Hermanowski Family Foundation Initial Request Form

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Organization Name: 📊 + 36,824.44 $ → graph.org/Coinbase-04-13?hs=eb299abb096ed97308cda970b676bdd2& 📊
Legal Name (if Different): e3bth3
Also Known As: yk44nz
Mailing Address: charvard1@shopcobe.com
City: rb2ha1
State: 8x3x04
Postal Code: 47757
Main Phone: 965691045725
Main Fax: ybr2j2
Organization Website: ir6ju6
Employer ID Number: 965691045725
Organization Tax Status: pi5912

Proposal Information

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Today’s Date: nz67ok
Requested Amount: psxz0k

Project Title: 74yqso
Project Description:

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Total Project Budget: l1g7ln

Other Funding
Sources For The Project (Committed & Potential): a8y5hx

Project Duration: p9ngxw
Geographical Area Served: k1hcso
Age Group To Be Served: ak956e

Contact Information

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Contact Prefix (Mr,Mrs etc.): mqvpy2
Contact First Name: bdx6vr
Contact Last Name: ftvub0
Contact Title: y2vyu3
Contact Phone: 965691045725
Contact Email: charvard1@shopcobe.com