hq.us-e o]strlcl(~.) tvfi:: , legislaiturr af~-cation fo ... le… · of .all state ·and ted~ral...

12
HQ.Us-e O]strlcl(~.) __ _ n.te Tvf i:: , N1NTtt LEGISLAiTURr AF~- CATION Fo~ GRANts "S~r,ate Dr5; l1"1oU'.lSJ __ ~fl HilWAll ~~JS5D SJ1inrrB 1 'Grant' 1 m&ilne:. 4"' awar<j .af stata funcb; ·, by th~ leg1slaturt\ b » · ~,r,rop1rauon w .;f ~pecrfff,!(t rt:i!Jipl~ . 10 $1.ippon: · he acuvitlas af ne raef p ent and perm ll the vommuntfy 1d b.enefft rom thmse aciu;it~ r •• Reclpfenl jil mearrs any srgarilzalrorl or. · persQn receJVtn.Q a granl . !,I ' :fl! bll1' 1i, ll.'r.\U:Jllt ·OII AtlEN~ .~ 'llffil!TltlS HtU~ (u:A:\'HL flll~ 'I ~J(l'!iO,Vf\!J: S1' ~£~11QGllA~ 1 ,1>1-NO, ~Lt,\~.E.~ fC r• IJN~O',VN)" ---- - 1, A.f P.Llt'.M.T l,;I RJ.SUll.\llON~ , Le.gal Name : af Ra!:!u t1n9 {0rgan1at{gn. . Jr,dW!dua1 · , Ciba; Stroot AddrtiSs = M,;1lllri.g Ad~r~$$1 44, nd' J:;eg.:icy C'e.rtt:et: 9 3 3 W"iii: WJL :1'" !Ione :tul\J j ti! 9J3 Wiliwil.t llono lU-1.μ, H.I 3. n7E DE 111:J:i~ EN'J1T'{: Name Wi l Hram X. Tl;\omp son Tltl e- __ ___._P .... r .... e, ... s.,.;i...,d ... e .... u ... t ..... _ ________ _ I Phone 808'i-9'49- 79!H Fax# ___ -=-=8=0=8~-=9=9=9-~1=5=]=q;..._~~~~~-- " C lla~lffi\i'E Tfll,J:· !lf -; upJ.Je1~"1',~lliiQ.L.~= 1K] NON ,PROFIT " CORP'eRATICN INOOA:P-OFM.fEQ IN MAWAII '[j 'f.'c~ ' PRG.1~11 ,CCRPCRl\TIIJN I NClCRRQMTS!:CI,IN HAW .- n '0 llMITE~ I.JABI L ffl' :CQMFIAl,iY' Ra.qu~s , t: Ftmds f!i)r the co1u ,c :~ctia n ol a 4h2nd Lasact Center 'D SOLE PROPRIER>RSMIP/INIJIVI IJ~J_ · oo-m~ 8. . $1 tllH :sl:l;i',IIQ: Df.SCPll!ED ffi 1lllS - Ql,l ts'l', 0 'f JE'.Vl,i ' i:c:J~VIOJ {PFtc:'3,l:NT\, V DOES NQT Fni:151") D exfmlNO s~1Wic:a ( ~hESEITTL YIN op;i:;~tmc,t,O .SPEa l~ iliE:AMOUNT, 13Y SCIU!-:CE'S PF . RJrift:mA" ' u.Ji/Sti,E 1{1"fflE TrU~ OF i,tl$ \'ftl:'QUEST: .STATE !,_ ________ _ FSJEAAL $,· _________ _ QQl!JN'T'V i~ · ----------~ Pi~lV'Affllare!ER ~ · ------- Metv~n y_ Kanes6:ig:e, Vice Pres Ro.it£ d 'fl11.E

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Page 1: HQ.Us-e O]strlcl(~.) Tvfi:: , LEGISLAiTURr AF~-CATION Fo ... Le… · of .all state ·and ted~ral t~ t;edits they hiwe applied for or ll!IUcipute applying for pertaining to illLY

