Hermanowski Family Foundation Initial Request Form

---

Organization Name: Spagheti Bowl
Legal Name (if Different): Spagehetti Bowl
Also Known As: Spaghetti Bowl
Mailing Address: 623 Rock Quarry Road
City: Raleigh
State: NC
Postal Code: 27610
Main Phone: 9198298048
Main Fax:
Organization Website:
Employer ID Number: 93-2848644
Organization Tax Status: Public

Proposal Information

---

Today’s Date:
Requested Amount:

Project Title:
Project Description:

Total Project Budget:

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

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: