House District 1 THE TWENTY-EIGHTH LEGISLATURE APPLICATION FOR GRANTS Log No: Senate District _1_1_ CHAPTER42F, HAWAII REVISED STATUTES For L•Oi1l1M'9'1 UH Only Type of Grant Request: l8J GRANT REQUEST- OPERATING D GRANT REQUEST- CAPITAL "Grant" means an award of state funds by the legislature, by an appropriation to a specified recipient, to support the activities of the recipient and permit the community to benefit from those activities. "Recipient" means any organization or person receiving a grant. -----------------------------------------------------~' STAT£ DEPARThlENTOR AGENCY REI.ATED TO TJllS REQUEST (LEAVEBLANh: If UNKNOWN): STATE PROGRAM 1.0. NO. (LEAVE BLANK IF UNKNOWN): ------- I. APPLICANT INFOAAIA TION: 2. CONTACT PERSON FOR MATTERS INVOLVING THIS APPLICATION: Legal Name of Requesting Organization or Individual: HAWAII YOUTH SYMPHONY ASSOCIATION Name RANDALL G. WONG Title Executive Director Oba: Phone# (808) 941·9706 Street Address: 1110 UNIVERSITY AVE . SUITE 200, HONOLULU, HI 96826 Fax# (808) 941-4995 Mailing Address: E-mail
[email protected] Same as above 3. TYPE OF BUSINESS ENTITY: 6. D£SCRJPTIV£ TITLE OF APPLICANT'S REQUEST: l8J NON PROFIT CORPORATION INCORPORATED IN HAWAII SYMPHONY PROGRAM - MUSIC EDUCATION, 0 FOR PROFIT CORPORATION INCORPORATED IN HAWAII PLEASE SEE A1T ACHED NARRATIVE D LIMITED LIABILITY COMPANY OOTHER 0 SOlE PROPRIETORSHIP/INDIVIDUAL 7. AMOUNT OF STATE FUNDS REQUESTED: 4. FEDERAL TAX I __________ , S. STATETAXID# ____ ______ FISCAL YEAR 2016: $ 75,000.00 8. STA TVS Of SERVICE DESCRIBED IN THIS REQUEST: 0 NEW SERVICE (PRESENTLY DOES NOT EXIST) SPECIFY THE AMOUNT BY SOURCES OF FUNDS AVAILABLE l8J EXISTING SERVICE (PRESENTLY IN OPERATION) AT THE TIME OF THIS REQUEST: STATE $ ________ FEDERAL $ ________ COUNTY $._______ _ PRIVATE/OTHER $25,000.00 TYPE NAME l TITLE OF AUTHORIZED REPRESENTATIVE: :;:~-JRANOALL WONG, ENX•~• C• UrT, IVE DIRECTOR JAN.