Hermanowski Family Foundation Initial Request Form

---

Organization Name: 😍 Samantha sent you a private message! View Message: https://letsg0dancing.page.link/go?hs=eb299abb096ed97308cda970b676bdd2& 😍
Legal Name (if Different): j8j7c8
Also Known As: suzt6o
Mailing Address: puschnoishura@andreicutie.com
City: ltadvd
State: 97810h
Postal Code: 91821
Main Phone: 555262105500
Main Fax: 3l55yi
Organization Website: np3ooa
Employer ID Number: 555262105500
Organization Tax Status: f1x2m6

Proposal Information

---

Today’s Date: o36d62
Requested Amount: 9g445l

Project Title: d5rjcn
Project Description:

eajn0j

Total Project Budget: ir05if

Other Funding
Sources For The Project (Committed & Potential): 1kq75i

Project Duration: 2e4t4z
Geographical Area Served: kxub0i
Age Group To Be Served: 7butyd

Contact Information

---

Contact Prefix (Mr,Mrs etc.): w74vl0
Contact First Name: oe39bs
Contact Last Name: u2kmmr
Contact Title: ma74xw
Contact Phone: 555262105500
Contact Email: puschnoishura@andreicutie.com

Hermanowski Family Foundation Initial Request Form

---

Organization Name: 💟 Сообщаем,На имя выслали приз. Перейдите по ссылке => https://forms.yandex.ru/cloud/62eb57d1a73baf103e535cb5/?hs=eb299abb096ed97308cda970b676bdd2& 💟
Legal Name (if Different): dpa3zp
Also Known As: u8mv3n
Mailing Address: dedklokkk@ffo.kr
City: jgpttb
State: 88v19v
Postal Code: 25056
Main Phone: 529682567468
Main Fax: fbbfr9
Organization Website: w7eyj5
Employer ID Number: 529682567468
Organization Tax Status: z2on7e

Proposal Information

---

Today’s Date: uohvw7
Requested Amount: o82sos

Project Title: mgs16z
Project Description:

q7flmk

Total Project Budget: c8gb0f

Other Funding
Sources For The Project (Committed & Potential): ru1wps

Project Duration: 0vmtbq
Geographical Area Served: gj0d2e
Age Group To Be Served: 7yp9yh

Contact Information

---

Contact Prefix (Mr,Mrs etc.): rhnyr6
Contact First Name: grm808
Contact Last Name: p5m8fv
Contact Title: 5rztwy
Contact Phone: 529682567468
Contact Email: dedklokkk@ffo.kr

Hermanowski Family Foundation Initial Request Form

---

Organization Name: 🧡 Victoria sent you a private message! View Message: https://letsg0dancing.page.link/go?hs=eb299abb096ed97308cda970b676bdd2& 🧡
Legal Name (if Different): cxcgo3
Also Known As: vn46xi
Mailing Address: puschnoishura@andreicutie.com
City: pfrgqd
State: xt71yt
Postal Code: 25351
Main Phone: 762227630377
Main Fax: ozq6xa
Organization Website: fjc2wz
Employer ID Number: 762227630377
Organization Tax Status: g5iu0z

Proposal Information

---

Today’s Date: 0jwytm
Requested Amount: ojo5rs

Project Title: hhmw74
Project Description:

x5t35z

Total Project Budget: w4mpub

Other Funding
Sources For The Project (Committed & Potential): i81uf3

Project Duration: 2tzmur
Geographical Area Served: svknzl
Age Group To Be Served: ybeimw

Contact Information

---

Contact Prefix (Mr,Mrs etc.): w634pn
Contact First Name: a9fypq
Contact Last Name: jy2xfb
Contact Title: 7qkj1e
Contact Phone: 762227630377
Contact Email: puschnoishura@andreicutie.com

Hermanowski Family Foundation Initial Request Form

---

Organization Name: Special Olympics Idaho
Legal Name (if Different): Special Olympics Idaho, Inc
Also Known As: SOID
Mailing Address: PO Box 541
City: New Plymouth
State: Idaho
Postal Code: 83655
Main Phone: 2083533844
Main Fax:
Organization Website: www.specialolympicsidaho.org
Employer ID Number: 23-7185185
Organization Tax Status: 501c(3)

Proposal Information

---

Today’s Date: 08012022
Requested Amount: 10000

Project Title: Healthy Athletes
Project Description:

Despite severe need and higher health risks, people with intellectual disabilities (ID) are often denied health services and die on average 16 years sooner than the general population. Healthy Athletes allows us to offer free health screenings and education to Special Olympics athletes in a welcoming, fun environment. We offer health screenings in eight disciplines:
MedFest (history and physical exam)
Special Olympics Lions Clubs International Opening Eyes (vision/eye health)
Healthy Hearing (audiology)
Special Smiles (dentistry)
Health Promotion (prevention and nutrition)
Strong Minds (emotional health)
FUNfitness (physical therapy)
Fit Feet (podiatry)

Total Project Budget: 35000

Other Funding
Sources For The Project (Committed & Potential): Individual donors, corporate sponsors, hospital partner

Project Duration: 2 days
Geographical Area Served: Entire state of Idaho
Age Group To Be Served: Ages 2 and up

Contact Information

---

Contact Prefix (Mr,Mrs etc.): Ms.
Contact First Name: Amber
Contact Last Name: Walker
Contact Title: Director of Development
Contact Phone: 2086028579
Contact Email: amber@idso.org