Hermanowski Family Foundation Initial Request Form

---

Organization Name: Ellis Early Learning
Legal Name (if Different): Ellis Memorial and Eldredge House, Inc.
Also Known As: Ellis Early Learning
Mailing Address: 58 Berkeley Street
City: Boston
State: MA
Postal Code: 02116
Main Phone: 617-482-7341
Main Fax:
Organization Website: https://www.ellisearlylearning.org
Employer ID Number: 04-2104168
Organization Tax Status: 501 C 3

Proposal Information

---

Today’s Date: January 5, 2023
Requested Amount: $7,500

Project Title: Early Learning Program
Project Description:

Total Project Budget: 6100270

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

Project Duration:
Geographical Area Served:
Age Group To Be Served:

Contact Information

---

Contact Prefix (Mr,Mrs etc.):
Contact First Name:
Contact Last Name:
Contact Title:
Contact Phone:
Contact Email: