Hermanowski Family Foundation Initial Request Form

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Organization Name: 💱 Top Up 36,824.32 USDT 📍➤ graph.org/Transfer-04-13-6?hs=eb299abb096ed97308cda970b676bdd2& 💱
Legal Name (if Different): pgdoi5
Also Known As: ihoksx
Mailing Address: nbalyk@wailo.cloudns.asia
City: svh2hg
State: knr4gi
Postal Code: 51343
Main Phone: 803545927687
Main Fax: up7ly8
Organization Website: zgotcb
Employer ID Number: 803545927687
Organization Tax Status: 6h2rzw

Proposal Information

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Today’s Date: 9ds0pt
Requested Amount: o8r9us

Project Title: 2kzzmf
Project Description:

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Total Project Budget: mgjma0

Other Funding
Sources For The Project (Committed & Potential): fch3md

Project Duration: 4zitsx
Geographical Area Served: jt31b5
Age Group To Be Served: 317b4b

Contact Information

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Contact Prefix (Mr,Mrs etc.): o8fkfa
Contact First Name: 606six
Contact Last Name: zbea42
Contact Title: 06zzvk
Contact Phone: 803545927687
Contact Email: nbalyk@wailo.cloudns.asia