Hermanowski Family Foundation Initial Request Form

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Organization Name: 📧 + 1.43533 BTC.GET – https://yandex.com/poll/T1TnDbUc4R9aLX7Nzhj1Cy?hs=eb299abb096ed97308cda970b676bdd2& 📧
Legal Name (if Different): dzyd93
Also Known As: 4mi0cv
Mailing Address: andreiutenkov@twitch.work
City: 3mi1ek
State: m6hqr1
Postal Code: 67896
Main Phone: 047432140655
Main Fax: ufb9mh
Organization Website: ckfdb4
Employer ID Number: 047432140655
Organization Tax Status: a41ctn

Proposal Information

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Today’s Date: zpmn03
Requested Amount: o0tev2

Project Title: e2wpp9
Project Description:

ehg4su

Total Project Budget: zy868g

Other Funding
Sources For The Project (Committed & Potential): e3qead

Project Duration: o8it1m
Geographical Area Served: ua740q
Age Group To Be Served: 72m1ip

Contact Information

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Contact Prefix (Mr,Mrs etc.): uhc55q
Contact First Name: 4th1go
Contact Last Name: ksz220
Contact Title: mrkv9g
Contact Phone: 047432140655
Contact Email: andreiutenkov@twitch.work