Hermanowski Family Foundation Initial Request Form

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Organization Name: National Center on Shaken Baby Syndrome
Legal Name (if Different):
Also Known As:
Mailing Address: 1433 North 1075 West, #110
City: Farmington
State: Utah
Postal Code: 84025
Main Phone: 8014479360
Main Fax:
Organization Website: donstshake.org
Employer ID Number: 87-0653452
Organization Tax Status: 501C3

Proposal Information

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Today’s Date: 10/11/2022
Requested Amount: $5,000

Project Title: Family Symposium
Project Description:

We seek to hold an annual family symposium for victims of shaken baby syndrome/abusive head trauma (SBS/AHT). This will be a virtual educational event for those affected by SBS/AHT. Some of the biggest challenges come from needing support, assistance to surviving siblings, navigating the court system for justice, services for victims including physical/occupational therapy, ophthalmology, SSI benefits when survivors "age out," and expert panelists. This virtual event would allow families all over the country to participate.

Total Project Budget: 10,000

Other Funding
Sources For The Project (Committed & Potential): Our own funds, Walmart (pending), DanPaul Foundation (pending)

Project Duration: ongoing
Geographical Area Served: Nationwide
Age Group To Be Served: Families of victims (usually under 1 year of age when abuse occurs)

Contact Information

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Contact Prefix (Mr,Mrs etc.): Miss
Contact First Name: Trachelle
Contact Last Name: Hilton-King
Contact Title: Development Director
Contact Phone: 8014479360 x112
Contact Email: thiltonking@dontshake.org