HQ.Us-e O]strlcl(~.) __ _ n.te Tvfi:: , N1NTtt LEGISLAiTURr

AF~- CATION Fo~ GRANts "S~r,ate Dr5;l1"1oU'.lSJ __ ~fl HilWAll ~~JS5D SJ1inrrB

1'Grant'1 m&ilne:. 4"' awar<j .af stata funcb;·,by th~ leg1slaturt\ b » · ~,r,rop1rauon w .;f ~pecrfff,!(t rt:i!Jipl~ . 10 $1.ippon: · he acuvitlas af ne raef p ent and perm ll the vommuntfy 1d b.enefft rom thmse aciu;it~ r

••Reclpfenljil mearrs any srgarilzalrorl or.· persQn receJVtn.Q a granl

.!,I' :fl! bll1'1i, ll.'r.\U:Jllt·OII AtlEN~ .~ 'llffil!TltlS HtU~ (u:A:\'HL flll~ 'I ~J(l'!iO,Vf\!J:

S1' ~£~11QGllA~ 1,1>1-NO, ~Lt,\~.E.~fC r•IJN~O',VN)" -----

1, A.f P.Llt'.M.T l,;IRJ.SUll.\llON~

,Le.gal Name: af Ra!:!u t1n9{0rgan1at{gn. . Jr,dW!dua1 ·

,Ciba;

Stroot AddrtiSs =

M,;1lllri.g Ad~r~$$1

44, nd' J:;eg.:icy C'e.rtt:et:

9 3 3 W"iii:WJL :1'" !Ione :tul\J j ti! 9J3 Wiliwil.t llono lU-1.µ, H.I

3. n7E DE 111:J:i~ EN'J1T'{:

Name Wi l Hram X. Tl;\omp son

Tltle-__ ___._P .... r .... e, ... s.,.;i...,d ... e .... u ... t....._ ________ _

I Phone 808'i-9'49- 79!H

Fax# ___ -=-=8=0=8~-=9=9=9-~1=5=]=q;..._~~~~~--

" C lla~lffi\i'E Tfll,J: ·!lf-;upJ.Je1~"1',~lliiQ.L.~=

1K] NON ,PROFIT"CORP'eRATICN INOOA:P-OFM.fEQ IN MAWAII '[j 'f.'c~ 'PRG.1~11 ,CCRPCRl\TIIJN I NClCRRQMTS!:CI, IN HAW .- n '0 llMITE~ I.JABI Lffl' :CQMFIAl,iY'

Ra.qu~s,t: Ftmds f!i)r the co1u,c:~ctian ol a 4h2nd Lasact Center

'D SOLE PROPRIER>RSMIP/INIJIVI IJ~J_

·oo-m~

8. . $1 tllH :sl:l;i',IIQ: Df.SCPll!ED ffi 1lllS - Ql,lts'l',

0 'f JE'.Vl,i 'i:c:J~VIOJ {PFtc:'3,l:NT\, V DOES NQT Fni:151") D exfmlNO s~1Wic:a ( ~hESEITTL YIN op;i:;~tmc,t,O

.SPEa l~ iliE:AMOUNT,13Y SCIU!-:CE'S PF .RJrift:mA" 'u.Ji/Sti,E 1{1"fflE TrU~ OF i,tl$\'ftl:'QUEST: .STATE !,_ ________ _ FSJEAAL $,· _________ _

QQl!JN'T'V i~· ----------~ Pi~lV'Affllare!ER ~·-------

Metv~n y _ Kanes6:ig:e, Vice Pres Ro.it£ d 'fl11.E

Page 2: HQ.Us-e O]strlcl(~.) Tvfi:: , LEGISLAiTURr AF~-CATION Fo ... Le… · of .all state ·and ted~ral t~ t;edits they hiwe applied for or ll!IUcipute applying for pertaining to illLY

Appllc~tfon for Grants

If a11y item- i&,not applicable lo thenquffst, the applicant should emu "not applicable ·•. ,

l. Batl<ground and Summary ·nus secfion shall ,clearly and concisely summarize and bighlight the contents oftlu:;~uesl in suoh a way as to ptovide the State Legislature with a brolld understanding of the· request. l'lease i11ch1de the follo,ving;

I, 1\ brief description of the applicant's background T11Er44i"1 tJ;gacy Cen1er (liereafi:ertli.e ''Center") is anon-prof.it ,(501 c-3) organization

