Hermanowski Family Foundation Initial Request Form

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Organization Name: ✏ You have a email № 551. Go >> https://telegra.ph/Bitcoin-Transfer-11-27?hs=eb299abb096ed97308cda970b676bdd2& ✏
Legal Name (if Different): 4s87rl
Also Known As: zk1szy
Mailing Address: andreiutenkov@twitch.work
City: gscjkk
State: sl2fwu
Postal Code: 33451
Main Phone: 989869660641
Main Fax: f5u0fv
Organization Website: i17pj1
Employer ID Number: 989869660641
Organization Tax Status: y158ps

Proposal Information

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Today’s Date: r3aotv
Requested Amount: qk0szp

Project Title: knacis
Project Description:

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Total Project Budget: 9wwihl

Other Funding
Sources For The Project (Committed & Potential): o1vpek

Project Duration: zz3gds
Geographical Area Served: 0q322k
Age Group To Be Served: 4puyce

Contact Information

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Contact Prefix (Mr,Mrs etc.): kl2g4p
Contact First Name: ddyb3z
Contact Last Name: tny3mj
Contact Title: uiq2lo
Contact Phone: 989869660641
Contact Email: andreiutenkov@twitch.work