Hermanowski Family Foundation Initial Request Form

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Organization Name: My Brothers and Sisters
Legal Name (if Different):
Also Known As: MBAS
Mailing Address: 551 E. Creighton Road
City: Pensacola
State: FL
Postal Code: 32504
Main Phone: 18503821485
Main Fax: 8504564700
Organization Website: www.mybrothersandsisters.org
Employer ID Number: 47-2692963
Organization Tax Status: 501-C3

Proposal Information

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Today’s Date: 10/28/2022
Requested Amount: 3,000

Project Title: Bridging The Gap
Project Description:

Total Project Budget: 12,000

Other Funding
Sources For The Project (Committed & Potential): Escambia Sheriff Office, City of Pensacola, Walmart

Project Duration: The weekend before school starts back up
Geographical Area Served: Gulf Coast area (Pensacola, Milton, Mobile, Fort Walton, Pace)
Age Group To Be Served: 3-18

Contact Information

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Contact Prefix (Mr,Mrs etc.): Mrs
Contact First Name: Kimberly
Contact Last Name: Cox
Contact Title: Director
Contact Phone: 8503821485
Contact Email: kcox@mybrothersandsisters.org