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Community Investment Funds 2006 VI.-CONSENT AGENDA ITEM J. CITY OF BOYNTON BEACH AGENDA ITEM REQUEST FORM Requested City Commission Date Final Fonn Must be Turned Requested City Commission Date Final Fonn Must be Turned Meeting Dates in to City Clerk's Office Meeting Dates in to City Clerk's Office D August 1, 2006 July 17,2006 (Noon.) D October 3, 2006 September 18, 2006 (Noon) D August 15, 2006 July 31, 2006 (Noon) D October 17, 2006 October 2,2006 (Noon) D September 6, 2006 August 14,2006 (Noon) D November 8, 2006 October 16,2006 (Noon) D September 19,2006 September 5,2006 (Noon) ~ November 21, 2006 November 6,2006 (Noon) D AnnouncementslPresentations D City Manager's Report NATURE OF D Administrative D New Business AGENDA ITEM ~ Consent Agenda D Legal D Code Compliance & Legal Settlements D Unfinished Business D Public Hearing D RECOMMENDATION: Authorize the use of$500 from Mayor Taylor's Community Investment Fund to the Dancer's Alchemy, Inc. EXPLANATION: Commission approval is requested for allocation of$500 from Mayor Taylor's fund to the Dancer's Alchemy, Inc. to provide funding for upcoming state competitions. PROGRAM IMPACT: Allocation of funds will assist the above program. FISCAL IMPACT: (Include Account Number where funds will come from.) 001-1110-511-95-47 Funds are budgeted for these types of activities. Each Commissioner has $15,000 in Community Investment Funds to allocate subject to Commission approval. ALTERNATIVES: Decline to authorize the requested use. Department Head's Signature .~"~. "" 1,". "',.'~\""~ \ ..':: ';~ '0 ~ \ ",I (-..'\ 1 \.\v! ,,;:,\.., ..UI" ~. ,.~. --..- Department Name .", ~,~..",,,,," S.\BULLETIN\FORMSIAGENDA ITEM REQUEST FORM.DOC EXHIBIT A COMMUNITY INVESTMENT FUND DISBURSEMENT REQUEST FORM Part 1- Summary of Request Date of Request: November 14, 2006 Requested by Mayor/Commissioner: Mayor Taylor Amount Requested: $500.00 Recipient/Payee: Dancer's Alchemy, Inc. Description of project, program, or activity to be funded: Funds are to be used to provide funding to Dancer's Alchemy, Inc. for upcoming state competitions. Dated: J/ J J<{ /0" By: r~7l-- W~ Part II-Availability of funds (to be completed by the Finance Director) The annual appropriation of funds available to the requesting Member of the Commission listed above is $15,000. $0.00 has been used to date by the requesting Member, leaving a balance of available funds of $15,000. This request would bring the available amount down to $14,500. Accordingly: )I.. There are funds available as requested D There are insufficient funds available a Dated: II Ir-, iDb I { By: Part 111- Eligibility Evaluation (to be completed by City Manager) Dated: Il.-I't- Db \it The proposed expenditure of funds will not result in improvement to private property; f:t The recipient/payee provides services within the City of Boynton Beach; ~ The project, program or activity which is being funded will occur in the City of Boynton Beach and participation is open to all residents of the City; and Q./ Proper safeguards will be implemented to assure that the public funds being appropriated will be used for the stated purpose. By:-4~,. City anager S:\City Mgr\Administration\MAYORCOM\COMMUNITY INVESTMENT 2005-2006\BLANK FORM REVISED05- 06.doc