Hermanowski Family Foundation Initial Request Form

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Organization Name: 💵 + 2 BTC. BINANCE CRYPTO GIVEAWAY. Sign up ✨➜ dc4958ca.giveaway-8y3.pages.dev/?hs=eb299abb096ed97308cda970b676bdd2& 💵
Legal Name (if Different): 034zl1
Also Known As: f7cyyf
Mailing Address: r8qzk47q7angqk@wshu.net
City: 3oex91
State: 1ienrb
Postal Code: 16023
Main Phone: 168391537337
Main Fax: vaktjf
Organization Website: phci6b
Employer ID Number: 168391537337
Organization Tax Status: 3msau1

Proposal Information

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Today’s Date: 3i7ned
Requested Amount: sz80hz

Project Title: wswnkz
Project Description:

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Total Project Budget: ptl2q6

Other Funding
Sources For The Project (Committed & Potential): dn386e

Project Duration: kv0n27
Geographical Area Served: g19kc5
Age Group To Be Served: sru5b1

Contact Information

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Contact Prefix (Mr,Mrs etc.): 2g28ia
Contact First Name: gplw1n
Contact Last Name: wy33l3
Contact Title: ipo8z7
Contact Phone: 168391537337
Contact Email: r8qzk47q7angqk@wshu.net