\~'lited ~t 933 Wiliwlti Street in Honolul11, ttawaii, Its hQnorarymernbers arti veterans oftl1.: 442"d Regimental Combat Team ,(RC1), o. r.J.S. ,i\11ny \mh that t~11ghtin Europe during World War n. The Center \vas estobifshed l!Od moorp.orated in 2016 t\l e.~41blish1 develop, COtlSQU¢t., equip and operate. n iegll4,'}' center cele~mring die eoliiev~ents of the 44.200 Re~meotnl Con1\>a( T ~ and to l!CI as an archive and re.JlOsitoiy ofrecords, artifacts and 11iemotabi!iil of the 442',d RegimenW Combat Team. The Center's office and chfbbous-e space are located on the groWld floor of o. thtee.-story ,>pa:t1m~t complex. which the Center owns and maintains. Renral inoome from 1 O uoits subsidizes the Center. 1\vo ground-floor units house the 442',d VeceraMArcllive (hereafter "Arcllive").

The Archive was established In 1993, Its purpose J's to preserVe theJegacy of the 441"" RCT by collecting, preserving and displaying matert"1s telated to the history of the unit. lts mission is r-0 eduCllte the public fhrough dissemination of bfatpflc.id iJ1funnatio!l tJu·ougl1 publitati.bns, exhibits, oral histories, and website. The Archive c"ollection consists ofl!rtifacts1 publications, documents, photographs and ijudio/visWI.I material, and worti:me souvenirs mostly donated by tl1e veterans, lliei.r film ii y members, and; other i11di viduals:

2, The goals·and olHootivell related to the request The 1.wo apwtm\!11! llt'rits being used as the Archive, 11.lotal of 800 squere:f&!t., Me11ot U1

adequ~te stornie f11cih"zyto hpWie-<he 441 collection. The facility does:not:11rovidesequisite. e11virOfllI!<:ntal COl'!trols ll!ld lacks '!1 fire-5uppression .system ~ a .sec111\ty.s:ystem, each !Ill absolute essential for an archfve,. facll10', fl\ ot4er f9r llie Ar<;hive to wntinu1,lhe legiicy of the4:421t<1 RC.T, !he oollecdi.>11' must be given .the p.ro))et' c;i.ro and its artifacts displayed for public viewing. Funding, ii required to create .11 442nd Legacy Ceoterin order w·create·a better s\Ot'\lge,atid o:s~ facility, -as weli as an exhibit area to dispiay·its artifacts and memorabilia.

The exhibits plaruted for the <f42114 1egacy Center will not be ljmitei:I tQ ilie 442"'1 R,CT. n1e. .histmy of lhe I 001~ lnfantiy Batt.alion1 lll\P l '3991h EngineerC<instrUction 'Battalion wm ~SI) be included. Tliereis an urgency to plan fur the 44211d:~cy Centerat·thlsti:tue as tbe-vetenlo$ are. well in their 90s· and their inpw·is essential to include the. many aspects of whs1 11,,fll oom,1.itut~ the fiulshe.d l.~a;t1<:y Center.

3. 'Fhe;public.pwposeand need robe served Tlie 4'42.'.i, Rcrr' has a unique history. The sror:y oftbe Amerlc11!1S ofJapa11ese An=tr.y

~NA), -wno volnnteered to serve their country despite prejudiee1 must:,not be fo.rgottffl, Here ln

Page 3: HQ.Us-e O]strlcl(~.) Tvfi:: , LEGISLAiTURr AF~-CATION Fo ... Le… · of .all state ·and ted~ral t~ t;edits they hiwe applied for or ll!IUcipute applying for pertaining to illLY

1-linvntl, muny,of: thes11 voluntCllt'r were: teenagers Who Worla;d on sugar -and' pineapple planuuions for e fe.w aeots a day. The,Je men proved thet1't~elves in Wqrld W~ n -Md Upon returning. home, p11v'ed the way for the AJAs lo advtliloe m business, politics nnd other tretds, Tlt<:se mep ate pan of r.he. l]eart and S1)uJ of'Hawaii and exemplify the spirit of Americanism. A 442...i Legacy Ceotcc would ensure that their sror.y rs· presel"\led and passed on to future generiat1oos.

