House District(s) f THE TWENTY-NINTH LEGISLATURE APPLICATION FOR GRANTS Log No: Senate District(s) _f_ CHAPTER42F, HAWAII REVISED STATUTES Type of Grant Request: D GRANT REQUEST- OPERATING [2l 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 STATE llEl'AlffMENT Oil AGENCY RH.ATED TO TIIIS IU:QVEST (l.L\ \'E IILANK IF UNKNOWN):------------------ STA1'E l'IWGIUl\11,1), NO. (LEA\'El!LANKIFUNKNOWNJ: ------ I. Al'l'Llf'ANT INFOIOIATION: 2. f'ONTACT l'ERSON FOR MArnms IN\'OLVING nus Al'l'I. .ICATION: Legal Name of Requesting Organization or Individual: Kahilu Theatre Foundation Name MARJE KERLEY Oba: Kahilu Theatre Title President, Board of Directors Street Address: 67-1186 Lindsey Road, Kamuela, HI 96743 Phone# 808.885.6868 Mailing Address: 67-1186 Lindsey Road, Kamuela, HI Fax # 808.443.0366 96743 E-mail
[email protected] --· 3. T\'l'E or lll'SINESS ENTITY: 6. IJESCRWl'l\'ETITl.EOF Al'l'LICANT'S RE:QlTST: [2l NON PROFIT CORPORATION INCORPORATED IN HAWAII KAHILU THEATRE: SAFETY, SOUND, LIGHTING, lvlEDIA AND 0 FOR PROFIT CORPORATION INCORPORATED IN HAWAII OTIIER EQUIPMENT DETERMINED AS URGENT AND IMPORTANT TO D LIMITED L!ABIUTY COMPANY THE FUNCTIONING OF HHS VALUED, crnvHvlUNITY-SUPPORTED, 0 SOLE PROPRIETORSHIP/INDIVIDUAL MULTIDISCIPLINARY ARTS CENTER. OOTHER 7. Al\lOLfNT (ff STA n: FlfNIJS REQu:slED: 4. FEDERAi.. TAX m II: ____, :'i. STA TE TAX Ill II: FISCAL YEAR 2019: $700,000 _________ II.