Hermanowski Family Foundation Initial Request Form

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Organization Name: George and Tena Lange Foundation
Legal Name (if Different):
Also Known As: Jefferson PTC
Mailing Address: 728 Warren Street
City: Davenport
State: IA
Postal Code: 52802
Main Phone: 5633491540
Main Fax:
Organization Website:
Employer ID Number: 81-2702775
Organization Tax Status: 501 (c) 3

Proposal Information

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Today’s Date: 03/22/2023
Requested Amount: 1,500

Project Title: Community Summer Picnic
Project Description:

We are hoping to host a summer picnic with the students of Jefferson Elementary, their families and the others in the community. It is a piece of our bigger vision of becoming a resource for not only the Jefferson students and parents but the larger community.

Total Project Budget: $3,500

Other Funding
Sources For The Project (Committed & Potential): Community grant, fundraising, personal contributions

Project Duration: 12 hours
Geographical Area Served: Hamburg/west end Davenport
Age Group To Be Served: 5- 18 and families

Contact Information

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Contact Prefix (Mr,Mrs etc.): Ms.
Contact First Name: Jennifer
Contact Last Name: Porter
Contact Title: Director
Contact Phone: 563 349 1540
Contact Email: gtlangefoundation@gmail.com