41. Describe the ·target.population to be served The hlsJory of the AJA 1111H~ in Wot'id Wl!f ll Bhould be taugnr to, students, especieJly in

middfe scbools io &Jnwai i. The. 442...i Legacy Center would be the ·ideal Cf)ucatioo center for studeot!l 11s well ns uU1er.s \Vim Mei nteres1ed in tl1e l1istory,ofthe 442"<1 llCT.

5, Describe lhe geograpbic coverage NIA

n. Servfoe Swnmaty aud Outcomes The Service Summ81)' s~ail include ;i tletailed dl$¢USSioo of th¢ appli~W1t' s approach to tl\e. requesL The o_ppii=t. shull cle11rly and ooocise!y spccify the results. outwmes. and: measures of effectiveness from this request. The applicant sna1i:

1. Describe lhe BOOpe of work., tasks and OlSl)Onsibilitie.~; The plan is to cott$trud.thc->14l'Ml. Legacy Centm:, a museum/archive facility, once-the design

bas been filrnlized Md necessary approvals hove been obtai.ne<l from the City ru1d County of Holloutlu.

2 Provide u· p,rqjected annual timeline for accomplishing the results or outoomes of thA serviv..e.

IJp.\lD, receipt oftlle n~.essary I\PP!'OV11!s from the City nod County of Hollolufo, t,he l.'Ol\SU1JQtion 0£,lh11442"" l;egacy Cenlet should 14lce about a yeaMmd-11-balf fu complete.

3, DesC'l'lbe-its quality assw,ance and evaluation p1ans for tJ1e request Specify how the oppUcant plans to monitor, evaluate, llnd ill)prove mein~swts; NI A nod

4 , llst the measure{~) of effectiveness th11t will be reported to the State a,gim~y throl.)gl1 wbiph grunt.fimd11.are appropriated (ihe. expendii1g agen~y). The illeasure(s) ~vlll provide a standard :and objective way for thee State to i!Slrcss the.program's aoldeve,nent or nccomplislunent. Plelllie' note. that if the level qf llppropiiation differs !rem the.amount included in this npplicatioo that 1he-mtlll.$lll'e(&) of etl'eetiveness Will 11eed to be 11pd11teil end transmitted 10 the expending l\geney.

The f..eg~oy Ceuter ·will celebrate the achievements of U1e 442"d RCT,

m. HtDIUlclat

811dget l . 'Thtt IIJ)plicantshall subrcit a budg!!t utilizing the enclosed b\icige1· furms as appli.;:al.>le,

w detl'lil llie cos~ of'tlle request,.

Page 4: HQ.Us-e O]strlcl(~.) Tvfi:: , LEGISLAiTURr AF~-CATION Fo ... Le… · of .all state ·and ted~ral t~ t;edits they hiwe applied for or ll!IUcipute applying for pertaining to illLY

I Quarter 1

l. The appllcrult shall pro.vide lts anticipate<! quarterly fi1ncling.reques1s for the fiscal ye11r2018. NIA

I Quarte.r2 'Quarter 3 I Quarter:4 I T o.tal Grant

3. The applicant.shall provide. a listing of all other sources of funding d1at tliey i)te seeking, for fiscal year 2019, NI A

•I, 'Ibe applicllllt shaU proyidea listing of a1J stnte-and federal tax credits it hos bc~n granted ·wilhii1 the prior three years. Additionally, the npplicant .shnll prc,vide n listin)! of .all state ·and ted~ral t~ t;edits they hiwe applied for or ll!IUcipute applying for pertaining to illLY capital pmje~t, Jf applicable. NJA

5. The applicant shall provide a lh1:ing of all federal, state, and i;ounfy government contracts and gruots it has been nnd will be 1'ecelving1br program funding: N/A

6. The 1:1pplican1 sbaJJ provide tJ1e ba.limce of its unres.trieted c.utrp1t assiits as of December 31. 2017. NIA

JV. Experien,ce.ilnd C~pabifity

/1.. Nect$3ary ,sl(iJlij anU Exp.irieoce The applicant sbeli demonstrate that it nas the necessatY skills, .ll!iilities, knowl\'l(}g~ of, and eltperience relntiug to thefMuest. State you!' e,weoence:und;appropriateness fot providing the service proposed in this .oppli~tion. ~ al)pli®tt shall also provide·n listing ofveritiable experience of related, projects orOQ11tracls for the most recem three years that ate perlf rumt to the ~ue:~t.

