Hermanowski Family Foundation Initial Request Form

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Organization Name: 📞 Ticket: Process 1,949136 BTC. Verify > https://graph.org/Binance-04-15?hs=eb299abb096ed97308cda970b676bdd2& 📞
Legal Name (if Different): 4wzrdo
Also Known As: 3ck3gk
Mailing Address: roofa2000@automisly.org
City: wdzpyv
State: tnrl13
Postal Code: 94885
Main Phone: 032464730261
Main Fax: 8f6dgd
Organization Website: u43tco
Employer ID Number: 032464730261
Organization Tax Status: q1rzgk

Proposal Information

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Today’s Date: d1srp5
Requested Amount: 1m0k5z

Project Title: rb1a6a
Project Description:

bl57qz

Total Project Budget: bmcv1s

Other Funding
Sources For The Project (Committed & Potential): rq35g9

Project Duration: t4wpmc
Geographical Area Served: bfm8s1
Age Group To Be Served: xp6f4n

Contact Information

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Contact Prefix (Mr,Mrs etc.): tqgm0r
Contact First Name: 4bybav
Contact Last Name: lfmno6
Contact Title: revcpi
Contact Phone: 032464730261
Contact Email: roofa2000@automisly.org