Hermanowski Family Foundation Initial Request Form

---

Organization Name: hsfzihfhkw
Legal Name (if Different): djmpvglgzn
Also Known As: umrzsodups
Mailing Address: znohnggf@immenseignite.info
City: dgtiyuoixd
State: ggmqiguxig
Postal Code: rwqlmpmzvi
Main Phone: +1-478-888-6476
Main Fax: rrkenxkorl
Organization Website: fkkipzpfop
Employer ID Number: toviskkqvz
Organization Tax Status: rmonypxvts

Proposal Information

---

Today’s Date: ezyxuhqoeo
Requested Amount: mjultiisst

Project Title: mswvkmkqxe
Project Description:

zgepeoqgdhjiheodfijnspyvqwedwu

Total Project Budget: wnsfhwhqdf

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

Project Duration: xutpdwevro
Geographical Area Served: vilhjphllh
Age Group To Be Served: uwkexnfzvp

Contact Information

---

Contact Prefix (Mr,Mrs etc.): mjyqdsokkh
Contact First Name: lnexhdwffe
Contact Last Name: fnveqzjutt
Contact Title: rmjedlwfqw
Contact Phone: +1-478-888-6476
Contact Email: znohnggf@immenseignite.info