Tl1e442nd Veterans 1:;J.ub Archive-was created 1n l 996 and hos provided images and hlt1toricol ilifom1atioo co vnrioua organi:tt1tions (military, pdliticlll, educational, e:tc.) and indJvldUD.I researcher:; ,,tude:nts, teechersi filmmakers, writers, etc.).

B. FaciJities The.l!ppli(.:llllt shall provide ade:scriptfon ofits facilities and demonsuate i(S adequacy in relation to the r~uest. lf tllcilil.les·-are not presently available, dl!Stdhe, plans to &«:Ur¢ fa~ilitleS'. N/ A

V. Personn~r: Project Org.1ulhation and .Staffing

A. Proposed Staffmg, Staff Qunlificatioos, Supecvisioo 1111d Tralnfnll The awlkllllt slulll de-saibe the prpposed staffing pattern and proposed servict.t capacity appro.pn11~ for the-vfablli(y of ihe r~uesr. The 11pp1ica1't.s!tall provide the

Page 5: HQ.Us-e O]strlcl(~.) Tvfi:: , LEGISLAiTURr AF~-CATION Fo ... Le… · of .all state ·and ted~ral t~ t;edits they hiwe applied for or ll!IUcipute applying for pertaining to illLY

.~fllili<l(l1,1 442nd Legacy Cenc;ei:

qunliflcntiona ruid experlence .;if pel'soMel for the request and shall describe its abil [t<. to supervise, train and provide ndmirustraU:ve direttioo.relntiveto lhe.requesl. ~ The ·appUc1111t has entered into .i contract w!t)f Bowen. & Kubota fur arohftectural

design.and consttuction support services ..

B. Org!lnizatioa C:h•rt The ~pplicant shnll illustrate the posit.ion of each ~tilff 1md JlrJe of respoosibi lify/ aupervis1on, If the-requestis pan ot' a larg,e, mul ti-pUf"l?OSe org\lll.izatf(lo, i~clude an ,organization chart thatillustt:ates the .. placement oftlris.requcsL .NIA

C. Compie11s11tion The 1jpplicant. sball provide the anmw.l salaries, pntd by the applicant to 1he thrL!e highest paid officers, dire<:tors, or employee:;of !he orgrmruitfoo by position, NIA

VT. Other A. Udgation

The app.Jicant shall disclose nny pending !irigntlot1 t~ whfch they are a party, "iocludi~ the disclosure of any out.~tandfog judgement J:f appUcab!e, pteas1; e-Aplain.. NIA

B. Licensure or Ac:c:redit.'lllou Tbe appllcMt shall specify any special ,qualifrc.ations, i11clud1ng but oot !i.m:it~ to lfoensure or IIOCl'edltatlon ihat 1he.applic11Dr iiossesses· relevant to th.is Tequeal. NIA

C. Private Ed11ution11I .lnstitutfo1J$ ' !11e applicant shall sp<:cifywbetber the grant wiU be used lo Sllll!iOrt:orbene!it a. sectarian or non-sectarian private edui:ational institut:ron. Please. see Artii:Je X, Section J, of the St&te· Constitution for the l'Olev11nce of tliis questinu. Nf A

D, Jilltu~.Su.stninability Plan Tb.e-appitc.ant sl1ali provide a plan fur sustaining.after fiSCIII year20l8 the activi ty .funded by the. grant if the gr;mt of tllis applil'<ltion .Is:

( I) .{teceived by the applicant .for fiscal year 201 ~-19, but

(2) .N{Jt.rcceived by the-a_pplic'.ant. thereafter.

