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Friends of the Boynton Beach City Library - Commissioner Hay R15-055 R22-140 EXHIBIT "A" COMMUNITY SUPPORT FUNDS REQUEST FORM Part I - Summary of Request (to be completed by City Clerk) Date of Request: September 7, 2023 Requested by Mayor/Commissioner: Commissioner Hay Amount Requested: $500 Recipient/Payee: Friends of the BB City Library Description of project, program, or activity to be funded: These funds will help with the cost of Holiday Dinner Baskets that will be for the less fortunate kids and their families in the community. Part II - Availability of funds The annual appropriation of funds available to the requesting Member of the Commission listed above is $6,000. The balance of funds available for the requesting Member of the Commission is $1,000. Accordingly: ✓ There are funds available as requested ✓ There are insufficient funds available as re. -ste• Dated: 09/07/23 B • ,. 1_..7►! I� -- aieDe Jesus, City Clerk Part III-Eligibility Evaluation ✓ Public funds will not be used to improve private property unless there is a clear public need, purpose and benefit ✓ The recipient/payee provides services within the City ✓ The public purpose is beneficial to the entire community served by such donation Dated: By: Requesting Member of the City Commission S:\CC\WP\COMMUNITY SUPPORT FUNDS\FY 2022-2023\Comm Hay\Friends of the Library Holiday Dinner Baskets-Hay$500.doc