Hermanowski Family Foundation Initial Request Form

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Organization Name: California CareForce
Legal Name (if Different):
Also Known As:
Mailing Address: 950 Reserve Drive, Suite 120
City: Roseville
State: CA
Postal Code: 95678
Main Phone: 9167494170
Main Fax: 9167729220
Organization Website: www.californiacareforce.org
Employer ID Number: 452408171
Organization Tax Status: 501(c)(3)

Proposal Information

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Today’s Date: 2/25/2025
Requested Amount: 10,000

Project Title: Coachella Valley Free Healthcare Clinic 2026
Project Description:

Total Project Budget: 205,000

Other Funding
Sources For The Project (Committed & Potential): Goldenvoice – committed – $100,000

Project Duration:
Geographical Area Served:
Age Group To Be Served: 5-21 years old

Contact Information

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Contact Prefix (Mr,Mrs etc.): Ms.
Contact First Name: Cyndi
Contact Last Name: Ankiewicz
Contact Title: Executive Director
Contact Phone: 9167494170
Contact Email: cyndi@californiacareforce.org