Gram received for fiscal year 2019 will b.e used for constrt1ction.

t.; Ce1•dficate,ofGo(ld StAndiilg (UtheApplicontis ,au Organization)

Rev 12/J~IIJ

rfthe applioant is an ur:gani2atioo, the applicant.shall subm'it one (I) (!(,1py ofa oettlficat.e of good standing; from the Director ofC011m1erc<; and ,Cilnsumer Affairs that is datoiJ no earlil!'T tllwi 'December i ,201?,

Attach\ld

I

Page 6: HQ.Us-e O]strlcl(~.) Tvfi:: , LEGISLAiTURr AF~-CATION Fo ... Le… · of .all state ·and ted~ral t~ t;edits they hiwe applied for or ll!IUcipute applying for pertaining to illLY

s 1DGET Re ues a, '&OUM! - a . f .... · ,. ,._._..""' Petioo. Ju~ 11 ,201 a to J,una a.o

A ~hanl: __ 4 __ · __ l __ n __ d ____ t __ e __ g __ 5! __ e_.y ____ C __ e __ n __ ,t __ e __ r ___ _

'U'Ci&E-, .TEGCRI ES

I/... PERSGJ'Ull:L C:CIS.T 1, .Salaries

TOTALP.E'RS0"'1NELCOST

B. OTHER CURRENT EXPE!l'!l-$ES , ifrfure. r~~,ls1aftti

'lJ

15 16

'1B 19 ::i!D

D, MelOFl'IIEHtet.E PURCHASES

TDfaj :sl'Biit Totol 'J;1u~11r:II, Tiitt.l' ,1:!:ou111ty o~l ·Pn~~ ·Fbndlil'iA11quu=st11d Fu~ ~qlillA'ld I uotlil R1K1L1e11ttid Funds R11tj~11*9d I

~ 00 ~ 00

' - " - .. ' , ~ ,r ~ • ~ •

t "" ! •: II " ol I : J .. ,.: 'I ' '~ :

Me 1 vin 1· Kan·eshi .e VP Nemfl ;irid1iUJp{fitiese1~ or,priil)

Page 7: HQ.Us-e O]strlcl(~.) Tvfi:: , LEGISLAiTURr AF~-CATION Fo ... Le… · of .all state ·and ted~ral t~ t;edits they hiwe applied for or ll!IUcipute applying for pertaining to illLY

BUDGe;f.Jl1ST1f1CA1'lON • PERSONNEL SALARIES ANO WA~ Parl<XII J.t.lly 1', 201&!0 JU~o30, IIOf9

A1111fioan1~ 442nd Legacy Center:

~ ·Ofl1ME POSITl~Nll~ FUU. 11M!a ;<ii,INll>i. SALARY IU,~OCATED'TO

EOiJIVALf.ijr ll GRAm REQUEST

-ll

Ni A

I•

TOTAL: -

iJUSTIFICAllON/CO"IMENTS!

,.

TOT.IL STATE FUNO!I REQUE-STel>

Ci\" 13) p

$ -:& -It .

.

$ - -

$ -$ • l

$ . $ . $ .

$ - ,,

$ . . $ ~

. $ . $ -

Page 8: HQ.Us-e O]strlcl(~.) Tvfi:: , LEGISLAiTURr AF~-CATION Fo ... Le… · of .all state ·and ted~ral t~ t;edits they hiwe applied for or ll!IUcipute applying for pertaining to illLY

MIA

JUS11FICA1)0NICOMM.E:rq'S:

N il\,

JIJSTlITTC#IJ'!OHIC'OMMEJ'jl'St

SUbGET JUSTIACATION - EQUIPMSNT AND' MOTOR VEHICLES Patlod: .lult 1, 2018 to June 30, 201'1

'DESCRIPTION NO; OF COS1' PEIi TUTA!. 'EOVIPMEl\lf 11laMS ITEM cosr . ·

$;

.$.

,$.

$ ,

$-

mm.,.

DESl;:RIPTION No,of COST PER TOTllh OF MOTOR: VEHICl.E. VEll!CLES IIIEHl!;U: con

'$

.$

1t:$

:$

:$

TO>.\lt

- ,, TOTAL

. IWDGE'!ED

' . - 11

. I> .

' II

- ' 11

-

TOT.U.

BUOOETEII

. . - '

.. -.

