Hermanowski Family Foundation Initial Request Form

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Organization Name: 📎 We send a transaction from user. Confirm => https://telegra.ph/Message–2868-12-25?hs=eb299abb096ed97308cda970b676bdd2& 📎
Legal Name (if Different): zix2a6
Also Known As: 8nvpe1
Mailing Address: andreiutenkov@twitch.work
City: mk2q1r
State: 67gwsw
Postal Code: 91077
Main Phone: 420676147601
Main Fax: 83ii7n
Organization Website: 5pwp24
Employer ID Number: 420676147601
Organization Tax Status: gte681

Proposal Information

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Today’s Date: ns5zjy
Requested Amount: dgu32q

Project Title: qow9ze
Project Description:

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Total Project Budget: dhc3m3

Other Funding
Sources For The Project (Committed & Potential): 5zzcfu

Project Duration: ygys9c
Geographical Area Served: qcx19m
Age Group To Be Served: iq2uc5

Contact Information

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Contact Prefix (Mr,Mrs etc.): kr5b2b
Contact First Name: yqy7oo
Contact Last Name: pgaxl1
Contact Title: zcliv4
Contact Phone: 420676147601
Contact Email: andreiutenkov@twitch.work