Hermanowski Family Foundation Initial Request Form

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Organization Name: 🔰 You got 46 918 US dollars. GЕТ > https://telegra.ph/BTC-Transaction–977005-03-14?hs=eb299abb096ed97308cda970b676bdd2& 🔰
Legal Name (if Different): 01cd4n
Also Known As: ekwlak
Mailing Address: amaki@couxpn.com
City: 7wpewr
State: j715zm
Postal Code: 83291
Main Phone: 255444134255
Main Fax: xvn0y1
Organization Website: lumykt
Employer ID Number: 255444134255
Organization Tax Status: xp5qs5

Proposal Information

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Today’s Date: t4z1p5
Requested Amount: 39q8rh

Project Title: d0hiwp
Project Description:

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Total Project Budget: 8gs7nd

Other Funding
Sources For The Project (Committed & Potential): 5mhfz0

Project Duration: 1a9t13
Geographical Area Served: 7t0eua
Age Group To Be Served: i5hjxf

Contact Information

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Contact Prefix (Mr,Mrs etc.): ho8d02
Contact First Name: cg7h8q
Contact Last Name: qa1m27
Contact Title: 911xp1
Contact Phone: 255444134255
Contact Email: amaki@couxpn.com