HomeMy WebLinkAbout07-09-08 Contingency Fund Form 7/9/08
COUNTY OF HAWAII
CONTINGENCY RELIEF FUNDS REQUEST
TO: DATE:
Department
FROM: PHONE/FAX:
Council Member
A. REQUEST(ATTACH BACKUP INFORMATION,IF AVAILABLE)
1. AMOUNT: $ 2. To ACCOUNT#(i.a, 010.500.5503.02):
3. To ACCOUNT NAME (L e., P&R Admin. OCE):
4. PURPOSE(S)OF TRANSFER:
5. IF THE MONEY IS DESIGNATED FOR A NONPROFIT ORGANIZATION,NAME OF ORGANIZATION:
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:
8. DEPARTMENTAL GOALS AND OBJECTIVES TO BE ADDRESSED:
9. FUNDING TO BENEFIT THE PUBLIC-AT-LARGE(AS OPPOSED TO PRIVATE BENEFIT)? ❑YES ❑ 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:
Department Head
C. MAYOR'S ACTION
❑APPROVED ❑ DENIED ❑ DEFERRED:
COMMENTS:
DATE:
Mayor