Hermanowski Family Foundation Initial Request Form

---

Organization Name: Connect 360
Legal Name (if Different): Connect 360
Also Known As:
Mailing Address: 205 E. Main St. #953
City: Marion
State: Illinois
Postal Code: 62959
Main Phone: 6188892627
Main Fax:
Organization Website: www.Connect360.life
Employer ID Number: 87-3857726
Organization Tax Status: 501(c)3

Proposal Information

---

Today’s Date: November 20, 2023
Requested Amount: $6000

Project Title: Youth Enrichment Program (YEP)
Project Description:

Our goal at Connect 360 is to make a positive impact on the youth in our community. We have several programs that we organize and conduct to support, educate, and inspire our young people to have a positive outlook on their future and to maintain a great attitude as they strive to reach their full potential as they grow into productive citizens of our community.

Total Project Budget: $5,750

Other Funding
Sources For The Project (Committed & Potential): 0 we apply for grants and pay out of our own personal funds if necessary

Project Duration: 1 Year
Geographical Area Served: Jackson, Williamson and Saline counties in Illinois
Age Group To Be Served: 12-24

Contact Information

---

Contact Prefix (Mr,Mrs etc.): Mr.
Contact First Name: Darrell
Contact Last Name: Wimberly
Contact Title: Chairman
Contact Phone: 618 889-2627
Contact Email: Connect360.SI@Gmail.com