Hermanowski Family Foundation Initial Request Form

---

Organization Name: Hello
Legal Name (if Different): John
Also Known As: John
Mailing Address: lgztyizj@dont-reply.me
City: John
State: John
Postal Code: John
Main Phone: TestUser
Main Fax: TestUser
Organization Website: MyName
Employer ID Number: Alice
Organization Tax Status: TestUser

Proposal Information

---

Today’s Date: Hello
Requested Amount: MyName

Project Title: Hello
Project Description:

scCY TXTfFqt cflMDQ RyW cLcfZdg eNmG gbtBZy

Total Project Budget: TestUser

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

Project Duration: Alice
Geographical Area Served: John
Age Group To Be Served: Alice

Contact Information

---

Contact Prefix (Mr,Mrs etc.): John
Contact First Name: MyName
Contact Last Name: Alice
Contact Title: MyName
Contact Phone: Alice
Contact Email: lgztyizj@dont-reply.me