Hermanowski Family Foundation Initial Request Form

---

Organization Name: Cradles to Crayons
Legal Name (if Different):
Also Known As: C2C
Mailing Address: 155 North Beacon Street
City:
State: MA
Postal Code: 02135
Main Phone: 617-779-4700
Main Fax: 866-841-9995
Organization Website: www.cradlestocrayons.org
Employer ID Number: 04-3584367
Organization Tax Status: Exempt

Proposal Information

---

Today’s Date: 04/08/2013
Requested Amount: $8,000

Project Title: Gear Up for Winter
Project Description:

Total Project Budget:

Other Funding
Sources For The Project (Committed & Potential):

Project Duration: October-March
Geographical Area Served:
Age Group To Be Served:

Contact Information

---

Contact Prefix (Mr,Mrs etc.): Ms.
Contact First Name: Jill
Contact Last Name: Eid
Contact Title: Corporate and Foundation Relations Coordinator
Contact Phone: 617-779-4734
Contact Email: jill