Hermanowski Family Foundation Initial Request Form

---

Organization Name: Youth Mind Builders
Legal Name (if Different): Dionne Brown
Also Known As:
Mailing Address: 1364 South High Street
City: Columbus
State: Ohio
Postal Code: 43207
Main Phone: 6146038690
Main Fax:
Organization Website: https://jtechfirm.wixsite.com/youthmindbuilders/contact
Employer ID Number: 87-4027785
Organization Tax Status: 501C3

Proposal Information

---

Today’s Date: 12/3/2024
Requested Amount: 5000

Project Title: Youth Mind Builders 2nd Annual Christmas Party
Project Description:

Christmas giveaway at our organization that we would like to pass out gifts, electronics, bike, clothes, shoes and coats to the family of the children that goes to the program and the less fortunate.

Total Project Budget: 5000

Other Funding
Sources For The Project (Committed & Potential): Applying for grants

Project Duration:
Geographical Area Served: Columbus Ohio
Age Group To Be Served: 5-17

Contact Information

---

Contact Prefix (Mr,Mrs etc.): Mrs
Contact First Name: Dionne
Contact Last Name: Brown
Contact Title: President
Contact Phone: 6146038690
Contact Email: youthmindbuilders@gmail.com