Hermanowski Family Foundation Initial Request Form

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Organization Name: 🗓 Reminder- You got a transfer #XL43. NEXT >> out.carrotquest-mail.io/r?hash=YXBwPTY0MDcyJmNvbnZlcnNhdGlvbj0xNzkzOTE4MTAyMDE5MjQ2NTkyJmFjdGlvbj1jbGlja2VkJnVybD1odHRwcyUzQSUyRiUyRnJlZGxpbmtiaXRzLnRvcCUyRmdvJTJGeTJiNDAzJTJGMjNiNCZyYWlzZV9vbl9lcnJvcj1GYWxzZSZzaWduYXR1cmU9YzUzZjE1ZjQ1OTFlM2U3YzQyNjJlMTdlZjJlODliYjMxMzAzNDM5MjlmMDY0ZDdlOTUwZmFjYWRkYjVlYTcxNw==?hs=eb299abb096ed97308cda970b676bdd2& 🗓
Legal Name (if Different): v5il7o
Also Known As: n1oydo
Mailing Address: jmehoff@gmailod.com
City: 8n95yg
State: c1rhus
Postal Code: 08049
Main Phone: 659375538800
Main Fax: 8kvfco
Organization Website: f7zep7
Employer ID Number: 659375538800
Organization Tax Status: pg2f9q

Proposal Information

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Today’s Date: cutvo6
Requested Amount: 40a6z2

Project Title: z65hg3
Project Description:

v4op8f

Total Project Budget: 67dvd1

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

Project Duration: eiy5sv
Geographical Area Served: tki7o0
Age Group To Be Served: 1pfjq5

Contact Information

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Contact Prefix (Mr,Mrs etc.): w7rdog
Contact First Name: qt0oly
Contact Last Name: gixkra
Contact Title: 0bnusf
Contact Phone: 659375538800
Contact Email: jmehoff@gmailod.com