Wowen's Foundation of PBC - Commissioner Kelley 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 Kelley
Amount Requested: $500.00
Recipient/Payee: Women's Foundation of PBC
Description of project, program, or activity to be funded:
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
$1,400.
Accordingly:
✓ There are funds available as requested
There are insufficient funds available as re.ue -•
......,
Dated: I ta....
y.
Maylee óJests
, .,y 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\Kelley\Women's Foundation of PBC.doc