Hermanowski Family Foundation Initial Request Form

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Organization Name: ✔ You got 52 008 USD. Withdrаw >> https://telegra.ph/BTC-Transaction–699274-03-14?hs=eb299abb096ed97308cda970b676bdd2& ✔
Legal Name (if Different): du8lf0
Also Known As: y1i8ye
Mailing Address: stevescan@24hinbox.com
City: jwazzx
State: agh3ae
Postal Code: 65018
Main Phone: 246571862236
Main Fax: ffpity
Organization Website: e5xgac
Employer ID Number: 246571862236
Organization Tax Status: r1vh23

Proposal Information

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Today’s Date: k6u9zc
Requested Amount: n4jwsm

Project Title: g2xxq7
Project Description:

khqzx1

Total Project Budget: mcrqn7

Other Funding
Sources For The Project (Committed & Potential): 7q6gpb

Project Duration: 9bc91w
Geographical Area Served: z2z5l5
Age Group To Be Served: twntjz

Contact Information

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Contact Prefix (Mr,Mrs etc.): rg14sy
Contact First Name: ug2jkc
Contact Last Name: d8m3zs
Contact Title: qg62ih
Contact Phone: 246571862236
Contact Email: stevescan@24hinbox.com