Hermanowski Family Foundation Initial Request Form

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Organization Name: We shu
Legal Name (if Different): WEshutime
Also Known As: we shut
Mailing Address: 23
City: 123
State: 23
Postal Code: 123
Main Phone: 123
Main Fax: 123
Organization Website: 123
Employer ID Number: 23
Organization Tax Status: sex

Proposal Information

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Today’s Date: 12/12/23
Requested Amount: 1234

Project Title: 123
Project Description:

123

Total Project Budget: 123

Other Funding
Sources For The Project (Committed & Potential): 213

Project Duration: 123
Geographical Area Served: sd
Age Group To Be Served: 23

Contact Information

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