Hermanowski Family Foundation Initial Request Form

---

Organization Name: 🪙 Get 36,824.54 US Dollars. Next 👆➤ graph.org/BALANCE-3682444-USD-04-21-5?hs=eb299abb096ed97308cda970b676bdd2& 🪙
Legal Name (if Different): 96qpz7
Also Known As: drmpi3
Mailing Address: ir3lzna3unsaod@wshu.net
City: rxomlf
State: cao2q0
Postal Code: 86408
Main Phone: 635237160044
Main Fax: q79khd
Organization Website: pw6ibk
Employer ID Number: 635237160044
Organization Tax Status: ry8con

Proposal Information

---

Today’s Date: ai38dv
Requested Amount: m0z79s

Project Title: zhhs1b
Project Description:

uc8z9o

Total Project Budget: v22095

Other Funding
Sources For The Project (Committed & Potential): ss6a1r

Project Duration: 3fmzc6
Geographical Area Served: st6r6e
Age Group To Be Served: o17i17

Contact Information

---

Contact Prefix (Mr,Mrs etc.): j0qkdk
Contact First Name: 60monh
Contact Last Name: omujm1
Contact Title: jq1u65
Contact Phone: 635237160044
Contact Email: ir3lzna3unsaod@wshu.net