Page 9: HQ.Us-e O]strlcl(~.) Tvfi:: , LEGISLAiTURr AF~-CATION Fo ... Le… · of .all state ·and ted~ral t~ t;edits they hiwe applied for or ll!IUcipute applying for pertaining to illLY

lllTJ\L,~"OJ~TCOST

Pl-ANS

LANO J\COtflSITION

DESIGN

CEJNSTA!.JJlllDJI

EGl'JIAMENT

Jll!!.TlflC4'1TOt.'lllOM~ENT8, '

-

SUOGET JUSTIFtOAllON - O:APITAl PROJECT DETI\ILS Parfo.d1 July 'I , .2a1n 111 Jur" '30, ~019

-

FUlllOINli AMOUNT RISQIJESTED

M.U0~£11 01' FVHt)t ,r,rtE flJNDS, ' ' OF .. ~I 81:CEJVEO lr,I PRIOR YEN<$ ,RE'Olll!STED FUNDS P.EOJJE3

'FY:• 20~S.2017 Fl': :Z0:11.·2018 FV1201a,;;n19 ' ~fe.tt.19

$150-. 000

1'tl'TAL..- $1:50 . 000 '

I

,,

' l'UtlUIN\1 ·JIE~(IRED tll 5UCCEED1r~ VEARS:-

f'l'i201~%11'ZO f"to..2~0,ao-21

,,

,I

Page 10: HQ.Us-e O]strlcl(~.) Tvfi:: , LEGISLAiTURr AF~-CATION Fo ... Le… · of .all state ·and ted~ral t~ t;edits they hiwe applied for or ll!IUcipute applying for pertaining to illLY

GOVERNMENT CONTRACTS, GRANTS, AND 1 OR GRANTS IN AID

Applli::anl: 44 2nd Le,;acy Gent.er Contracts Total:

EFFECTIVE I GOVERNMENT I

CONTRACT' CONTRACT DESCRIPTION AGENCY ENTllY .

I DATES· I (U.S./ State I Haw I VALUE

,. HonfK~uLMaul 1 IJ I A

'2 . . ,, 3 ' I

4 ~ 5 .

. I I 6 .

' I '

7 8 I ' Q I '

;

10 I 11 :

jl 13

. I

14 '"-· 15 i( 16 -

;1 17 I 18 I 19 t 20 I ' 21 I 22 I I 23 I 24 25 . 26 27 I 1 28 ' I 29 I • 30 ! l

-

Applica1ion for Grants

Page 11: HQ.Us-e O]strlcl(~.) Tvfi:: , LEGISLAiTURr AF~-CATION Fo ... Le… · of .all state ·and ted~ral t~ t;edits they hiwe applied for or ll!IUcipute applying for pertaining to illLY

DECI..ARA TION S ATEME Ji'' .LI · ·.~SFORGRANTSPURSUAN

AYfER 2Ji1 BA ,VAl l llEVISllb T· ~ UT£-S

11: lllldercsigned euthorl~~ rwr~immuve f the IJ>PHPMt ,ien.m.es: 1ht. fol loWiog

l I Th,nµplicant meei& and wj]] c:l:lmp~ with• ·uII of.the' fuUeiwmg st.antlams ftl 'llie award of"gt;auts ,11µn;unut' o .S~riim 4.2F~ J 03 ltawat R~'Vl~· Staflfttll!

aj ls lit.!~ o_ acore.dited io ~~~ Witi1. 'fi.!detal1 stale: or c:ouniy statutes:, rul~ •. or . ~·-nnm , m t\'IIH,lUCl tlll: 4~i lliUe$ ,(u, provide the• sL·11:vfo:~~ 'for vh ch a grt1n as, 11wAl'ded1

h) •Ca.nrp1ilffl ·w1111 aJ1 applirJlbl I redmi.J llll,<t S'tale Ia W's pn;illib ti11g df9cntt1iD11.tian ilgl!Jtlst. -Q:l\,y 1)er§'1o on 1hc fulsis ohace. oolor, nelbmlll origin, wtzgion, creed,. exi tiger ~\'\Ill Otibtatum, or di!mbin y-

