- Florida Yoth Rugby UnionVice Mayor KatzR15-055
EXHIBIT "A"
COMMUNITY SUPPORT FUNDS
REQ UES T FORM
Part I - Summary of Request (to be completed by City Clerk)
Date of Request: 2/04/2020
Requested by Mayor/Commissioner: Vice Mayor Justin Katz
Amount Requested: $ 2,000.00
Recipient/Payee: Florida Youth Rugby Union
Description of project, program, or activity to be funded: The funding will be used for the
Florida Youth Rugby Union. Their mission is to expand athletic and academic
opportunity throughthe sport of rugby in a fun, healthy, character -building system that
focuses on established core values.
Part II - Availability of funds
The annual appropriation of funds available to the requesting Member of the
Commission listed above is $ 2,000.00 .
The balance of funds available for the requesting Member of the Commission is
$ 2,000.00
Accordingly:
Y"'There are funds available as requested
El There are insufficient funds available as requested
Dated: By:<'
City Clerk
Part III -Eligibility Evaluation
R"'Public funds will not be used to improve private property unless there is a clear
,public need, purpose and benefit
LAY The recipient/payee provides services within the City
CV"The public purpose is beneficial to th community s rved by such donation
Dated: 1b�v By:
Req Fiberf the City Commission
❑ MAIL CHECK TO VENDOR 0 RETURN CHECK TO DEPU INCLUDE BACK-UP W/ CHECK
CITY OF BOYNTON BEACH
DIRECT PAYMENT REQUISITION
Please issue a check in the amount of $2,000.00
TO: Florida Youth Rugby Union
125 Spring Isle Trail
Altamonte Springs, FI
FOR: Communitv Investment Funds
Vice Mayor Katz Community Investment Funds
Requested By: Queenester Nieves
Approvals:
Div Head
3Jy,6�o
Finance Dept.
City Manager
VENDOR #:
Date: February 27, 2020
173000
FUND
DEPT BASIC
ELE
OBJ
AMOUNT
001
1110 511
95
47
2,000.00