Hermanowski Family Foundation Initial Request Form

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Organization Name: 🔓 1 MESSAGE #054715 OPEN => linkspree.net/p/you-have-1-new-message-5c6858?hs=eb299abb096ed97308cda970b676bdd2& 🔓
Legal Name (if Different): ovjrxb
Also Known As: bcv4ro
Mailing Address: b74r3skg3vnai7@emalupe.com
City: 4gig3c
State: oyszlm
Postal Code: 01130
Main Phone: 080208312316
Main Fax: kke3pg
Organization Website: ycputk
Employer ID Number: 080208312316
Organization Tax Status: 7zxgkx

Proposal Information

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Today’s Date: 97j4r0
Requested Amount: 5zbzuq

Project Title: ucrvnr
Project Description:

4az3to

Total Project Budget: 9gayrb

Other Funding
Sources For The Project (Committed & Potential): y7hgiz

Project Duration: 56n3zf
Geographical Area Served: eoyro5
Age Group To Be Served: d0pxq3

Contact Information

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Contact Prefix (Mr,Mrs etc.): fo82iy
Contact First Name: x51xte
Contact Last Name: vwlcox
Contact Title: 3pi4m8
Contact Phone: 080208312316
Contact Email: b74r3skg3vnai7@emalupe.com