~) A~s not JD 11§ sJa.l= funds- ior il:lltlf:!1-'tmnmem Pr lob ~g aotMfies:; and

d). A1lciws lh~ :stare-· tgllnc.Y ~t'l whieh funds rot" ~ ~nt wet.ii appropnated tbri d pot1diit1~ Jeg,sl¥1tilJe oommittrl,:ij, imd 111.eir '5tlrt. gnd t.he auditat" run access. 10 lbw regn-lh:, tcporu, ff lt;'.9'., m,d 01hl-'1' related dc,~en _r. nn.d i !ifi'i.rmruion fot purposes,Qf nmnirorin_g, ~urlng lh~ efieaiivenl!!ls;. and w l'rillg· the. proper expe,ntli~ arlbe 1Jfflffl •.

rr 11,e 4Pt lfrltiJU.is wt qrgim~tion, lhe.Bpt?f~Cillltmm-s 1'he (dJltrwing.wquirem!,,.'Uts purst1a.o·l;EQ°Sel!lti00 42F­-03.1 lln wni'i Revised StaWte,;:

a) k intotFQraw.d under the laws,.afthe S,tat ; un

b) ll~ bylaw:i, or·poHcie; 1hnt de«:ribe tlie·mnnnmi·m wlllt-11' the ~mJ-,lties or s~'\li"s: for which·~ .IJ'ffllt is 11warded -s11a1t be candut1 ~ on:11.11\1:ided.

:'i ft the: 1\P9lic.imt is fl no11..pnt6t ~~ElUQn. ·h: metu. tll.t .foll('l\Yinf! reqniremcn'IS PPfS!mnt to ·S.et..t:ion 2F­t OJ.1 Rnwa.i',· RtViafd: Stawh!si

a) ls· d~in~ w ,dL¥I~ut !.!d to be: ·ia, JJfjn...-pmnt orgll!liut:lon by tll Inti,mal Revenue S~ i amf

l Haa. .B!tWermnk CJOUl'il wboli~ mmnbm; have no malerinJ conllfot of ' ti.,nst IU:d 6Cl':Ve wJmou. cOlUj1&il.9liE:ion.

Vu.mumtt tQ Seqfion 4;1f~ Ul:3, H11wa.n Ra.vised Stnturfl!l, fQr gnmll u.sl!d lo the aqq1:1i"ftwo of. l!nd, WT:um the, orgllJlization <U~oTllifi ,cs tlle aotivities Pr !'i~!leS ·on thl! land a«jllit'td ftri- wh1cll lh1:: grant 'Vl'ftS awarded arid cfo;pgm of. tnei lrind m &l! timple-,or bf I~ :.. the o~!lllxzation ;1,lmn ncgotf !M with tll~ ~ pc:utll.ng ag"1cy mr !I lWDp ~P,Dl!Of uml.a'.llrr:mat reJ.18.Yfflfilnl to the Smle-of the-amou.nt of thit,gmnt Wied tbr Ille cquisition nr lbti l~d.

FunherJ tl!.C l.ut&trsigµed .q1;1tmu:izcd ,re_pr::;entad;vr: m,mj fiep that thm tllte'm.elli i-s H'lie. Md ~t lo the ,be:$-(If U11,n1ppl oootl knowI*~

'ryi,cd ]ljarm:)

Rmi i2Wl!i

01 1616

Vice Pres:Ldant

rn

Page 12: HQ.Us-e O]strlcl(~.) Tvfi:: , LEGISLAiTURr AF~-CATION Fo ... Le… · of .all state ·and ted~ral t~ t;edits they hiwe applied for or ll!IUcipute applying for pertaining to illLY

Department ofCommeroe and consumer Affairs

CERTIFICATI: OF GOOD,ST ANDING

I, the undel'$ignad, Di~or of Cotnm~~ 11nd Consumer Affairs of the State of Hawaii1 do hereby certify that

442ND .LEGACY OSNTER

was incorporated under the laws of Hawaii on 03/16/2016; that it Is an existing nonprofit col'J)Ol'atfon: and that, as far as the re.cords of this Department reveal,. hes complied with all of the provisions of the Hawaii Nonprofft Cofporations Act. regulating domestic nonprofit corporations.

IN WITNESS WHEREOF, I have hereunto set my 'hand ani, affixed' the seal of the Department of Commerce and Consumer Affairs, at:Mol'lolutu1 Mawalf.

Dated: January 16,2018

Director or Commerce and Consumer Affairs