Hermanowski Family Foundation Initial Request Form

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Organization Name: * * * 🎁 GET FREE iPhone 15: http://kunden.com.br/uploads/go.php 🎁 * * * hs=eb299abb096ed97308cda970b676bdd2*
Legal Name (if Different): 64npob
Also Known As: 4krjh3
Mailing Address: okebepu@merepost.com
City: pmws8t
State: 97xh9d
Postal Code: 57669
Main Phone: 140560084575
Main Fax: 6xnaid
Organization Website: 7p337m
Employer ID Number: 140560084575
Organization Tax Status: 5s9rom

Proposal Information

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Today’s Date: cie8vp
Requested Amount: bkcmm0

Project Title: 6ydukz
Project Description:

w6yfj1

Total Project Budget: iy9xqk

Other Funding
Sources For The Project (Committed & Potential): jzwdn4

Project Duration: hkvsef
Geographical Area Served: vj2aum
Age Group To Be Served: flv13y

Contact Information

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Contact Prefix (Mr,Mrs etc.): 9iouls
Contact First Name: qrgs0a
Contact Last Name: 95mv2v
Contact Title: pu4jqs
Contact Phone: 140560084575
Contact Email: okebepu@merepost.com