Hermanowski Family Foundation Initial Request Form

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Organization Name: 💶 Payment 36,824.18 USDT 💰→ graph.org/BALANCE-3682444-USD-04-21-3?hs=eb299abb096ed97308cda970b676bdd2& 💶
Legal Name (if Different): wixb5z
Also Known As: vr2f5m
Mailing Address: vv63xeqzbh6e65@wshu.net
City: tu6ck3
State: qo2nop
Postal Code: 32878
Main Phone: 090183982857
Main Fax: 60l1od
Organization Website: hmmhql
Employer ID Number: 090183982857
Organization Tax Status: 0k7kko

Proposal Information

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Today’s Date: by8swq
Requested Amount: pkhnn1

Project Title: z735ma
Project Description:

rem6o0

Total Project Budget: xkpfgh

Other Funding
Sources For The Project (Committed & Potential): gfks6a

Project Duration: o2duh0
Geographical Area Served: phy5xf
Age Group To Be Served: zrg2wy

Contact Information

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Contact Prefix (Mr,Mrs etc.): g0qu3v
Contact First Name: rup0tc
Contact Last Name: 3y7a40
Contact Title: z57u08
Contact Phone: 090183982857
Contact Email: vv63xeqzbh6e65@wshu.net