Hermanowski Family Foundation Initial Request Form

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Organization Name: Mid-Town Steelers Youth Group
Legal Name (if Different):
Also Known As: MTown Steelers
Mailing Address: 7250 Leeward Cove
City: Memphis
State: TN
Postal Code: 38127
Main Phone: 901-356-9301
Main Fax: NA
Organization Website: midtown steelers FB page; currently working on website
Employer ID Number: 87-4736302
Organization Tax Status: 501C3

Proposal Information

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Today’s Date: 2/8/2024
Requested Amount: $10,000

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

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