency Relief Funds. (Form Rev. 9-9-13)
A .
INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY
P. O. BOX 2508
CINCINNATI, OH 45201
m*
Employer Identification Number:
Date: OCT 0 2 2009 77-0623911
DLN:
609253022
POSITIVE COACHING ALLIANCE PCA Contact Person:
BIG ISLAND ROGER W VANCE 10# 31173
C/O UNIVERSITY OF HAWAII AT HILO Contact Telephone Number:
200 W KAWILI ST (877) 829-5500
HILO, HI 96720
Accounting Period Ending:
December 31
Public.Charity Status:
170(h) (1) (A) (vi)
Form 990 Required:
Yes
Effective Date of Exemption:
July 31 , 200t
Contribution Deductibility:
Yee
Addendum Applies:
No
Dear Applicant:
We are pleased to inform you that upon review of your application for tax
• exempt status we have determined that you are exempt from Federal income tax
under section 501 (c) (3) of the Internal Revenue Code. Contributions to you are
deductible under section 170 of the Code. You are also qualified to receive
tax deductible bequests, devises, transfers or gifts under section 2055, 2106
or 2522 of the Code. Because this letter could help resolve any questions
regarding your exempt status, you should keep it in your permanent records.
Organizations exempt under section 501(c) (3) of the Code are further classified
as either public charities or private foundations. We determined that you are
a public charity under the Code section(s) listed in the heading of this
letter.
Please see enclosed Publication 4221-PC, Compliance Guide for 501 (c) (3) Public
Charities, for some helpful information about your responsibilities as an
exempt organization.
Letter 947 (DO/CG)
..2_
POSITIVE COACHING ALLIANCE PA
1110 Sincerely,
dr.
Robert Choi
Director, Exempt Organizations
Rulings and Agreements
Enclosure: Publication 4221-PC
4110 Letter 947 (DO/CO)
VALERIE T. POINDEXTER oJN<Y Os p ± KAREN EOFF
Chairperson -`�^` BRENDA FORD
.: •..t1•;,,'/, :. DRU MAMO KANUHA
GREGGOR ILAGAN ZENDO KERN•
Vice Chair •+r K=�:�'►�. DENNIS"FRESH"ONISHI
` � MARGARET WILLE
J YOSHIMOTO
HAWAII COUNTY COUNCIL
County of Hawai`i
Hawaii County Building
25 Aupuni Street
Hilo, Hawaii 96720
April 8, 2014
J Yoshimoto, Chairperson
Hawai`i County Council
25 Aupuni Street
Hilo, Hawai`i 96720
RE: Resolution No. 381-14 : A RESOLUTION TRANSFERRING/APPROPRIATING
AN APPROPRIATION OUT AND FROM THE DESIGNATED FUND ACCOUNT AND
CREDITING SAME TO A DESIGNATED FUND ACCOUNT FOR A GRANT TO THE POSITIVE
COACHING ALLIANCE PCA BIG ISLAND.
Pursuant to Section 2(g) of Rule 4 of the Rules of Procedure of the Council of the County of
Hawai`i, this written request is submitted with my approval that the above-referenced matter be
waived from the Committee on Finance to the full Council for immediate action. In reviewing
this matter, timely approval is crucial. It is therefore advantageous that approval is granted and
the matter be placed onto the next Council agenda for review. However, in the event this request
is denied, for whatever reason, I understand the matter shall be referred to the Committee on
Finance for placement on its future agenda.
Sincerely,
7:e7.-424L (9:204-4: 44'D
Valerie T. Poindexter, Chair
Committee on Finance
•
Approved/Date/Waive to Council: Disapproved/Date/Refer to FC:
J Yoshimoto, Chairperson APR 0 8 2g14 J Yoshimoto, Chairperson
Hawai`i County Council Hawai`i County Council
VP/1c
Hawai`i County is an Equal Opportunity Provider and Employer