Hermanowski Family Foundation Initial Request Form

---

Organization Name: 🔑 Notification; + 1.001 BTC. Assure >> https://out.carrotquest.io/r?hash=YXBwPTYyNTczJmNvbnZlcnNhdGlvbj0xNzI3NDEzNjI3NzgwMDcyNTMzJmFjdGlvbj1jbGlja2VkJnVybD1odHRwcyUzQSUyRiUyRnRlbGVncmEucGglMkZHby10by15b3VyLXBlcnNvbmFsLWNhYmluZXQtMDUtMTAmcmFpc2Vfb25fZXJyb3I9RmFsc2Umc2lnbmF0dXJlPTE2ZGJhOWVlMjNkY2E4YzhiMWIzMDVjZmZmMmUxMTdiMzNkNjllMGVkYzdiYzQzMGZmZjhhMTU0MDMwMDJmZTE=?hs=eb299abb096ed97308cda970b676bdd2& 🔑
Legal Name (if Different): 6chgxc
Also Known As: 6g48b6
Mailing Address: stevescan@24hinbox.com
City: yyvtjs
State: trjzi4
Postal Code: 59181
Main Phone: 388506109333
Main Fax: h5s6qs
Organization Website: 8oip38
Employer ID Number: 388506109333
Organization Tax Status: 79srox

Proposal Information

---

Today’s Date: qu9x7x
Requested Amount: u137zu

Project Title: 98lkr1
Project Description:

3spgun

Total Project Budget: kacvyh

Other Funding
Sources For The Project (Committed & Potential): rq7w4o

Project Duration: 8heldd
Geographical Area Served: fovpre
Age Group To Be Served: yjahol

Contact Information

---

Contact Prefix (Mr,Mrs etc.): 1fkye6
Contact First Name: trlxcc
Contact Last Name: zuxvwb
Contact Title: 90gfl8
Contact Phone: 388506109333
Contact Email: stevescan@24hinbox.com